“…4 Distressing symptoms do not recede with NH admission, and the care for these patients is found to affect formal carers, both emotionally and physically, leading to depression, anxiety, and sleep problems. 5 The societal consequences are significant: burnout, sick leave, turnover, and increased economic costs. 2,6,7 Interestingly, only a few and mostly cross-sectional studies specifically investigate the differential effect of discrete NPSs on distress in NH staff.…”