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   <subfield code="a">Dementia knowledge and attitudes among registered nurses and student nurses</subfield>
   <subfield code="c">Patricia Lynne D. G. Cheng ... [et.al].</subfield>
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   <subfield code="a">Manila</subfield>
   <subfield code="b">College of Nursing University of the Philippines Manila</subfield>
   <subfield code="c">2017</subfield>
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   <subfield code="a">Accomplishment report (In partial fulfillment of the requirements in N121.2: Intensive Community Experience) -- University of the Philippines Manila, June 2017.</subfield>
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   <subfield code="a">Background: Dementia is an increasingly common condition worldwide (Tullo &amp; Gordon,&#13;
2013). Front-line health care providers, especially nurses, need to be better equipped with&#13;
competent knowledge and skills to provide quality care for clients with dementia (Smyth, et&#13;
al.,2013). Student nurses may care and have direct exposure to their clinical placements in&#13;
their undergraduate program and in the professional field once they graduate (Scerri &amp; Scerri,&#13;
2012). However, it was found that gaps in knowledge regarding dementia can occur even&#13;
among health professionals. A common misconception for people to associate dementia as a&#13;
normal part of aging (Cahill, et. al. 2015).&#13;
&#13;
Local studies on dementia knowledge and attitudes of health care professionals are limited in&#13;
number. Most focused on the workforce preparedness for dementia care. Nurses are&#13;
acknowledged as primary caregivers, thus the need to establish initial data on knowledge and&#13;
attitudes of registered nurses, as well as student nurses. The relevance of this research cannot be underestimated as it will provide baseline knowledge on dementia care.&#13;
&#13;
Objectives:&#13;
&#13;
The objectives of this study were as follows:&#13;
1. To determine dementia knowledge of registered nurses (RNs) and student nurses;&#13;
2. To determine the attitudes of RNs and SNs regarding dementia care;&#13;
3. To determine the relationship between knowledge and attitudes regarding dementia&#13;
of both groups;&#13;
4. To determine whether there is a difference in knowledge and attitude between RNs&#13;
and SNs and;&#13;
5. To determine the factors that might be associated with knowledge and attitudes in&#13;
terms of nurses’ age, previous experience in care of patients with dementia, and&#13;
dementia-related training&#13;
&#13;
Methodology: The study utilized an online survey research using a two-part standard&#13;
questionnaire. Respondents were able to access the online survey through this link:&#13;
http://sohkatoa.x 1Ohost.com/?q=user. This webpage was created through the help ofa&#13;
website developer from University of the Philippines Manila. To achieve the target sample&#13;
size of respondents for the study, the link was distributed through various social platforms&#13;
such as Facebook, Messenger, and Twitter.&#13;
&#13;
There were two parts in the questionnaire. To assess dementia knowledge, a 25-item&#13;
knowledge assessment tool was used which consisted of items adapted from a checklist on&#13;
the Ten Warning Signs of Dementia by the Alzheimer’s Disease Association (2003). The&#13;
study also adapted items from the knowledge tool used in a similar study done by Khonje et&#13;
al (2015). The study tool used by Khonje et.al was based on two validated tools namely&#13;
Alzheimer’s Disease Knowledge Scale (a= 0.71) and Alzheimer’s Disease Quiz (a= 0.84).&#13;
&#13;
To determine attitudes, a 20 item, 5-point Likert scale adapted from the Dementia Attitude&#13;
Scale (a &gt; 0.80) by O’Connor and McFadden (2010) was utilized. The tool used in this study&#13;
underwent face validation from two experts who are nurses specializing in Gerontology from&#13;
the University of the Philippines-Manila College of Nursing. After acquiring approval from&#13;
Ethics Review Board, the online survey was pre-tested on registered nurses (n=10) and&#13;
student nurses (n=10), and was revised based on feedback received. The respondents were&#13;
recruited online by convenience sampling through dissemination of the online survey link to&#13;
various social networking sites. For data analysis, descriptive statistics, Pearson’s correlation,&#13;
t-test, ANOVA, and chi-square test of association were utilized.&#13;
&#13;
Results: A total of 457 registered nurses (n=254) and student nurses (n=203) participated in&#13;
the online survey. The findings of the study revealed a moderate level of knowledge among&#13;
nurses (M4=16.71, SD=3.67) and student nurses (M=16.50, SD=3.22). The mean scores of the attitudes revealed positive attitudes for both RNs (M=3.94, SD=0.39) and SNs (M=3.91,&#13;
SD=0.40). Using Pearson’s Correlation, there was a weak association between knowledge&#13;
and attitudes that is not statistically significant (7=.03, p =.559). Pearson’s r showed that age&#13;
did not affect knowledge (r=0.08, p=0.08) or attitude (r=0.03, p=0.543). None of the factors&#13;
significantly affected the dementia knowledge or attitudes of the respondents using chi-&#13;
square test of association. Using ANOVA, the differences in means of three subgroups were&#13;
analyzed. There was no significant difference in the dementia knowledge among those with&#13;
direct personal relationship, with non-personal relationship, and without any relationship to&#13;
persons with dementia. However, there was significant difference in dementia attitude&#13;
observed in the overall assessment (F=3.634, p=0.272) and within the all registered nurses&#13;
group (F=3.18, p=0.0433). No difference was observed in the all student nurses group.&#13;
&#13;
Summary, conclusion, and recommendations: The findings of the study showed that both&#13;
nurses and student nurses have an acceptable level of knowledge and positive attitudes on&#13;
dementia. There is no evidence of correlation between dementia knowledge and attitudes&#13;
towards dementia. None of the variables had significant association with dementia&#13;
knowledge. There is evidence that direct personal experience can enhance the knowledge of&#13;
dementia-trained respondents, which may be attributed to health-seeking behaviors.&#13;
&#13;
The findings of this study highlighted the need for improved approaches in dementia&#13;
education. The results provided further evidence that adequate educational preparedness on&#13;
dementia may be related to better knowledge among nurse and student nurses. Further studies should determine additional factors that could affect knowledge and attitudes on dementia among the nurses and student nurses.</subfield>
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   <subfield code="a">Cheng, Patricia Lynne D.G.</subfield>
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