Staff's views on managing symptoms of dementia in nursing home residents

Journal article

Koder, Deborah, Hunt, Glenn E. and Davison, Tanya Ellen. (2014). Staff's views on managing symptoms of dementia in nursing home residents. Nursing Older People. 26(10), pp. 31 - 36. https://doi.org/10.7748/nop.26.10.31.e638
AuthorsKoder, Deborah, Hunt, Glenn E. and Davison, Tanya Ellen
Abstract

Aim: To identify the most common and distressing behavioural and psychological symptoms of dementia ( BPSD ) in nursing homes and to identify staff preferences regarding its behavioural management. Method: A descriptive cross-sectional survey was completed by a self-selected sample of 247 staff working in 21 nursing homes in a defined catchment area. The survey contained items relating to experience in aged care work, attitudes towards BPSD, ratings of the importance of certain behavioural strategies for managing BPSD, and the Challenging Behaviour Scale. Results: Shouting, wandering and restlessness had the highest incidence, frequency and difficulty ratings. Frequency of BPSD and level of satisfaction with how they were managed had the greatest effect on overall level of difficulty in managing behaviours. Staff rated discussing behavioural concerns at a group level and with senior nursing staff as the most important behavioural strategies. Conclusion: A strong relationship was found between frequency and difficulty of BPSD. Therefore, interventions targeted at lowering frequency of BPSD are recommended. Communication across a number of levels may enhance the implementation of behavioural interventions.

KeywordsAlzheimer’s disease; behavioural and psychological symptoms of dementia; challenging behaviour; cross-sectional studies; dementia; nursing homes; nursing interventions; psychomotor agitation
Year2014
JournalNursing Older People
Journal citation26 (10), pp. 31 - 36
PublisherRCN Publishing Company Ltd
ISSN1472-0795
Digital Object Identifier (DOI)https://doi.org/10.7748/nop.26.10.31.e638
Scopus EID2-s2.0-84929918021
Page range31 - 36
Research GroupInstitute for Health and Ageing
Publisher's version
File Access Level
Controlled
Place of publicationUnited Kingdom
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