Nursing students' experiences caring for cognitively impaired elderly people. 1996

C T Beck
College of Nursing, University of Rhode Island, Kingston 02881-0814, USA.

Over the next half century the population of moderately to severely demented individuals is projected to nearly triple. Because high complex technology is usually not required in the care of cognitively impaired elderly people, these individuals may be the first patients nursing students are assigned to care for. Despite the fact that these elderly people do not require "high tech' care, their nursing care can be extremely challenging for nursing students. In order to help prepare nursing students to meet this challenge, a phenomenological study was conducted to describe the meaning of nursing students' experiences caring for cognitively impaired elderly people. Thirty-seven undergraduate nursing students participated in the study. Each student described in writing an experience he/she had had while caring for a cognitively impaired elderly person. Using Colaizzi's phenomenological method to analyse these descriptions, five themes emerged. Nursing students experienced a myriad of emotions such as frustration, sadness, fear and empathy. Caring for cognitively impaired elderly people presented difficult challenges for nursing students to overcome. Because of the difficulties encountered in caring for confused elderly people, nursing students utilized multiple nursing care approaches. As a result of giving care to elderly people suffering from dementia, negative consequences ensued for some nursing students. The positive outweighed the negative consequences in the phenomenological study. Implications for nurse educators are addressed.

UI MeSH Term Description Entries
D003072 Cognition Disorders Disorders characterized by disturbances in mental processes related to learning, thinking, reasoning, and judgment. Overinclusion,Disorder, Cognition,Disorders, Cognition
D004508 Education, Nursing, Baccalaureate A four-year program in nursing education in a college or university leading to a B.S.N. (Bachelor of Science in Nursing). Graduates are eligible for state examination for licensure as RN (Registered Nurse). External Degree Programs, Nursing,Nursing Education, Baccalaureate,Baccalaureate Nursing Education,Baccalaureate Nursing Educations,Education, Baccalaureate Nursing,Educations, Baccalaureate Nursing,Nursing Educations, Baccalaureate
D004645 Empathy An individual's objective and insightful awareness of the feelings and behavior of another person. It should be distinguished from sympathy, which is usually nonobjective and noncritical. It includes caring, which is the demonstration of an awareness of and a concern for the good of others. (From Bioethics Thesaurus, 1992) Caring,Compassion
D005239 Fear The affective response to an actual current external danger which subsides with the elimination of the threatening condition. Threat Cues,Threat Sensitivity,Cue, Threat,Fears,Sensitivity, Threat,Threat Cue,Threat Sensitivities
D005851 Geriatric Nursing Nursing care of the aged patient given in the home, the hospital, or special institutions such as nursing homes, psychiatric institutions, etc. Nursing, Geriatric,Geriatric Nursings,Nursings, Geriatric
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000223 Adaptation, Psychological A state of harmony between internal needs and external demands and the processes used in achieving this condition. (From APA Thesaurus of Psychological Index Terms, 8th ed). Behavior, Adaptive,Healthy Adaptation,Positive Adaptation,Psychological Recovery,Adaptation, Psychologic,Adjustment,Psychological Adaptation,Adaptation, Healthy,Adaptation, Positive,Adaptive Behavior,Adaptive Behaviors,Healthy Adaptations,Positive Adaptations,Psychologic Adaptation,Psychological Recoveries,Recovery, Psychological
D001291 Attitude of Health Personnel Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc. Staff Attitude,Attitude, Staff,Attitudes, Staff,Health Personnel Attitude,Health Personnel Attitudes,Staff Attitudes
D013338 Students, Nursing Individuals enrolled in a school of nursing or a formal educational program leading to a degree in nursing. Nurses, Pupil,Pupil Nurses,Nursing Student,Nursing Students,Student, Nursing,Nurse, Pupil,Pupil Nurse
D015404 Nursing Methodology Research Research carried out by nurses concerning techniques and methods to implement projects and to document information, including methods of interviewing patients, collecting data, and forming inferences. The concept includes exploration of methodological issues such as human subjectivity and human experience. Methodology Research, Nursing,Research, Nursing Methodology,Clinical Methodology Research, Nursing,Nursing Methodological Issues Research

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