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Long-term Care Nurses’ Communication Difficulties with People Living with Dementia in Taiwan
Jing-Jy Wang,Pei-Fang Hsieh,Chi-Jane Wang 한국간호과학회 2013 Asian Nursing Research Vol.7 No.3
Purpose: Impairments in word finding, language skills and memory in dementia patients increase the obstacles for health professionals to provide effective care. Although some research on communication with dementia patients has been done, no research that pre-assessed nurses’ difficulties in communicating with dementia patients has been identified. This study aims to explore nurses’ difficulties in communicating with patients who have dementia. Methods: This was a qualitative research using the phenomenological approach. Data were collected through in-depth interviews. Fifteen nurses with at least 6 months of dementia care experience participated in this study. Each interview was audio-taped and transcribed within 48 hours after each interview. Participants were asked to respond to the question, “Please describe the difficulties in communicating with patients who have dementia.”Results: Through content analysis, two themes, each with two subthemes emerged: Different language, including repetitive responses and lack of language consensus; blocked messages, including difficulty in accessing emotions and in understanding needs. Ineffective language refers to a lack of agreement dialect between the nurse and the patient while blocked messages refer to the inability of nurses to understand the true underlying meaning of messages the patients send out through verbal or nonverbal behaviors or expression. Conclusion: The results can serve as reference for planning dementia communication education for school curriculum to enhance student nurses’ communication abilities and for junior nurses working in long-term or acute care settings to increase nurses’ patient-centered communication abilities with the ultimate goal of improving quality of care for patients with dementia.
Kang, Chu-Lin,Yu, Jane-Fang,Lai, Hsueh,Guo, Jun-Cheng,Wang, Lih-Chiann The Korean Society of Veterinary Science 2015 大韓獸醫學會誌 Vol.55 No.3
The Formosan sika deer (Cervus nippon taiouanus) is an endemic subspecies in Taiwan. The original wild deer has been extinct since the late 1960s. The largest captive population is located at the Taipei Zoo. Except for infectious disease outbreaks, no systemic medical research has been reported for this subspecies. This study was conducted to analyze the medical status of the captive Formosan sika deer population, including the hematological and serum chemistry characteristics. To accomplish this, medical records for 34 Formosan sika deer from January 2003 to January 2014 were acquired and analyzed. The most common illness and cause of death was trauma, followed by gastrointestinal and respiratory disease, respectively. The hematologic and serum chemical values of healthy adults were quite different from those of sika deer (Cervus nippon yesoensis). This study provides a closer medical understanding of this subspecies and the results will facilitate its management.