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Caregivers' perspectives on good care for nursing home residents with Korsakoff syndrome

BACKGROUND: In the Netherlands, people with severe cognitive deficits due to Korsakoff syndrome are generally admitted to a specialized nursing home. Professional caregivers experience that these residents are often not aware of their deficits, and consequently, their willingness to accept care is r...

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Autores principales: Gerridzen, Ineke J, Hertogh, Cees MPM, Joling, Karlijn J, Veenhuizen, Ruth B, Verschuur, Els ML, Janssen, Tjeu, Depla, Marja F
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8151566/
https://www.ncbi.nlm.nih.gov/pubmed/32436458
http://dx.doi.org/10.1177/0969733020921507
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author Gerridzen, Ineke J
Hertogh, Cees MPM
Joling, Karlijn J
Veenhuizen, Ruth B
Verschuur, Els ML
Janssen, Tjeu
Depla, Marja F
author_facet Gerridzen, Ineke J
Hertogh, Cees MPM
Joling, Karlijn J
Veenhuizen, Ruth B
Verschuur, Els ML
Janssen, Tjeu
Depla, Marja F
author_sort Gerridzen, Ineke J
collection PubMed
description BACKGROUND: In the Netherlands, people with severe cognitive deficits due to Korsakoff syndrome are generally admitted to a specialized nursing home. Professional caregivers experience that these residents are often not aware of their deficits, and consequently, their willingness to accept care is relatively low. However, these residents need permanent support when performing daily tasks due to severe cognitive deficits. The combination of objective care needs and low subjective responsiveness makes caring for people with Korsakoff syndrome a complex undertaking. It is unknown how professional caregivers deal with this complex task and how they manage the associated ethical challenges. OBJECTIVES: The aim of this study was to explore the professional caregivers’ perspectives on good care for residents with Korsakoff syndrome. METHODS: A qualitative study design was used. Data were collected via semi-structured interviews. The Framework Method was used for the thematic analyses of the interview data. PARTICIPANTS AND RESEARCH CONTEXT: Five specialized nursing homes participated in this study. Twelve professional caregivers, including nurses, nursing assistants, and support workers, were selected based on the ability to provide rich information on the study topics and to capture a variety of demographic and professional characteristics. ETHICAL CONSIDERATIONS: The institutional review board of the VU University Medical Center Amsterdam approved the research protocol. The study was conducted in accordance with the ethical principles for medical research involving human subjects. FINDINGS: Three perspectives on good care emerged: (1) making daily life a joint effort, (2) being steadfast, and (3) treating with respect. DISCUSSION AND CONCLUSION: Professional caregivers try to achieve responsiveness in people with Korsakoff syndrome in three different ways. These perspectives reflect fundamentally different views on the care relationship and the autonomy of the resident. By elucidating the three perspectives, we hope to promote the practitioners’ reflection on their own ideas about good care for people with Korsakoff syndrome.
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spelling pubmed-81515662021-06-09 Caregivers' perspectives on good care for nursing home residents with Korsakoff syndrome Gerridzen, Ineke J Hertogh, Cees MPM Joling, Karlijn J Veenhuizen, Ruth B Verschuur, Els ML Janssen, Tjeu Depla, Marja F Nurs Ethics Special Issue Articles BACKGROUND: In the Netherlands, people with severe cognitive deficits due to Korsakoff syndrome are generally admitted to a specialized nursing home. Professional caregivers experience that these residents are often not aware of their deficits, and consequently, their willingness to accept care is relatively low. However, these residents need permanent support when performing daily tasks due to severe cognitive deficits. The combination of objective care needs and low subjective responsiveness makes caring for people with Korsakoff syndrome a complex undertaking. It is unknown how professional caregivers deal with this complex task and how they manage the associated ethical challenges. OBJECTIVES: The aim of this study was to explore the professional caregivers’ perspectives on good care for residents with Korsakoff syndrome. METHODS: A qualitative study design was used. Data were collected via semi-structured interviews. The Framework Method was used for the thematic analyses of the interview data. PARTICIPANTS AND RESEARCH CONTEXT: Five specialized nursing homes participated in this study. Twelve professional caregivers, including nurses, nursing assistants, and support workers, were selected based on the ability to provide rich information on the study topics and to capture a variety of demographic and professional characteristics. ETHICAL CONSIDERATIONS: The institutional review board of the VU University Medical Center Amsterdam approved the research protocol. The study was conducted in accordance with the ethical principles for medical research involving human subjects. FINDINGS: Three perspectives on good care emerged: (1) making daily life a joint effort, (2) being steadfast, and (3) treating with respect. DISCUSSION AND CONCLUSION: Professional caregivers try to achieve responsiveness in people with Korsakoff syndrome in three different ways. These perspectives reflect fundamentally different views on the care relationship and the autonomy of the resident. By elucidating the three perspectives, we hope to promote the practitioners’ reflection on their own ideas about good care for people with Korsakoff syndrome. SAGE Publications 2020-05-21 2021-05 /pmc/articles/PMC8151566/ /pubmed/32436458 http://dx.doi.org/10.1177/0969733020921507 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Special Issue Articles
Gerridzen, Ineke J
Hertogh, Cees MPM
Joling, Karlijn J
Veenhuizen, Ruth B
Verschuur, Els ML
Janssen, Tjeu
Depla, Marja F
Caregivers' perspectives on good care for nursing home residents with Korsakoff syndrome
title Caregivers' perspectives on good care for nursing home residents with Korsakoff syndrome
title_full Caregivers' perspectives on good care for nursing home residents with Korsakoff syndrome
title_fullStr Caregivers' perspectives on good care for nursing home residents with Korsakoff syndrome
title_full_unstemmed Caregivers' perspectives on good care for nursing home residents with Korsakoff syndrome
title_short Caregivers' perspectives on good care for nursing home residents with Korsakoff syndrome
title_sort caregivers' perspectives on good care for nursing home residents with korsakoff syndrome
topic Special Issue Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8151566/
https://www.ncbi.nlm.nih.gov/pubmed/32436458
http://dx.doi.org/10.1177/0969733020921507
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