Formal caregivers’ experiences of aggressive behaviour in older people living with dementia in nursing homes: A systematic review

MSc, RN Adelheid Holst; Skär, Lisa

doi:10.1111/opn.12158

Cited by 44 publications

(40 citation statements)

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“…This behaviour tending toward abuse could be linked to the misgivings the older people had about letting "strangers" into their homes and their ignorance of the immigrant woman's culture (Dueñas et al, 2006). In addition, the maltreatment to the caregivers has been widely studied in the case of some diseases such as dementia (Holst & Skär, 2017).…”

Section: Discussionmentioning

confidence: 99%

The dark side of the work of immigrant women caregivers in Spain: Qualitative interview findings

2019

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AimTo analyse the perception that immigrant women caregivers have of their relationship with the person receiving the care and their family and the possible impact those relationships may have on a caregiver's health.DesignA qualitative study was conducted.MethodsThirty‐four semi‐structured interviews were applied in the Spanish city of Salamanca from November 2015–November 2016. The “interpretative hermeneutics” technique was used as the framework for the analysis.ResultsThe discourse studied indicated that the immigrant women's cultural background, as well as their gender's assumed stereotypes, gave rise to an emotional attachment to the person receiving the care, which could generate a burden. Most of the women interviewed reported situations of abuse from the old people under their care. The fact that increasingly more old people are being cared for by immigrant women renders it necessary for social and health policies to consider this collective.

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Section: Discussionmentioning

confidence: 99%

The dark side of the work of immigrant women caregivers in Spain: Qualitative interview findings

2019

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“…Physical aggression (PA) and vocalizations are behaviors of nursing home (NH)-residents with dementia that are experienced as challenging and complex. They cause distress and burden in the NH-resident self, other residents and (informal) caregivers (Bourbonnais & Ducharme, 2010;Cohen-Mansfield & Werner, 1997;Holst & Skar, 2017;Voyer et al, 2005;Zwijsen, Kabboord, et al, 2014). PA (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…Agitation, however, encompasses several types of behavior which may differ in prevalence and relevant associated characteristics. Therefore, in this paper, we focus on two specific behaviors often considered to be part of agitation (Cummings et al, 2015) and regarded as especially challenging (Bourbonnais & Ducharme, 2010;Holst & Skar, 2017;Zwijsen, Kabboord, et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Very frequent physical aggression and vocalizations in nursing home residents with dementia

Veldwijk-Rouwenhorst

Zuidema

Smalbrugge

et al. 2020

Aging & Mental Health

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Objectives: We investigated the 2-week prevalence and correlates of very frequent physical aggression (PA) and vocalizations in nursing home (NH)-residents with dementia. Method/Design: This cross-sectional study used combined data of 2074 NH-residents from four studies, collected from 119 dementia special care units in 26 Dutch NH. Very frequent PA was defined as scoring 6 or 7 on the items 'hitting', pushing', 'biting' and 'kicking' of the Cohen Mansfield Agitation Inventory; very frequent vocalizations as scoring 6 or 7 on 'screaming' and 'making strange noises'. We compared NH-residents with very frequent PA or vocalizations with residents with less frequent PA or vocalizations, assessing correlates using univariate and multivariate multilevel logistic regression analyses. Results: We found a 2-week prevalence of 2.2% (95% confidence interval (CI): 1.63-2.89) of very frequent PA and 11.5% of very frequent vocalizations (95% CI: 10.23-12.98). Very frequent PA was only associated with apathy (odds ratio (OR)¼1.93, 95% CI: 1.04-3.61). Correlates of very frequent vocalizations were age (OR ¼ 0.97, 95% CI: 0.951-0.998), dementia severity (overall p-value 0.020), antipsychotic drug use (OR ¼ 1.56, 95% CI: 1.08-2.26), antiepileptic drug use (OR ¼ 2.75, 95% CI: 1.34-5.68) and euphoria (OR ¼ 2.01, 95% CI: 1.22-3.31). Conclusion: Characteristics of NH-residents with very frequent PA or very frequent vocalizations differ from those of NH-residents with less frequent PA or vocalizations. Frontal lobe damage, boredom, pain and/or external factors may explain several of the found associations, but further research is necessary. Our findings may contribute to better care for these residents and thereby to improving their quality of life.

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“…One previous meta‐ethnography focused on therapeutic interventions to manage aggressive behaviour (Finfgeld‐Connett, ). Holst and Skar () show that aggressive behaviour may lead to negative feelings in formal caregivers. There are scattered qualitative studies investigating how caregivers perceive and understand aggressive behaviour in nursing home residents.…”

Section: Introductionmentioning

confidence: 99%

Caregivers’ perceptions of aggressive behaviour in nursing home residents living with dementia: A meta‐ethnography

Nybakken

Strandås

Bondas

2018

Journal of Advanced Nursing

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Caregivers perceive and interpret aggressive behaviour related to the resident's illness and person, the caregiver's attitude and approach, or a demanding environment. Further research and theoretical development is important, as shown by different perceptions and interpretations, as well as central definitions in research publications. The study informs evidence-based practice and health-policy by showing the importance of developing reflective relational nursing care, knowledge, and competence in nursing homes.

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Formal caregivers’ experiences of aggressive behaviour in older people living with dementia in nursing homes: A systematic review

Abstract: Results from this systematic review indicate that caregivers prefer person-centred strategies to handle aggressive behaviour among older people, while the use of pharmaceuticals and coercion strategies is a last resort.

Cited by 44 publications

References 55 publications

The dark side of the work of immigrant women caregivers in Spain: Qualitative interview findings

The dark side of the work of immigrant women caregivers in Spain: Qualitative interview findings

Very frequent physical aggression and vocalizations in nursing home residents with dementia

Caregivers’ perceptions of aggressive behaviour in nursing home residents living with dementia: A meta‐ethnography

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