Home Health Care Nurses' Challenges in Implementing Person-Centered Care among Elderly Patients with Dementia
Background: As the global need to address the care of elderly patients with dementia continues to rise, various health care systems have adopted different approaches to uphold the highest form of dignity, respect, autonomy, and preferences of their patients. One such approach is Person-Centered Care...
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| Format: | Article |
| Language: | English |
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Diponegoro University
2025-04-01
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| Series: | Nurse Media: Journal of Nursing |
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| Online Access: | https://ejournal.undip.ac.id/index.php/medianers/article/view/65673 |
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| author | Abdulkarim Omar Agga Nada Sattar Veronica Cristina Brillantes Macaraeg |
| author_facet | Abdulkarim Omar Agga Nada Sattar Veronica Cristina Brillantes Macaraeg |
| author_sort | Abdulkarim Omar Agga |
| collection | DOAJ |
| description | Background: As the global need to address the care of elderly patients with dementia continues to rise, various health care systems have adopted different approaches to uphold the highest form of dignity, respect, autonomy, and preferences of their patients. One such approach is Person-Centered Care (PCC), which has shown benefits in improving the quality of life for elderly patients with dementia and their caregivers. However, despite its recognized benefits, PCC faces implementation challenges and is not widely adopted in some health care settings, as its effectiveness in challenging scenarios remains unclear. Additionally, limited research exists focusing on the experiences and challenges encountered by home health care nurses in these cases.
Purpose: The primary aim of this study was to identify and describe the challenges faced by home health care nurses in implementing PCC, specifically for elderly patients with dementia.
Methods: The study utilized Husserl’s transcendental phenomenology method. The participants included home health care nurses currently working with patients who had been medically diagnosed with dementia for at least six months. Sixteen participants were selected through purposive sampling. The nurses underwent thorough face-to-face interviews with the researchers. Inductive thematic analysis by Braun and Clarke was used to pragmatically organize the lived experiences.
Results: Upon data interpretation, the study revealed two major themes, namely: personal challenges with two sub-themes, (1) communication barriers and (2) limited training; and external challenges with two sub-themes; (1) powerlessness in decision making and (2) uncooperative patients.
Conclusion: The study highlights the various challenges faced by home health care nurses in implementing PCC for elderly patients with dementia. To improve nurses’ capability to manage these challenges, support through education and training, policy development, and stakeholder involvement is essential to enhance the care delivery process. |
| format | Article |
| id | doaj-art-d52b7490c0d04eabb4cb00d40ab8d2a8 |
| institution | Kabale University |
| issn | 2087-7811 2406-8799 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Diponegoro University |
| record_format | Article |
| series | Nurse Media: Journal of Nursing |
| spelling | doaj-art-d52b7490c0d04eabb4cb00d40ab8d2a82025-08-20T03:40:43ZengDiponegoro UniversityNurse Media: Journal of Nursing2087-78112406-87992025-04-01151425210.14710/nmjn.v15i1.6567325716Home Health Care Nurses' Challenges in Implementing Person-Centered Care among Elderly Patients with DementiaAbdulkarim Omar Agga0https://orcid.org/0000-0002-0722-5654Nada Sattar1https://orcid.org/0009-0002-6770-1082Veronica Cristina Brillantes Macaraeg2Education and Training Department, Qatar Care, QatarNurse Educator, Qatar Care, QatarQuality Management Department, Qatar Care, QatarBackground: As the global need to address the care of elderly patients with dementia continues to rise, various health care systems have adopted different approaches to uphold the highest form of dignity, respect, autonomy, and preferences of their patients. One such approach is Person-Centered Care (PCC), which has shown benefits in improving the quality of life for elderly patients with dementia and their caregivers. However, despite its recognized benefits, PCC faces implementation challenges and is not widely adopted in some health care settings, as its effectiveness in challenging scenarios remains unclear. Additionally, limited research exists focusing on the experiences and challenges encountered by home health care nurses in these cases. Purpose: The primary aim of this study was to identify and describe the challenges faced by home health care nurses in implementing PCC, specifically for elderly patients with dementia. Methods: The study utilized Husserl’s transcendental phenomenology method. The participants included home health care nurses currently working with patients who had been medically diagnosed with dementia for at least six months. Sixteen participants were selected through purposive sampling. The nurses underwent thorough face-to-face interviews with the researchers. Inductive thematic analysis by Braun and Clarke was used to pragmatically organize the lived experiences. Results: Upon data interpretation, the study revealed two major themes, namely: personal challenges with two sub-themes, (1) communication barriers and (2) limited training; and external challenges with two sub-themes; (1) powerlessness in decision making and (2) uncooperative patients. Conclusion: The study highlights the various challenges faced by home health care nurses in implementing PCC for elderly patients with dementia. To improve nurses’ capability to manage these challenges, support through education and training, policy development, and stakeholder involvement is essential to enhance the care delivery process.https://ejournal.undip.ac.id/index.php/medianers/article/view/65673challengesdementiahome health careperson-centered carequalitative study |
| spellingShingle | Abdulkarim Omar Agga Nada Sattar Veronica Cristina Brillantes Macaraeg Home Health Care Nurses' Challenges in Implementing Person-Centered Care among Elderly Patients with Dementia Nurse Media: Journal of Nursing challenges dementia home health care person-centered care qualitative study |
| title | Home Health Care Nurses' Challenges in Implementing Person-Centered Care among Elderly Patients with Dementia |
| title_full | Home Health Care Nurses' Challenges in Implementing Person-Centered Care among Elderly Patients with Dementia |
| title_fullStr | Home Health Care Nurses' Challenges in Implementing Person-Centered Care among Elderly Patients with Dementia |
| title_full_unstemmed | Home Health Care Nurses' Challenges in Implementing Person-Centered Care among Elderly Patients with Dementia |
| title_short | Home Health Care Nurses' Challenges in Implementing Person-Centered Care among Elderly Patients with Dementia |
| title_sort | home health care nurses challenges in implementing person centered care among elderly patients with dementia |
| topic | challenges dementia home health care person-centered care qualitative study |
| url | https://ejournal.undip.ac.id/index.php/medianers/article/view/65673 |
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