Exploring practitioners’ frames of reference for discomfort management of nursing home residents with dementia: A Q-methodology study.

Purpose: This study employed Q-methodology to explore frames of reference of nursing home practitioners in managing discomfort of residents with dementia. Methods: In-depth interviews were conducted with eight nursing home practitioners, all of whom had experience caring for residents with dementia....

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Published in:Journal of Korean Gerontological Nursing Vol. 27; no. 2; pp. 143 - 154
Main Authors: Jiseon Bae, Yujeong Hong, Sung Ok Chang
Format: research tables/charts Journal Article
Published: Korean Gerontological Nursing Society May2025
Online Access:View this record in EBSCOhost
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      dt: May2025
      vid: 27
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      pub: Korean Gerontological Nursing Society
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        10.17079/jkgn.2024.00633
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        atl: Exploring practitioners’ frames of reference for discomfort management of nursing home residents with dementia: A Q-methodology study.
      aug:
        au:
          Jiseon Bae
          Yujeong Hong
          Sung Ok Chang
        affil: Graduate Student, College of Nursing, Korea University, Seoul, Korea.
      sug:
        subj:
          Nursing Home Residents Psychosocial Factors
          Dementia Psychosocial Factors
          Comfort
          Nursing Home Personnel Psychosocial Factors
          Attitude of Health Personnel Evaluation
          Professional-Patient Relations
          Needs Assessment
          Human
          Male
          Female
          Aged
          Aged, 80 and Over
          Dementia Patients
          Multimethod Studies
          Factor Analysis
          Semi-Structured Interview
          Descriptive Statistics
          Data Analysis Software
          Trust
          Funding Source
          South Korea
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: This study employed Q-methodology to explore frames of reference of nursing home practitioners in managing discomfort of residents with dementia. Methods: In-depth interviews were conducted with eight nursing home practitioners, all of whom had experience caring for residents with dementia. Additionally, a literature review on discomfort, its assessment, and interventions was conducted. Thirty-four practitioners as a P-sample, including nurses, care workers, social workers, and physical therapists, classified 34 Q-samples through Q-sorting. Data analysis was performed using the PQ-method 2.35 program. Results were interpreted based on factor arrays, post-interview data, and distribution of the P-sample. Results: Four Q-factors were identified as practitioners’ frames of references for discomfort management of nursing home residents: exploring possible management based on a synthesis of related clues, an individual assessment-based approach using possible assumptions, linking subtle changes to management direction based on a trusting relationship, and configuration-centered management direction using objective data. Conclusion: Utilizing nursing home practitioners’ frames of reference for managing demented residents’ discomfort can be used for developing strategies that can be used in practitioners’ education and promoting practice that can reduce discomfort of nursing home residents.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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