“…Nursing home care workers are increasingly challenged to provide high quality of care, given the different and often simultaneous needs of their residents and dealing with dementia-related symptoms. At the same time, staffing resources are often held constant or are even diluted by replacing registered nurses with lesser skilled personnel to contain rising health care spending and to confront the increasing recruitment problem of qualified personnel (Colombo et al, 2011;Nagel et al, 2010; Schweizerische Akademie der Medizinischen Wissenschaften (SAMW), 2007; Varcoe and Rodney, 2012).…”