Home > Research > Publications & Outputs > Exploring the barriers and gateways to intersub...

Links

Text available via DOI:

View graph of relations

Exploring the barriers and gateways to intersubjectivity in dementia care: A meta-ethnography

Research output: Contribution to journalJournal article

E-pub ahead of print

Standard

Exploring the barriers and gateways to intersubjectivity in dementia care : A meta-ethnography. / Hodge, Gary; Froggatt, Katherine; Limmer, Mark; Bingley, Amanda.

In: Journal of Clinical Nursing, 20.08.2020.

Research output: Contribution to journalJournal article

Harvard

APA

Vancouver

Author

Bibtex

@article{30b8c5d5e3f340b6a49e04a05f3b62ea,
title = "Exploring the barriers and gateways to intersubjectivity in dementia care: A meta-ethnography",
abstract = "BACKGROUND: Behaviours that challenge in dementia, often described and diagnosed as behavioural psychological symptoms of dementia, are experienced by 75% of people living with dementia in care homes or hospital environments, with 43% of nurses and care providers reporting these behaviours as moderately or severely distressing to them. During behaviours that challenge moments in dementia, there is the potential for an intersubjective relationship to take place between the people living with dementia and the nurse.AIMS: This review explores and synthesises literature to consider the presence of intersubjectivity in people living with dementia. If the ability to be intersubjective remains present for people living with dementia, it will consider how its presence can be nurtured to offer a positive intersubjective communication between the person living with dementia and their carer/nurse.METHODS: The review used meta-ethnography methodology to develop concepts that help us to understand the implications of existing research on the presence of intersubjectivity in people living with dementia, and its relationship to those providing their care. Sixteen electronic databases (including MEDLINE/PubMed, Wiley Online Library and Sage publications) and grey literature such as Alzheimer's Society and Department of Health across journals dating from 2000-2020 were searched. Eight studies were selected and reviewed for quality and relevance for a meta-ethnographic literature synthesis of intersubjectivity in dementia.CONCLUSION: The meta-ethnography concluded that people living with dementia continue to have the capacity to be intersubjective on an emotional level. Nurses and other care providers need to acknowledge the presence of {"}personhood{"} and {"}personness{"} in people living with dementia to nurture positive intersubjective care relationships. The meta-ethnography has also been reviewed for reporting clarity against the EQUATOR checklist in the form of the eMERGe guideline (France et al., 2019).",
keywords = "care, communication, dementia, interpersonal communication, meta‐synthesis, models of care, nurses, nursing, patients' experience, care communication dementia interpersonal communication meta‐synthesis models of care nurses nursing patients' experience therapeutic relationships",
author = "Gary Hodge and Katherine Froggatt and Mark Limmer and Amanda Bingley",
year = "2020",
month = aug,
day = "20",
doi = "10.1111/jocn.15439",
language = "English",
journal = "Journal of Clinical Nursing",
issn = "0962-1067",
publisher = "Wiley-Blackwell",

}

RIS

TY - JOUR

T1 - Exploring the barriers and gateways to intersubjectivity in dementia care

T2 - A meta-ethnography

AU - Hodge, Gary

AU - Froggatt, Katherine

AU - Limmer, Mark

AU - Bingley, Amanda

PY - 2020/8/20

Y1 - 2020/8/20

N2 - BACKGROUND: Behaviours that challenge in dementia, often described and diagnosed as behavioural psychological symptoms of dementia, are experienced by 75% of people living with dementia in care homes or hospital environments, with 43% of nurses and care providers reporting these behaviours as moderately or severely distressing to them. During behaviours that challenge moments in dementia, there is the potential for an intersubjective relationship to take place between the people living with dementia and the nurse.AIMS: This review explores and synthesises literature to consider the presence of intersubjectivity in people living with dementia. If the ability to be intersubjective remains present for people living with dementia, it will consider how its presence can be nurtured to offer a positive intersubjective communication between the person living with dementia and their carer/nurse.METHODS: The review used meta-ethnography methodology to develop concepts that help us to understand the implications of existing research on the presence of intersubjectivity in people living with dementia, and its relationship to those providing their care. Sixteen electronic databases (including MEDLINE/PubMed, Wiley Online Library and Sage publications) and grey literature such as Alzheimer's Society and Department of Health across journals dating from 2000-2020 were searched. Eight studies were selected and reviewed for quality and relevance for a meta-ethnographic literature synthesis of intersubjectivity in dementia.CONCLUSION: The meta-ethnography concluded that people living with dementia continue to have the capacity to be intersubjective on an emotional level. Nurses and other care providers need to acknowledge the presence of "personhood" and "personness" in people living with dementia to nurture positive intersubjective care relationships. The meta-ethnography has also been reviewed for reporting clarity against the EQUATOR checklist in the form of the eMERGe guideline (France et al., 2019).

AB - BACKGROUND: Behaviours that challenge in dementia, often described and diagnosed as behavioural psychological symptoms of dementia, are experienced by 75% of people living with dementia in care homes or hospital environments, with 43% of nurses and care providers reporting these behaviours as moderately or severely distressing to them. During behaviours that challenge moments in dementia, there is the potential for an intersubjective relationship to take place between the people living with dementia and the nurse.AIMS: This review explores and synthesises literature to consider the presence of intersubjectivity in people living with dementia. If the ability to be intersubjective remains present for people living with dementia, it will consider how its presence can be nurtured to offer a positive intersubjective communication between the person living with dementia and their carer/nurse.METHODS: The review used meta-ethnography methodology to develop concepts that help us to understand the implications of existing research on the presence of intersubjectivity in people living with dementia, and its relationship to those providing their care. Sixteen electronic databases (including MEDLINE/PubMed, Wiley Online Library and Sage publications) and grey literature such as Alzheimer's Society and Department of Health across journals dating from 2000-2020 were searched. Eight studies were selected and reviewed for quality and relevance for a meta-ethnographic literature synthesis of intersubjectivity in dementia.CONCLUSION: The meta-ethnography concluded that people living with dementia continue to have the capacity to be intersubjective on an emotional level. Nurses and other care providers need to acknowledge the presence of "personhood" and "personness" in people living with dementia to nurture positive intersubjective care relationships. The meta-ethnography has also been reviewed for reporting clarity against the EQUATOR checklist in the form of the eMERGe guideline (France et al., 2019).

KW - care

KW - communication

KW - dementia

KW - interpersonal communication

KW - meta‐synthesis

KW - models of care

KW - nurses

KW - nursing

KW - patients' experience

KW - care communication dementia interpersonal communication meta‐synthesis models of care nurses nursing patients' experience therapeutic relationships

U2 - 10.1111/jocn.15439

DO - 10.1111/jocn.15439

M3 - Journal article

C2 - 32757338

JO - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

ER -