Care staff attitudes and experiences of working with older people with dementia

Moyle, Wendy; Murfield, Jenny; Griffiths, Susan; Venturato, Lorraine

doi:10.1111/j.1741-6612.2010.00470.x

Cited by 65 publications

(87 citation statements)

References 21 publications

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“…Higher scores indicate greater satisfaction. This modified version of the scale has good reported internal consistency (α = 0.80) [22], and this is confirmed in the current study (pre-intervention α = 0.93 and post-intervention α = 0.87).…”

Section: Methodssupporting

confidence: 80%

“…To date, there has been only limited investigation of the scale’s psychometric properties and performance within an Australian context. However, the reliability coefficients produced in this study, and in previous work undertaken by members of the research team [22], have been good to excellent, thus offering some reassurance for suitability of the instrument. More work may be required, however, to validate this scale in an Australian setting.…”

Section: Discussionsupporting

confidence: 55%

“…In the original version, statements are scored on a scale from ‘0 – not at all’ to ‘4 – extremely’, with a total score and six sub-scores summated for the member of staff’s satisfaction with: ‘feedback’; ‘care organization’; ‘one’s own expectations’; ‘patient contact’; ‘expectation of others’; and ‘the environment’. In this study, as done previously [22], the instrument was modified to include culturally appropriate wording (i.e., ‘patient’ changed to ‘resident’). Higher scores indicate greater satisfaction.…”

Section: Methodsmentioning

confidence: 99%

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The effect of foot massage on long-term care staff working with older people with dementia: a pilot, parallel group, randomized controlled trial

et al. 2013

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BackgroundCaring for a person with dementia can be physically and emotionally demanding, with many long-term care facility staff experiencing increased levels of stress and burnout. Massage has been shown to be one way in which nurses’ stress can be reduced. However, no research has been conducted to explore its effectiveness for care staff working with older people with dementia in long-term care facilities.MethodsThis was a pilot, parallel group, randomized controlled trial aimed at exploring feasibility for a larger randomized controlled trial. Nineteen staff, providing direct care to residents with dementia and regularly working ≥ two day-shifts a week, from one long-term care facility in Queensland (Australia), were randomized into either a foot massage intervention (n=9) or a silent resting control (n=10). Each respective session lasted for 10-min, and participants could receive up to three sessions a week, during their allocated shift, over four-weeks. At pre- and post-intervention, participants were assessed on self-report outcome measures that rated mood state and experiences of working with people with dementia. Immediately before and after each intervention/control session, participants had their blood pressure and anxiety measured. An Intention To Treat framework was applied to the analyses. Individual qualitative interviews were also undertaken to explore participants’ perceptions of the intervention.ResultsThe results indicate the feasibility of undertaking such a study in terms of: recruitment; the intervention; timing of intervention; and completion rates. A change in the intervention indicated the importance of a quiet, restful environment when undertaking a relaxation intervention. For the psychological measures, although there were trends indicating improvement in mood there was no significant difference between groups when comparing their pre- and post- scores. There were significant differences between groups for diastolic blood pressure (p= 0.04, partial η2=0.22) and anxiety (p= 0.02, partial η2=0.31), with the foot massage group experiencing greatest decreases immediately after the session. The qualitative interviews suggest the foot massage was well tolerated and although taking staff away from their work resulted in some participants feeling guilty about taking time out, a 10-min foot massage was feasible during a working shift.ConclusionsThis pilot trial provides data to support the feasibility of the study in terms of recruitment and consent, the intervention and completion rates. Although the outcome data should be treated with caution, the pilot demonstrated the foot massage intervention showed trends in improved mood, reduced anxiety and lower blood pressure in long-term care staff working with older people with dementia. A larger study is needed to build on these promising, but preliminary, findings.Trial registrationACTRN: ACTRN12612000659808.

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Section: Methodssupporting

confidence: 80%

Section: Discussionsupporting

confidence: 55%

Section: Methodsmentioning

confidence: 99%

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The effect of foot massage on long-term care staff working with older people with dementia: a pilot, parallel group, randomized controlled trial

et al. 2013

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“…Education and training should be easily accessible and organisation led [45, 46] but must go beyond educating individuals in order to facilitate positive organisational change [47]; however, this alone will not sustain a change in the culture of care [47, 48]. Training could be directed at staff at an emotional and intellectual level [48], supporting empathy and focus on person-centred approaches [42, 48, 49].…”

Section: Response Training and Educationmentioning

confidence: 99%

Optimising care for patients with cognitive impairment and dementia following hip fracture

et al. 2017

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The global shift in demographics towards aging populations is leading to a commensurate increase in age-related disease and frailty. It is essential to optimise health services to meet current needs and prepare for anticipated future demands. This paper explores issues impacting on people living with cognitive impairment and/or dementia who experience a hip fracture and are cared for in acute settings. This is important given the high mortality and morbidity associated with this population. Given the current insufficiency of clear evidence on optimum rehabilitation of this patient group, this paper explored three key themes namely: recognition of cognitive impairment, response by way of training and education of staff to optimise care for this patient group and review of the importance of outcomes measures. Whilst there is currently insufficient evidence to draw conclusions about the optimal ways of caring for patients living with dementia following hip fracture, this paper concludes that future research should improve understanding of healthcare staff education to improve the outcomes for this important group of patients.

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“…Nurses' attitudes toward patients, as well as their attitudes toward work have a significant impact on the quality of nursing care (Norbergh, Helin, Dahl, Hellzen & Asplund, 2006). Moreover, negative attitudes toward patients suffering from dementia were linked to lower satisfaction with work (Moyle, Murfield, Griffiths & Venturato, 2011) and simultaneously with less effort and care toward patients (Brodaty, Draper & Low, 2003), and are in a negative correlation with Burnout-syndrome (Astrom, Nilsson, Norberg, Sandman & Winblad, 1991). Attitudes toward dementia were widely examined, and there are few questionnaires dealing with attitudes toward dementia, but none of them cover the entire construct (O'Connor & McFadden, 2010).…”

Section: Attitudes Toward Dementiamentioning

confidence: 99%

Validation of Croatian Version of Dementia Attitudes Scale (DAS)

Ćoso

Mavrinac

2016

Suvr psihol

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Dementia significantly impairs cognitive and behavioral functioning of the person, and in recent years there has been a significant increase in the number of patients suffering from dementia. In Croatia, such patients are often placed in retirement homes, non-specialized institutions for the elderly and infirm, often without adequately educated employees. Attitudes toward dementia seem to be an important factor for adequate care of people with dementia, but there was no previous research on this topic in Croatia. The Dementia Attitudes Scale (DAS) developed by O'Connor and McFadden (2010), is a useful tool in research of attitudes toward dementia. The aim of the study was to translate the scale into the Croatian language and validate it on a Croatian sample. Participants were employees and retirement home users, other health care workers and the general population. Validation conducted on samples that were in everyday contact with dementia patients showed consistent factors (social comfort and dementia knowledge) as in the original scale, so the conclusion was that the questionnaire could be used in that population. Still, overall results that included the general sample showed different factors when compared to the original scale, since the Croatian version did not show standard factors, but rather positive and negative attitudes factors. Results could be seen as highly suggestive and emphasize the need to distinguish and separate research on attitudes toward dementia in different populations.

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Care staff attitudes and experiences of working with older people with dementia

Abstract: Findings suggest an important relationship between care staff attitudes and levels of job satisfaction. More work is needed to specify this relationship.

Cited by 65 publications

References 21 publications

The effect of foot massage on long-term care staff working with older people with dementia: a pilot, parallel group, randomized controlled trial

The effect of foot massage on long-term care staff working with older people with dementia: a pilot, parallel group, randomized controlled trial

Optimising care for patients with cognitive impairment and dementia following hip fracture

Validation of Croatian Version of Dementia Attitudes Scale (DAS)

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