Establishing the concept of advocacy for nursing home residents with dementia by nurses using a hybrid model: Making a weak but strong life

Abstract

Abstract Background Advocates are essential for nursing home (NH) residents with dementia, and NH nurses are suitable advocates. For nurses to advocate for NH residents with dementia, it is necessary to clarify this concept by ascertaining its attributes. Aim To confirm the definition and attributes of nurses’ advocacy for NH residents with dementia using a hybrid model. Methods We applied a hybrid model consisting of a theoretical phase, a fieldwork phase, and a final analytic phase to develop the concept. In the theoretical phase, 34 studies on definitions and measurements were analysed. During the fieldwork stage, in-depth interviews were conducted with seven participants (nurses in NH), and content analysis was conducted. In the final analytical phase, the results of the theoretical and fieldwork phases were combined to define nurses’ concepts of advocacy for NH residents with dementia. Results Finally: Four dimensions (relational, individual, supportive, and ethical) were confirmed, and 13 attributes (communication, trust, empathy, respect, independence, customised care, safety, protection, acceptance, professionalism, susceptibility to abuse, guarantee of legal rights, and representation) were identified. Conclusion This study confirms the advocacy structure among NH residents with dementia. This suggests a specific and detailed direction for research on nurses’ advocacy of NH residents with dementia. Based on this study, various studies that can improve nurses’ advocacy for NH residents with dementia should be developed in the future.