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How older people nurses assess cognitive function through daily observation.

机译:老年人护士如何通过日常观察来评估认知功能。

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AIM: To obtain knowledge and insight into how older people nurses observe the cognitive function of their patients. BACKGROUND: In cases of cognitive decline not due to delirium, the daily observation of cognitive function by nurses has not been standardised in hospital wards specialised in the care of older people. DESIGN: A qualitative study with purposive sampling and semi-structured interviews. Methods. Data were obtained by interviewing 10 Dutch nursing experts in the field of cognitive function in older patients. The interviews were recorded, transcribed and analysed by two independent researchers. RESULTS: All the respondents stated that daily observation of cognitive function yields valuable information. The concept of cognitive function was operationalised differently by institute and by nurse. Observation and reporting methods varied, as did the goals set by the nurses. Nurses reported using many days of observation to reach final judgements. CONCLUSIONS: Observations of cognitive functioning should include several cognitive domains, be restricted to a few days of observation and aim to both contribute to medical diagnoses and guide nursing interventions. RELEVANCE TO CLINICAL PRACTICE: Until a valid instrument becomes available, nursing staff must standardise daily observations themselves. This paper describes input to achieve this.
机译:目的:获得知识和见识,了解老年人护士如何观察患者的认知功能。背景:在不是由于ir妄引起的认知能力下降的情况下,在专门照顾老年人的医院病房中,护士的日常观察功能尚未标准化。设计:定性研究,目的抽样和半结构化访谈。方法。数据是通过采访10位荷兰老年患者认知功能领域的护理专家而获得的。采访由两名独立的研究人员记录,转录和分析。结果:所有受访者均表示,每天观察认知功能会产生有价值的信息。机构和护士对认知功能的概念有不同的操作。观察和报告方法各不相同,护士设定的目标也各不相同。护士报告说,他们使用了很多天的观察才能做出最终判断。结论:认知功能的观察应包括几个认知领域,仅限于几天的观察,目的是有助于医学诊断和指导护理干预措施。与临床实践的关系:在获得有效仪器之前,护理人员必须自己对日常观察进行标准化。本文介绍了实现此目的的输入。

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