Skip to main content

Research Repository

See what's under the surface

A systematic literature review on nurses' and health care support workers' experiences of caring for people with dementia on orthopaedic wards

Likupe, Gloria; Moonga, Jubilee

Authors

Dr Gloria Likupe G.Likupe@hull.ac.uk
Lecturer and Researcher in Healthcare/ Chairperson of School Athena Swan group

Jubilee Moonga



Abstract

Aims and objectives To review literature on nurses’ and health care workers’ experiences of caring for people with dementia on orthopaedic wards. Background Dementia is a condition that affects a large number of the older population worldwide. It is estimated that there are 47·5 million people worldwide living with dementia with 4·6 million new cases being diagnosed annually. This number is said to increase to 75·6 million by 2030 and triple by 2050. It is also acknowledged that older people are at a greater risk of falls that are a devastating problem causing a tremendous amount of morbidity, mortality and use of health care services (Rubestein, Age and Ageing, 35, 2006, 37). Falls usually result from identified risk factors such as weakness, unsteady gait, confusion and certain medication. Therefore, it is reasonable to assume that a large population of older people suffering from dementia may be admitted to orthopaedic wards with various injuries. Nurse and support health workers may experience a range of difficulties when caring for this population of patients. Design A systematic review. Methods An extensive literature search using; CINAHL, MEDLINE, Academic Search Complete, National Health Service Evidence, websites like Department of Health, Dementia and Alzheimer's Society. Results The search generated several articles on dementia in general, however, only 14 articles dealing with care of these people in an acute hospital setting were found. No studies dealing with the care of people with dementia on orthopaedic wards were found; therefore, this review has taken a generalist nature and applies the findings to orthopaedic wards. The main themes identified from the review were: challenging behaviour and unsuitable care environment; lack of education on dementia; strain from nursing patients with dementia; and ethical dilemmas arising from care of people with dementia. Conclusion It would be an over-simplification to say that the care of people with dementia on medical wards is the same as the care of trauma patients with dementia. Therefore, there is a need for a study to explore nurses’ and health care worker's experiences of caring for trauma patients with dementia on orthopaedic wards. Relevance to clinical practice The results of this study could provide guidance on the effective care of people with dementia on orthopaedic wards.

Journal Article Type Article
Publication Date 2016-07
Journal Journal of clinical nursing
Print ISSN 0962-1067
Electronic ISSN 1365-2702
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 25
Issue 13-14
Pages 1789-1804
Institution Citation Likupe, G., & Moonga, J. (2016). A systematic literature review on nurses' and health care support workers' experiences of caring for people with dementia on orthopaedic wards. Journal of clinical nursing, 25(13-14), 1789-1804. https://doi.org/10.1111/jocn.13158
DOI https://doi.org/10.1111/jocn.13158
Keywords Aggression, Alzheimer's, Behavioural, Caring, Confusion, Dementia, Health care support workers' experiences, National Health Service, Older people, Orthopaedic wards, Patients, Registered nurses, Registered nurses' experiences
Publisher URL http://onlinelibrary.wiley.com/doi/10.1111/jocn.13158/abstract
Additional Information Authors' accepted manuscript of article: Moonga, J. and Likupe, G. (2016), A systematic literature review on nurses’ and health care support workers’ experiences of caring for people with dementia on orthopaedic wards. J Clin Nurs, 25: 1789–1804. doi:10.1111/jocn.13158

Files





You might also like



Downloadable Citations