Predictors of empathy in dementia care staff

Gilson, Aaron M.; Moyer, Delores M.

doi:10.1177/153331750001500403

Cited by 4 publications

(7 citation statements)

References 55 publications

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“…At the Swedish special housings the social work staff constantly reproved the residents, expecting them to behave like healthy and well-mannered people. These findings are in line with the discussions by researchers and theorists referred to by Gilson & Moyer (2000) concerning the question to what extent people are willing or able to imagine themselves in another person's situation and involve themselves at an emotional level. From an interactional perspective Hellström, Nolan, and Lundh (2005: 271) find that lack or awareness of the symptoms of dementia may result in failure ‘to establish a shared “social construction of the situation”’.…”

Section: Concluding Discussionsupporting

confidence: 90%

“…Holst, Edberg and Hallberg (1999) used similar points of departure in dementia care when they studied how nurses helped old dementia patients to meaning through retelling their life stories. The concept of empathy and the empathy levels between staff and people suffering from dementia has also been discussed as an effect of personality characteristics (Gilson & Moyer, 2000). Already in the early 1990s Sabat & Harré (1992) argued that people suffering from dementia attempt to keep their ego identity by appropriating ‘pictures' they had before they lost their identity.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…Varies staff training programmes have been tested (Hughes, Bagley, Reilly, Burns, & Challis, 2008) and the meaning of environmental change for older people suffering from dementia has been studied (Cioffi, Fleming, Wilkes, Sinfield, & Le Miere, 2007) as well as the situation of family careers (Hellström, Nolan & Lundh, 2005; Nolan, Ryan, Enderby, & Reid, 2002). The staff patient−relationship has also been explored (Gilson & Moyer, 2000), but no ideal forms of care have been defined (Macdonald & Woods, 2005; Train, Nurock, Kithcen, Manela, & Livingston, 2005).…”

Section: Introductionmentioning

confidence: 99%

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The staff's view on dementia and the care in three cultures: A qualitative study in France, Portugal and Sweden

Emilsson

2011

Dementia

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This article discusses the staff's view on dementia and its impact on the care delivered arising out of a qualitative comparative study focusing on long-term care of older people in France, Portugal and Sweden. The aim was to explore the staff's view on the illness dementia; on older people suffering from dementia; the care provided and the impact of various views on the care. The care was studied through observations at 22 care settings in the three countries and the staff's attitudes were explored by means of interviews with 79 people. A relation-oriented phenomenological approach was used. Great differences appeared regarding the various staff groups’ views. The findings also indicated that the staff's view; the cultural context and the organizational environment might have an impact on the care provided. However the impact of professional affiliation and the way of collaborating seemed to be of greater significance than other similarities or differences. An interdisciplinary based starting point, with close collaboration between medical based health care and social care of older people suffering from dementia in integrative care models, is therefore of vital importance.

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Section: Concluding Discussionsupporting

confidence: 90%

Section: Theoretical Frameworkmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The staff's view on dementia and the care in three cultures: A qualitative study in France, Portugal and Sweden

Emilsson

2011

Dementia

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“…Positive staff attitudes have been linked to higher levels of empathy, less burnout in nursing home staff and improved outcomes for care recipients (Astrom, Nilsson, Norberg, & Winbald, 1990). Several factors are known to influence staff attitudes, including the overall philosophy of the nursing home facility (Wilkes & LeMiere, 2001), societal attitudes towards ageing and older people (Nay, 1998;Wilkes & LeMiere, 2001) and personal attributes (Astrom et al, 1990;Gilson & Moyer, 2000). Positive attitudes may help care staff see a person with dementia through more perceptive and sensitive eyes (Gilson & Moyer, 2000;Mott & Kingsley, 1999) thus reducing the extent and use of psychotropic medications (Roberts et al, 1998), and other forms of restraint (Karlsson et al, 2001).…”

Section: Staff Attitudesmentioning

confidence: 99%

“…Several factors are known to influence staff attitudes, including the overall philosophy of the nursing home facility (Wilkes & LeMiere, 2001), societal attitudes towards ageing and older people (Nay, 1998;Wilkes & LeMiere, 2001) and personal attributes (Astrom et al, 1990;Gilson & Moyer, 2000). Positive attitudes may help care staff see a person with dementia through more perceptive and sensitive eyes (Gilson & Moyer, 2000;Mott & Kingsley, 1999) thus reducing the extent and use of psychotropic medications (Roberts et al, 1998), and other forms of restraint (Karlsson et al, 2001). A relationship between nurses' attitudes and restraint use (Hantikainen & Kappeli, 2000;Hardin et al, 1994) and their reporting of aggressive incidents and choice of management intervention (Duxbury, 1999(Duxbury, , 2002Hantikainen, 2001) has also been identified.…”

Section: Staff Attitudesmentioning

confidence: 99%

Reducing dementia-related aggression through a staff education intervention

2007

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This article presents findings from a research study that examined the impact of a staff education programme on aggression as displayed by people with dementia living in residential aged care. The staff education programme was designed to change staff attitudes and perceptions towards their care management of the person with dementia. A simple interrupted time series, with the resident acting as his/her own comparison, was used to measure residents' aggressive behaviour both before and after the education intervention — Emotional Responses as Quality Indicators (ERIC). Forty-three residents and 85 staff were involved in the study. Staff attitudes to their work were assessed before and six weeks after the education intervention using the Attitude to Elderly Severely Mentally Infirm Care Scale. Findings indicate that people with dementia display cues about impending physical aggression, but such cues are often ignored by staff, as they may not see or understand anger as a legitimate human emotion within the context of the disease process.

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