Nurses' Experiences of Caring with Demented Oder Persons

간호사의 치매노인에 대한 돌봄 경험

  • Received : 2012.03.05
  • Accepted : 2012.10.18
  • Published : 2012.10.31


Purpose: The aim of this study was to understand the nurses' experiences of caring for demented older persons in geriatric in care facilities. Methods: The subjects were ten nurses employed in geriatric care facilities. Open in-depth interviews were used to collect data from January, 2010 to October, 2010. The Colaizzi phenomenological method was used for data analysis. Results: The experiences of nurses' caring for patients with dementia were divided into the following six categories: 'new encounter', 'understanding of intention and satisfying', 'dilemma of caring', 'contriving of comfort', 'comprehensive coordinator', and 'being present'. There were 15 clusters of themes. The subjects stated that the best caring for the demented older persons were 'encounter, knowing, and being with them'. Conclusion: Nurses' caring could improve the quality of life for demented older patients in geriatric care facility. These results suggest that institutional, administrational strategies and schemes need to cluster around the relationship with patients who would include encounter knowing and being with them.


Caring;Aged;Dementia;Qualitative research


  1. Brechin, A., Walmseley, J., Karz, J., & Peace, S. (Eds.). (1998). Care matters - concepts, practice and research in health and social care. London: Sage.
  2. Choi, H. J. (2010). A study on 'good care' perceived by direct care workers of nursing facilities. Journal of Welfare for the Aged, 48, 31-58.
  3. Colaizzi, P. E. (1978). Psychological research as the phenomenalist views it existential phenomenological alternative for psychology. New York: Oxford University Press.
  4. Eriksson, C., & Saveman, B. I. (2002). Nurses' experiences of abusive/ non-abusive caring for demented patients in acute care settings. Scandinavian Journal of Caring Sciences, 16, 79-85.
  5. Hendrix, C. C., & Wojciechowski, C. W. (2005). Chronic care management for the elderly: An opportunity for gerontological nurse practitioners. Journal of the American Academy of Nurse Practitioners, 17, 263-267.
  6. Kaduszkiewicz, H., Wiese, B., & Bussche, H. V. D. (2008). Selfreported competence, attitude and approach of physicians towards patients with dementia in ambulatory care: Results of a postal survey. BMC Health Services Research, 8 (54), 1-10.
  7. Kim, C. G. (2011). Importance of and influencing factors on nurses' caring behaviors for elders with dementia. Journal of Korean Academy of Adult Nursing, 23, 160-169.
  8. Kim, K. B., & Lee, K. H. (1998). Ethnography of caring experience for the senile dementia. Journal of Korean Academy of Nursing, 28, 1047-1059.
  9. Kim, M. Y. (2001). The nurses' experience process caring for the demented elderly. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  10. Kim, Y. R. (2010). Caring experiences of family caregivers of providing care for chronically-ill old adults. Unpublished doctoral dissertation, Seoul National University, Seoul.
  11. Lee, B. S. (1996). Concept analysis of caring. Journal of Korean Academy of Nursing, 26, 337-344.
  12. Lee, J. S. (2010). A phenomenological study on the burnout experience for nurses in geriatric hospital. Unpublished master's thesis. Catholic University of Pusan, Busan.
  13. Lee, Y. W., & Park, E. H. (1997). Meaning of caring by nursing students. Journal of Korean Academy of Adult Nursing, 9, 86-97.
  14. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Beverly Hills: Sage.
  15. McCloskey, R. M. (2004). Caring for patients with dementia in an acute care environment. Geriatric Nursing, 25, 139-144.
  16. Ministry of Health & Welfare. (2011, April). Survey of 2009 dementia prevalence. Retrieved January 30, 2011, from Web site:
  17. Oh, J. J. (2003). The experience of care-assistants in facilities for dementia elderly. Journal of the Korea Gerontological Society, 23 (1), 75-92.
  18. Park, Y. O., Lee, K. J., Cho, E. H., & Park, H. J. (2009). Factors affecting turnover intention of nurses in long-term care facilities for elderly people. Journal of Korean Gerontological Nursing, 11, 81-89.
  19. Roger, K. S. (2008). Priorities for people living with dementia: Education, counseling, research. Clinical Interventions in Aging, 3, 573-579.
  20. Rowe, M. A., & Glover, J. C. (2001). Antecedents, descriptions and consequences of wandering in cognitively-impaired adults and the Safe Return (SR) program. American Journal of Alzheimer's Disease and Other Dementias, 16, 344-352.
  21. Seok, J. E. (2008). Unit costs of care services in long-term care insurance in Korea -Its characteristics and evaluation-. Korean Journal of Social Welfare Studies, 39, 253-286.
  22. Shin, K. R., Cho, M. O., & Yang, J. H. (2004). Qualitative research methodology. Seoul: Ewha Womans University Press.
  23. Tuckett, A. G. (2005). The care encounter: Pondering caring, honest communication and control. International Journal of Nursing Practice, 11, 77-84.
  24. Westin, L., & Danielson, E. (2006). Nurses' experiences of caring encounters with older people living in Swedish nursing homes. International Journal of Older People Nursing, 1 , 3-10.
  25. Wolf, Z. R., Giardino, E. R., Osborne, P. A., & Ambrose, M. S. (1994). Dimensions of nurse caring. IMAGE: Journal of Nursing Scholarship, 26, 107-111.
  26. Yih, B. S., Kim, C. M., & Yi, M. S. (2004). Women caregivers' experiences in caring at home for a family member with dementia: A feminist approach. Journal of Korean Academy of Nursing, 34, 881-890.