'Working away in that Grey Area...' A qualitative exploration of the challenges general practitioners experience when managing behavioural and psychological symptoms of dementia.
Background: general practitioners (GPs) have identified the management of behavioural and psychological symptoms of dementia (BPSD) as a particularly challenging aspect of dementia care. However, there is a paucity of research on why GPs find BPSD challenging and how this influences the care they of...
| Publicado en: | Age & Ageing Vol. 47; no. 2; pp. 295 - 304 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Mar2018
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=128159184&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 128159184 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Mar2018 vid: 47 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 128159184 10.1093/ageing/afx175 ppf: 295 ppct: 9 formats: tig: atl: 'Working away in that Grey Area...' A qualitative exploration of the challenges general practitioners experience when managing behavioural and psychological symptoms of dementia. aug: au: Jennings, Aisling A Foley, Tony McHugh, Sheena Browne, John P Bradley, Colin P affil: Dept. of General Practice , University College Cork, Cork, Ireland Dept. of Epidemiology and Public Health , University College Cork, Cork, Ireland su: Ireland Behavior disorders Caregivers Community health services Interviewing Nursing care facilities Qualitative research Therapeutics Psychology Treatment of dementia Research methodology General practitioners Decision making in clinical medicine Thematic analysis sug: subj: Behavior disorders Caregivers Community health services Interviewing Nursing care facilities Qualitative research Therapeutics Psychology Ireland All Other Outpatient Care Centers Residential Mental Health and Substance Abuse Facilities Community health centres Other Individual and Family Services Other local, municipal and regional public administration Nursing Care Facilities (Skilled Nursing Facilities) Community care facilities for the elderly Treatment of dementia Research methodology General practitioners Decision making in clinical medicine Thematic analysis keyword: behavioural and psychologicalsymptoms (BPSD) dementia general practitioners (GPs) neuropsychiatric symptoms qualitative behavioural and psychologicalsymptoms (BPSD) dementia general practitioners (GPs) neuropsychiatric symptoms qualitative ab: Background: general practitioners (GPs) have identified the management of behavioural and psychological symptoms of dementia (BPSD) as a particularly challenging aspect of dementia care. However, there is a paucity of research on why GPs find BPSD challenging and how this influences the care they offer to their patients with dementia. Objectives: to establish the challenges GPs experience when managing BPSD; to explore how these challenges influence GPs' management decisions; and to identify strategies for overcoming these challenges. Design: qualitative study of GPs experiences of managing BPSD. Methods: semi-structured interviews were conducted with 16 GPs in the Republic of Ireland. GPs were purposively recruited to include participants with differing levels of experience caring for people with BPSD in nursing homes and in community settings to provide maximum diversity of views. Interviews were analysed thematically. Results: three main challenges of managing BPSD were identified; lack of clinical guidance, stretched resources and difficulties managing expectations. The lack of relevant clinical guidance available affected GPs' confidence when managing BPSD. In the absence of appropriate resources GPs felt reliant upon sedative medications. GPs believed their advocacy role was further compromised by the difficulties they experienced managing expectations of family caregivers and nursing home staff. Conclusions: this study helps to explain the apparent discrepancy between best practice recommendations in BPSD and reallife practice. It will be used to inform the design of an intervention to support the management of BPSD in general practice. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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