Staff–resident interactions in long-term care for people with dementia: the role of meeting psychological needs in achieving residents’ well-being

Willemse, Bernadette; Downs, Murna; Arnold, Lonneke; Smit, Dieneke; Lange, J. de; Pot, Anne Margriet

doi:10.1080/13607863.2014.944088

Cited by 33 publications

(37 citation statements)

References 24 publications

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“…The nature of the cognitive and functional impairments can make it difficult for people with dementia to satisfy their own needs and this can impact on well-being [27, 28]. Indeed, it has been found that increasing interactions that address residents’ identity has a positive impact on their well-being [28]. Memory loss is a threat to identity for people with dementia, but to be reminded by others about important and meaningful situations in the past can help maintain identity.…”

Section: Discussionmentioning

confidence: 99%

Reach the Person behind the Dementia - Physical Therapists' Reflections and Strategies when Composing Physical Training

et al. 2016

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Dementia is a disease characterized by cognitive impairment and physical decline that worsens over time. Exercise is one lifestyle factor that has been identified as a potential means of reducing or delaying progression of the symptoms of dementia, maximizing function and independence. The purpose of this study was to explore physical therapists’ (PTs) experiences and reflections on facilitating high-intensity functional exercise with older people living with dementia, in residential care home settings. The study used a qualitative design based on interviews, individually or in small groups, with seven PTs engaged as leaders in the training of older people with dementia. The interviews were analyzed with a modified Grounded Theory method with focus on constant comparisons. To increase trustworthiness the study used triangulation within investigators and member checking. The core category “Discover and act in the moment—learn over time” reflects how the PTs continuously developed their own learning in an iterative process. They built on previous knowledge to communicate with residents and staff and to tailor the high intensity training in relation to each individual at that time point. The category "Be on your toes" highlights how the PTs searched for sufficient information about each individual, before and during training, by eliciting the person's current status from staff and by interpreting the person's body language. The category "Build a bond with a palette of strategies" describes the importance of confirmation to build up trust and the use of group members and the room to create an interplay between exercise and social interaction. These findings highlight the continuous iterative process of building on existing knowledge, sharing and reflecting, being alert to any alterations needed for individuals that day, communication skills (both with residents and staff) and building a relationship and trust with residents in the effective delivery of high intensity functional exercise to older people living with dementia in care settings.

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Section: Discussionmentioning

confidence: 99%

Reach the Person behind the Dementia - Physical Therapists' Reflections and Strategies when Composing Physical Training

et al. 2016

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“…Cognitive status was assessed by a research evaluator using the BIMS. 30 The BIMS is a short cognitive screener which includes 3-item recall and orientation questions with scores ranging from 0 to 15 indicating severe impairment (0-7), moderate impairment (8)(9)(10)(11)(12), and cognitively intact (13)(14)(15) status. 30,31 Prior research has provided evidence of reliability and validity of BIMS.…”

Section: Methodsmentioning

confidence: 99%

The Quality of Interactions Between Staff and Residents With Cognitive Impairment in Nursing Homes

Paudel

Resnick

Galik

2019

Am J Alzheimers Dis Other Demen

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Background: Positive and effective staff–resident interactions are imperative to adequately assess and meet the needs of cognitively impaired residents in nursing homes and optimize their quality of life. Aim: The purpose of this study was to quantify, describe, and analyze the interaction between staff and cognitively impaired residents in nursing homes, using the Quality of Interaction Schedule (QuIS). Method: This descriptive analysis utilized baseline data from the first 2 cohorts in a randomized clinical trial including 341 residents from 35 nursing homes. Results: Five hundred fifty-six staff–resident interactions were evaluated; majority were positive (n = 466, 83.8%) and the remaining were either neutral (n = 60, 10.8%) or negative (n = 30, 5.4%). The quality of interactions varied by interaction location, interpersonal distance, and resident participation. Conclusion: Future research should focus on decreasing the negative/neutral interactions and explore staff characteristics (eg, gender, level of experience) and facility factors (eg, size, ownership) that might influence the quality of interactions.

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“…Within person‐centred care, greater emphasis has been placed upon staff‐resident relationships (e.g., McGilton et al., ; Willemse et al., ) than staff‐management relations; an understandable focus given the centrality of staff‐resident relations to resident well‐being. Much attention has focused on RCAs’ adoption of care practices that engender recognition, trust and respect for residents, with little (if any) emphasis placed upon helping managers adopt management styles that foster recognition, trust and respect for staff.…”

Section: Discussionmentioning

confidence: 99%

Staff personhood in dementia care settings: “Do they care about me?”

Cooke

2018

Int J Older People Nursing

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Staff–resident interactions in long-term care for people with dementia: the role of meeting psychological needs in achieving residents’ well-being

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Cited by 33 publications

References 24 publications

Reach the Person behind the Dementia - Physical Therapists' Reflections and Strategies when Composing Physical Training

Reach the Person behind the Dementia - Physical Therapists' Reflections and Strategies when Composing Physical Training

The Quality of Interactions Between Staff and Residents With Cognitive Impairment in Nursing Homes

Staff personhood in dementia care settings: “Do they care about me?”

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