Nursing Care Strategies Employed by Advanced Practice Nurses to Promote Comfort During Postoperative Bed Rest for Both Older Patients With Dementia and Nurses

Abstract

Aim: The purpose of this study is to elucidate the care innovations practiced by advanced practice nurses (geriatric nurses and certified dementia nurses) on elderly dementia patients during the postoperative bed rest period to provide optimal rest for both patients and nurses.

Method: Semi-structured interviews were conducted with six advanced practice nurses working in acute care hospitals, and a qualitative content analysis was carried out.

Results: The analysis also clarified the three categories [early response to signs that may lead to agitation or confusion], [reduction of pain associated with bed rest], and [innovations for postoperative management that do not rely on physical limitations] to achieve these categories. These innovations not only reduced the discomfort and pain caused by postoperative bed rest, delirium, and confusion in elderly dementia patients, but also reduced care difficulties for nurses.

Conclusion: Nursing practices that address the discomfort associated with bed rest, determine the appropriate timing for medication, ensure pain relief and adequate sleep on the surgery day, and focus on removing physical restraints can provide comfort to both patients and nurses.