Training of Formal Caregivers Dealing with Alzheimer Diseased Patients at Helwan City Cairo Egypt
American Journal of Nursing Science
Volume 6, Issue 3, June 2017, Pages: 146-158
Received: Feb. 2, 2017; Accepted: Feb. 18, 2017; Published: Mar. 6, 2017
Views 1990      Downloads 127
Badria Abd El-shahed El-kattan, Adult Health Nursing Department, Faculty of Nursing, Helwan University, Cairo, Egypt
Aliaa Mohammed Othman EL-afandy, Community Health Nursing Department, Faculty of Nursing, Helwan University, Cairo, Egypt
Wafaa Osman Abd El-fatah, Psychiatric Mental Health Nursing Department, Faculty of Nursing, Helwan University, Cairo, Egypt
Article Tools
Follow on us
Alzheimer prevalence increases with aging and in 2012 it is estimated that Alzheimer worldwide will affect 35.6 million people, this number will double by 2030 and more than triple by 2050. The aim of this study is to evaluate the effect training program for formal caregivers' dealing with Alzheimer diseased patients at Helwan City Cairo Egypt. Design: A quasi-experimental research design was used. Setting: The study was conducted at four available geriatric homes and out-patient psychiatric clinics in Helwan City. Sampling: A purposive sampling was used for selection of forty formal caregivers'. Tool: A self-designed semi-structured interview questionnaire was used, it included demographic information as; age, sex, professional qualification, and experience, formal caregiver's knowledge regarding Alzheimer disease as definition of Alzheimer, causes, risk factor, prevention and control, attitude questionnaire as I feel confident about people with Alzheimer disease, and I feel uncomfortable being around Alzheimer diseased people and related dementia, and formal caregiver's practices as Practice methods of non-therapeutic care to deal with Alzheimer patients, and Configure appropriate environment to Alzheimer patients Results: The pre /posttests among formal caregivers revealed that overall knowledge, attitude and practices improved with highly statistically significant differences at p <0.001 that approved the hypothesis of implementing training program for formal caregivers. Conclusion: The training program significantly brought out improvements in formal caregivers knowledge, attitude and practices regarding Alzheimer diseased patients. Recommendations: The study can be replicated with a larger number of formal caregivers for generalizations of the results, and further studies conduct to improve nurse's knowledge and practices regarding caring for Alzheimer diseased patients.
Alzheimer Disease, Training Program, Formal Care Giver, and Helwan City
To cite this article
Badria Abd El-shahed El-kattan, Aliaa Mohammed Othman EL-afandy, Wafaa Osman Abd El-fatah, Training of Formal Caregivers Dealing with Alzheimer Diseased Patients at Helwan City Cairo Egypt, American Journal of Nursing Science. Vol. 6, No. 3, 2017, pp. 146-158. doi: 10.11648/j.ajns.20170603.12
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Hebert, L. E., Weuve, J., Scherr, P. A., & Evans, D. A. (2013): Alzheimer disease in the United States (2010-2050) estimated using the 2010 census. Neurology; 80, 1778-1783.
Alzheimer disease international (2015): world Alzheimer report 2015, the global impact of dementia an analysis of prevalence, incidence, cost and trends; London, available at www. alz. co. uk/worldreport2015corrections
Corbett, A., Stevens, J., Aarsland, D., Day, S., Moniz-Cook, E., Woods, R., & Ballard, C. (2012): Systematic review of services providing information and/or advice to people with dementia and/or their caregivers. International Journal of Geriatric Psychiatry; 27, 628-636.
Moore, H., & Gillespie, A., (2014): The caregiving bind: Concealing the demands of informal care can undermine the caregiving identity; Social Science & Medicine, 116 (2014) 102e109.
Ornstein, K., & Gaugler, J. E. (2012): The problem with "problem behaviors": A systematic review of the association between individual patient behavioral and psychological symptoms and caregiver depression and burden within the dementia patient-caregiver dyad. Int PsychoGeriatr; 24 (10), 1536-52.
Opiece, R. P. W., & Alzheimera, P. Z. C. (2014): Nurses role in taking care of a patient with Alzheimer's disease Medical and Biological Sciences, 2014, 28/2, 5-10.
Sensel, A. J. (2008): Assessment of occupational therapists' attitudes and knowledge of Alzheimer's disease, The University of Toledo Digital Repository, Master’s and Doctoral Projects, pp.39, 40 available at http://utdr. utoledo. edu/graduate-projects
Nordhus, I. H., Sivertsenade, B. &Pallese, S. (2012): Knowledge about Alzheimer’s disease among Norwegian psychologists: The Alzheimer’s disease knowledge scale.
Swan, J., & Evans, N. (2015), Online nursing continuing education, Wild Iris Medical Education available at : http:// www. courses /512 /index _nceu. html
El-kattan, B. (2013): Impact of training program regarding for neurological patients in coma upon nurses performance. Doctoral Thesis in Nursing Science, Faculty of Nursing ;AinShams University, p.120.
Maarouf, D. (2012): Nurse’s performance for patients with traumatic head injury during golden hours. Master Science in Nursing Degree, Medical Surgical Nursing, Faculty of Nursing, Ain Shams University, pp.97-98.
Villemagne V. L., Burnham, S., Bourgeat, P., Brown, B., Ellis, K. A., Woorlery, V. A., Buchsel, P., & parchem, C. (2013): Ambulatory care of the bone marrow transplant client. A multi-center case-control study. J Epidermal Community Health; Jun: 54 (6), 421-426.
Centers for Disease Control and Prevention. (2011): Alzheimer’s disease. Retrieved from http://www. cdc. gov/aging/aginginfo/ alzheimers. htm
Salem, B. (2010): Evidence-based guideline for care of neonates with respiratory distress, Doctorate in Nursing Science Thesis, Medical–Surgical Nursing, Faculty of Nursing, Ain Shams University, Cairo, pp.143-144.
Smyth, W., Fielding, E., Beattie, E., Gardner, A., Moyle, W., Franklin, S., Hines, S. &MacAndrew, M. (2013):A survey-based study of knowledge ofAlzheimer’s disease among health care staff. BMC Geriatrics; 13:2.
Mellor, P. R. N. (2007): Nurses’ attitudes toward elderly people and knowledge of Geriatric care in a multi-purpose health services (MPHS) Australian Journal of Advanced Nursin; 24 (3).
Khouri, R. I. (2011): Impact of an education program on nursing students caring & self–perception in intensive clinical training in Jordan. Depress Browse Journal. Advances in Medical Education and Practice; 2, 173-185. Available at: Doi: http:dx. doi. org/ 10.2/47/AMEP, 52/201.
Villars, H., Dupuy, C., Perrin, A., Vellas, B., &Nourhashemi, F. (2015): Impact of a therapeutic educational program on quality of life in Alzheimer's disease: Results of a pilot study. JAlzheimers Dis;43 (1):167-76.
Palmer, J. L., Lach, H. W., McGillick, J., Murphy-White, M., Carroll, M. B., &Armstrong, J. L. (2014): The Dementia Friendly Hospital Initiative education program for acute care nurses and staff. J ContinEducNurs. Sep; 45 (9):416-24.
Mason, A., Weatherly, H., Spilsbury, K., Arksey, H., Golder, S., Adamson, J., Drummond, M., &Glendinning, C. (2007): A systematic review of the effectiveness and cost-effectiveness of different models of community-based respite care for frail older people and their carers. Health Technol Assess, Apr;11 (15):1-157.
Brody, A. A., &James, E. G. (2013): A review of interprofessional dissemination and education interventions for recognizing and managing dementia GerontolGeriatr Educ.2013; 34 (3): 225–256.
Travers, M. C., Beattie, E., Martin-Khan, M., & Fielding, E. (2013): A survey of the Queensland healthcare workforce: attitudes towards dementia care and training BMC Geriatr; 13: 101.
Ahmed, W. (2009): Effect of an educational program on nurses' performance during the golden hour of care for traumatized patients, Doctorate in Nursing Science Thesis, Faculty of Nursing, Ain Shams University, p.180.
Scerri, A., &Scerri, C. (2012): Nursing students' knowledge and attitudes towards dementia — A questionnaire survey, A Department of Nursing, Faculty of Health Sciences, Nurse Education Today Journal homepage available at: www.
Yun, e., LiuIan, J., Norman, A. & While, E. (2013): Nurses’ attitudes towards older people: A systematic review. International Journal of Nursing Studies, September; 50 (9): Pages 1271–1282.
Jeon, Y. H., Luscombe, G., Chenoweth, L., Stein-Parbury, J., Brodaty, H., King, M., & Haas, M., (2011): Staff outcomes from the caring for aged dementia care resident study (CADRES): A cluster randomized trial. International Journal of Nursing Studies; 49 (5), 508–518.
Norbergh, K. G., Helin, Y., Dahl, A., Hellzén, O., &Asplund, K. (2006): Nurses' attitudes towards people with dementia: the semantic differential technique. Nurs Ethics; May; 13 (3):264-74.
Hunter, K. (2010): Nursing skills. The importance of practical experience. Available at: id=3797890.
Thomas, N. & Daniel, C. (2009): How broadly does education contribute to job performance? The University of Hong Kong, Pok Fu Lam, Hong Kong; tng@business. hku. hk. Wiley Periodicals, Inc. p. 89.
Koskinen, S., Hupli, M., Katajisto, J., &Salminen, L. (2011): Graduating Finnish nurse students' interest in gerontological nursing —a survey study. Nurse Education Today; 32 (4), 356–360.
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186