Departmental Bulletin Paper 介護老人保健施設における看護職者の認知症ケアの質への関連要因の検討
Quality of nursing care for patients with dementia in longterm health care facilities

中田, 弥沙  ,  直原, 大輔  ,  山本, 茉奈実  ,  楠木, 麻子  ,  井上, かおり  ,  實金, 栄

This study aimed to examine the association of stress recognition in dementia care and teamwork with the quality of care. Subjects included 108 nurses in 20 long-term health care facilities in Prefecture A who completed this survey. The survey included questions on the nurses’ basic demographic attributes, teamwork, recognition of stress associated with dementia care, and the quality of care. We performed stepwise multiple regression analysis using the quality of care as the target variable and stress recognition and teamwork as the explanatory variables. We found that the quality of care for patients with dementia was associated with “team orientation” and “team leadership,” both of which were subordinate factors of teamwork as well as “responses to behavioral and psychological symptoms of dementia (BPSD),”which was a subordinate factor of stress recognition in caring for those with dementia. Measures that strengthen teamwork related to the quality of care for dementia and emphasize care strategies through trial and error, despite the stress inherent in responding to BPSD, are ways to improve the quality of care for patients with dementia.

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