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Tensions and ambiguities: a qualitative study of final year adult field nursing students experiences of caring for people affected by advanced dementia in Wales, UK

Tessa Watts Orcid Logo, Ruth Davies

Nurse Education Today

Swansea University Author: Tessa Watts Orcid Logo

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DOI (Published version): 10.1016/j.nedt.2014.04.012

Abstract

BackgroundRising dementia prevalence means that general nurses globally will encounter more people affected by advanced dementia. Advanced dementia care is profoundly complex yet there is a paucity of research exploring how general nursing students experience and thus learn to care for those affecte...

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Published in: Nurse Education Today
Published: 2014
Online Access: http://www.sciencedirect.com/science/article/pii/S0260691714001233
URI: https://cronfa.swan.ac.uk/Record/cronfa17935
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first_indexed 2014-05-07T01:30:03Z
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2017-08-30T15:28:07.3970042</datestamp><bib-version>v2</bib-version><id>17935</id><entry>2014-05-06</entry><title>Tensions and ambiguities: a qualitative study of final year adult field nursing students experiences of caring for people affected by advanced dementia in Wales, UK</title><swanseaauthors><author><sid>645eba17f8610ddff17b5022bc7f279c</sid><ORCID>0000-0002-1201-5192</ORCID><firstname>Tessa</firstname><surname>Watts</surname><name>Tessa Watts</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2014-05-06</date><deptcode>FGMHL</deptcode><abstract>BackgroundRising dementia prevalence means that general nurses globally will encounter more people affected by advanced dementia. Advanced dementia care is profoundly complex yet there is a paucity of research exploring how general nursing students experience and thus learn to care for those affected.ObjectivesTo explore final year nursing students' (adult field) experiences of caring for people affected by advanced dementia.DesignA qualitative design was adopted.SettingThe setting was Wales, UK.ParticipantsEleven final year nursing undergraduates (adult field).MethodData were collected using digitally recorded one-to-one in-depth interviews in 2013 and analysed using thematic analysis.ResultsParticipants' experiences fell within three main themes: 'they can be quite challenging'; 'a lot of dementia patients are seen as "hazards"' and 'it's not all about doing stuff'. Participants aspired to person-centred care. However, they felt insufficiently prepared for what they believed was knowledgeable work requiring interpersonal competence and confidence. Participants appreciated that many practitioners, their clinical educators, were insufficiently prepared for advanced dementia care.ConclusionsThe study provided further evidence of the complexity of caring for those with advanced dementia and associated theory, practice and policy gaps. There are important implications for education in terms of curriculum development and learning from and in practice.</abstract><type>Journal Article</type><journal>Nurse Education Today</journal><publisher/><keywords>Dementia; nursing students; palliative care; student experience</keywords><publishedDay>31</publishedDay><publishedMonth>5</publishedMonth><publishedYear>2014</publishedYear><publishedDate>2014-05-31</publishedDate><doi>10.1016/j.nedt.2014.04.012</doi><url>http://www.sciencedirect.com/science/article/pii/S0260691714001233</url><notes></notes><college>COLLEGE NANME</college><department>Medicine, Health and Life Science - Faculty</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>FGMHL</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2017-08-30T15:28:07.3970042</lastEdited><Created>2014-05-06T16:07:53.5824582</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Nursing</level></path><authors><author><firstname>Tessa</firstname><surname>Watts</surname><orcid>0000-0002-1201-5192</orcid><order>1</order></author><author><firstname>Ruth</firstname><surname>Davies</surname><order>2</order></author></authors><documents/><OutputDurs/></rfc1807>
spelling 2017-08-30T15:28:07.3970042 v2 17935 2014-05-06 Tensions and ambiguities: a qualitative study of final year adult field nursing students experiences of caring for people affected by advanced dementia in Wales, UK 645eba17f8610ddff17b5022bc7f279c 0000-0002-1201-5192 Tessa Watts Tessa Watts true false 2014-05-06 FGMHL BackgroundRising dementia prevalence means that general nurses globally will encounter more people affected by advanced dementia. Advanced dementia care is profoundly complex yet there is a paucity of research exploring how general nursing students experience and thus learn to care for those affected.ObjectivesTo explore final year nursing students' (adult field) experiences of caring for people affected by advanced dementia.DesignA qualitative design was adopted.SettingThe setting was Wales, UK.ParticipantsEleven final year nursing undergraduates (adult field).MethodData were collected using digitally recorded one-to-one in-depth interviews in 2013 and analysed using thematic analysis.ResultsParticipants' experiences fell within three main themes: 'they can be quite challenging'; 'a lot of dementia patients are seen as "hazards"' and 'it's not all about doing stuff'. Participants aspired to person-centred care. However, they felt insufficiently prepared for what they believed was knowledgeable work requiring interpersonal competence and confidence. Participants appreciated that many practitioners, their clinical educators, were insufficiently prepared for advanced dementia care.ConclusionsThe study provided further evidence of the complexity of caring for those with advanced dementia and associated theory, practice and policy gaps. There are important implications for education in terms of curriculum development and learning from and in practice. Journal Article Nurse Education Today Dementia; nursing students; palliative care; student experience 31 5 2014 2014-05-31 10.1016/j.nedt.2014.04.012 http://www.sciencedirect.com/science/article/pii/S0260691714001233 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2017-08-30T15:28:07.3970042 2014-05-06T16:07:53.5824582 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Tessa Watts 0000-0002-1201-5192 1 Ruth Davies 2
title Tensions and ambiguities: a qualitative study of final year adult field nursing students experiences of caring for people affected by advanced dementia in Wales, UK
spellingShingle Tensions and ambiguities: a qualitative study of final year adult field nursing students experiences of caring for people affected by advanced dementia in Wales, UK
Tessa Watts
title_short Tensions and ambiguities: a qualitative study of final year adult field nursing students experiences of caring for people affected by advanced dementia in Wales, UK
title_full Tensions and ambiguities: a qualitative study of final year adult field nursing students experiences of caring for people affected by advanced dementia in Wales, UK
title_fullStr Tensions and ambiguities: a qualitative study of final year adult field nursing students experiences of caring for people affected by advanced dementia in Wales, UK
title_full_unstemmed Tensions and ambiguities: a qualitative study of final year adult field nursing students experiences of caring for people affected by advanced dementia in Wales, UK
title_sort Tensions and ambiguities: a qualitative study of final year adult field nursing students experiences of caring for people affected by advanced dementia in Wales, UK
author_id_str_mv 645eba17f8610ddff17b5022bc7f279c
author_id_fullname_str_mv 645eba17f8610ddff17b5022bc7f279c_***_Tessa Watts
author Tessa Watts
author2 Tessa Watts
Ruth Davies
format Journal article
container_title Nurse Education Today
publishDate 2014
institution Swansea University
doi_str_mv 10.1016/j.nedt.2014.04.012
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
url http://www.sciencedirect.com/science/article/pii/S0260691714001233
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description BackgroundRising dementia prevalence means that general nurses globally will encounter more people affected by advanced dementia. Advanced dementia care is profoundly complex yet there is a paucity of research exploring how general nursing students experience and thus learn to care for those affected.ObjectivesTo explore final year nursing students' (adult field) experiences of caring for people affected by advanced dementia.DesignA qualitative design was adopted.SettingThe setting was Wales, UK.ParticipantsEleven final year nursing undergraduates (adult field).MethodData were collected using digitally recorded one-to-one in-depth interviews in 2013 and analysed using thematic analysis.ResultsParticipants' experiences fell within three main themes: 'they can be quite challenging'; 'a lot of dementia patients are seen as "hazards"' and 'it's not all about doing stuff'. Participants aspired to person-centred care. However, they felt insufficiently prepared for what they believed was knowledgeable work requiring interpersonal competence and confidence. Participants appreciated that many practitioners, their clinical educators, were insufficiently prepared for advanced dementia care.ConclusionsThe study provided further evidence of the complexity of caring for those with advanced dementia and associated theory, practice and policy gaps. There are important implications for education in terms of curriculum development and learning from and in practice.
published_date 2014-05-31T03:20:53Z
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