Supplementary Material for: Person-Centred Dementia Care in an Acute Hospital: Experiences from Nurses Working in a Specialized Dementia Unit

Background: Person-centred care (PCC) is synonymous with best practice in the care of persons with dementia. However, the research focus has been in long-term care settings with less attention in acute hospitals. We aimed to study the perspectives and experiences of nurses implementing PCC in an acute hospital dementia unit (Care for Acute Mentally Infirm Elders [CAMIE]). Method: This was an exploratory qualitative study involving individual, face-to-face, semi-structured in-depth interviews. A purposive sample of 10 nurses participated in the interview. We employed an inductive thematic analysis approach to analyse the qualitative data. Results: The findings highlighted the positive experiences, for example, meaningful connection with patients and the challenges, for example, managing challenging behaviour in providing PCC. The initial challenges were due to a lack of prior knowledge and experience. Through formal and informal learning, the nurses built confidence and competence, and also provided support to one other. They emphasized the importance of teamwork and camaraderie in the CAMIE team but raised concerns about the negative perceptions of non-CAMIE nurses on the value of their work. Conclusion: Despite the challenges, adequate knowledge and robust organizational level support are the key support for nurses to embrace PCC as their care ethos in the acute care setting.

背景：以患者为中心的照护（Person-centred care, PCC）是痴呆患者照护领域的最佳实践代名词。然而，现有研究多聚焦于长期照护机构，对急性医院场景的关注相对不足。本研究旨在探讨急性医院痴呆照护单元——急性精神障碍老年照护单元（Care for Acute Mentally Infirm Elders, CAMIE）内，护士实施PCC的视角与实践体验。方法：本研究为探索性质性研究，采用一对一、面对面的半结构化深度访谈法。通过目的性抽样，共纳入10名护士参与访谈。质性数据分析采用归纳式主题分析方法。结果：研究结果揭示了护士在开展PCC过程中的正向体验（如与患者建立有意义的情感联结）与实践挑战（如应对患者的激越行为）。初期挑战主要源于此前缺乏相关专业知识与实践经验。通过正式与非正式学习，护士们逐步建立了照护信心与专业能力，并彼此提供支持。她们强调了CAMIE团队中团队协作与同伴情谊的重要性，但同时也对非CAMIE护士对其工作价值的负面认知表示担忧。结论：尽管面临诸多挑战，但充足的专业知识储备与强有力的组织层面支持，是护士在急性照护环境中将PCC作为核心照护理念的关键支撑。