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The problems of communication between nurse and patients with dementia
CARDOVÁ, Lenka
This bachelor thesis deals with the problems of communication between nurses and patients with dementia. Aims of the Thesis: To find out what barriers there are in communication among nurses and patients suffering from dementia - mental, physical, and duration difficulties. To map out nurses´ experience in communicating with patients suffering from dementia. To find out how nurses communicate with patients suffering from dementia. Methodology and Research File: To reach goals set, three research questions have been posed. What barriers are there in nurses´ communication with patients suffering from dementia? What is nurses´ experience with communicating with patients suffering from dementia? How do nurses communicate with patients suffering from dementia while nursing? To carry out the survey, a qualitative approach was chosen, using a semi-structured interview as the data collection method. The semi-structured interview was accompanied by a long-term direct observation carried out in the after-care department. The research file consisted of 11 nurses from three departments of a chosen South-Bohemian hospital. A deliberate choice of nurses was carried out, the main criterion of being included within the research file was minimal nursing practice of 3 years of working in the given department. The data was processed using the pen-and-paper method using open coding, and the data was subsequently categorized. 6 categories and 14 subcategories were set. Results: The survey has proven that nurses are experienced in communicating with patients suffering from dementia, they have theoretical knowledge, as well as proven methods for communication purposes. Some nurses do use these communication methods in practice. Other nurses have (theoretical) knowledge of how to communicate, however they do not use these communication techniques in practice. Practical Recommendations: We recommend to include self-experience courses in communication with patients suffering from dementia as part of nurse education, where the nurses would not only gain theoretical knowledge, but also be enabled to rehearse their communication with that specific group of patients in simulated model situations, getting a feedback.
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