Experiences and Needs of Nursing Staff Caring for Double Care Demanding Patients: A Qualitative Study

Janine Collet*, Marjolein de Vugt, D.F.G. Ackermans, Frans Verhey, N.J.J.A. Engelen, Jos Schols

*Corresponding author for this work

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Nursing staff has a key role in the multidisciplinary care for patients with combined mental (psychiatric and/or
psychogeriatric) and physical problems (DCD-patients). This study explores the experiences and needs of DCDnursing staff in Dutch mental healthcare (MH) and nursing home (NH) settings, to identify factors to provide optimal care for DCD-patients. A qualitative approach was used, consisting of five semi-structured focus group interviews with DCD-staff (n=28) from MH- and NH-settings in the Netherlands. Five levels of factors were identified: (1) Patient-related factors (complexity of combined care needs, and complexity of behavioral problems); (2) Informal care-related factors (misapprehension of DCD-complexity, and involvement of volunteers); (3) Professional carerelated factors (competences and attitudes, well-matched multidisciplinary team, and collaborative care between
MH- and NH-settings); (4) Living and work environment-related factors (staff availability and continuity, and facility requirements); and (5) Organization-related factors (clear DCD-care policy, and provision of specific training and coaching). DCD-staff stressed the importance of team-efficacy, depending on commitment, mutual trust, and good
communication- and collaboration skills; of experiencing a psychologically and physically safe work-environment; and of empowerment through the acknowledgment of the specificity of DCD-care and the teams’ specific qualities regarding DCD-care. These findings can be used to optimize DCD-care.
Original languageEnglish
Article number1000501
JournalJournal of Gerontology & Geriatric Research
Issue number2
Publication statusPublished - 2019

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