Background: This study aimed to identify experiences and perspectives shaping coping abilities among patients diagnosed with dementia and their families who visited a nurse-led outpatient service provided by geriatric nursing specialists and certified dementia nurses. Methods: Semi-structured interviews were conducted with three patients diagnosed with dementia and five family members who attended the nurse-led outpatient service at Hospital A. The interviews were analyzed using qualitative descriptive methods. Results: From patients’ narratives, three categories were identified, such as “focusing more on what I can do and what is interesting rather than daily failures. ” From families’ narratives, three categories were identified, including “patients feel more positive emotions by visiting the clinic in a different environment.” In addition, seven categories emerged from families’ broader experiences and perceptions, such as “the clinic considers both the patient and the family, allowing us to consult freely and feel reassured.” Discussion: Findings suggest that ongoing involvement with the nurse-led outpatient service contributes to psychological stability and better coping with dementia among patients and their families.

View full abstract

[in Japanese]

View full abstract

[in Japanese]

View full abstract

［目的］第一、二Z 世代看護師と非Z 世代看護師のナースコールに対して抱く感情対処傾向を明らかにし、それぞれの世代の感情対処に対する支援への示唆を得ることを目的とする。 ［方法］2024 年10月23 日〜 11月29日にA 病院の看護師291名を対象とし、無記名自記式質問紙調査を行い集計した。 ［結果］回答数は第一Z 世代看護師33名、第二Z 世代看護師28名、非Z世代看護師81名であった。ナースコールに対して抱く感情対処は、第一Z 世代看護師は【患者感情優先対処】、第二Z 世代看護師は【自己感情優先対処】、非Z 世代看護師は【両感情回避対処】が有意に高値だった。 ［考察］ナースコールに対して抱く否定的感情は全世代に共通していたが、実務経験年数によって感情をコントロールする力が身につくことが明らかとなった。そのため、各世代の特徴を踏まえた支援が重要である。

View full abstract