Person-centred oral hydration care for older people with dementia admitted to acute hospital wards: Empirical research qualitative.

Journal article

Higgins, S., Baillie, L., Moorley, C. and Nolan, F. (2023). Person-centred oral hydration care for older people with dementia admitted to acute hospital wards: Empirical research qualitative. Journal of Clinical Nursing. 32 (19-20), pp. 7467-7482. https://doi.org/10.1111/jocn.16807
AuthorsHiggins, S., Baillie, L., Moorley, C. and Nolan, F.
AbstractTo conduct an in-depth exploration of oral hydration care provided to people living with dementia in acute hospital wards, using a person-centred care framework. Oral hydration care is an important, yet rarely explored aspect of fundamental care for people with dementia admitted to acute hospitals. Using person-centred care as a conceptual framework we investigated how oral hydration care is delivered for people living with dementia in acute hospital wards. A qualitative, multiple-case study. The cases were three acute wards in one hospital. Direct observation of care for 13 people with dementia (132 h), semistructured interviews with ward staff (n = 28), ward leaders (n = 4), organisational leaders (n = 5), people with dementia (n = 6), their relatives (n = 5), documentary analysis of clinical inpatient records (n = 26) and relevant hospital policies. Data were analysed using framework analysis. Four themes were identified: (1) The acute hospital: oral hydration is obscured and not prioritised (2) Overshadowing of oral hydration at ward level (3) Siloed nature of hydration roles (4) Strategies for, and barriers to, delivering person-centred oral hydration care. This study combines the concept of person-centred care and oral hydration care for people living with dementia admitted to acute hospital wards, demonstrating that person-centred hydration care was complex and not prioritised. Nurses should consider means of improving prioritisation and cohesive delivery of person-centred hydration care in acute hospital wards. [Abstract copyright: © 2023 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.]
Keywordsdementia; person-centred care; case study; qualitative; oral hydration; older people; hospital; fundamental care
Year2023
JournalJournal of Clinical Nursing
Journal citation32 (19-20), pp. 7467-7482
PublisherWiley
ISSN1365-2702
Digital Object Identifier (DOI)https://doi.org/10.1111/jocn.16807
Funder/ClientMona Grey Scholarship
Publication dates
Online23 Jun 2023
Publication process dates
Accepted30 May 2023
Deposited01 Aug 2023
Publisher's version
License
File Access Level
Open
Page range10.1111/jocn.16807
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