Peddar, Shawna

Older adults with dementia experience higher rates of hospitalization than those without dementia, yet nurses in acute care frequently feel unprepared to support patients with responsive behaviours using non-pharmacological approaches. The aim of this study was to explore the experiences of nurses' using activity-based interventions, such as colouring, word games, therapeutic dolls, and mechanical pets, with patients with dementia in a small community hospital. Using a qualitative interpretive descriptive method, face-to-face semi-structured interviews were conducted with ten nurses (five Registered Practical Nurses, two Registered Nurses, and two Nurse Practitioners). Data were analysed using Braun and Clarke's reflexive thematic analysis. Five major themes and multiple sub-themes were identified: (1) enhancing safety, stability, and emotional well-being, (2) facilitating engagement through practical and adaptive strategies, (3) collective responsibility and collaboration, (4) opportunity for deeper understanding and connection, and (5) challenges implementing activity interventions. The findings highlight how activity-based interventions enhance relational, person-centred care while revealing barriers related to resources, time, and knowledge. These results can inform the Canadian Gerontological Nurses' Association's aesthetic/artful standard and reinforce the need for enhanced dementia education for nurses and evaluation of activity-based interventions.

Author Keywords: activity, acute care nursing, dementia care, gerontological nursing, non-pharmacological interventions, responsive behaiours