Responding to responsive behaviours: A clinical placement workshop for nursing students

Hartung, Benjamin; Freeman, Calen; Grosbein, Haddas; Santiago, Anna Theresa; Gardner, Sandra; Akuamoah-Boateng, Mary

doi:10.1016/j.nepr.2020.102759

Cited by 9 publications

(5 citation statements)

References 18 publications

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“…This model presents the subcategories of identifying causes and patient's needs, understanding the continuity of the cause-behavior-response sequence, interpreting emotional and physical cues, and reading the emotions of persons with dementia. This finding is consistent with the term "responsive behaviors" that refers to BPSD as a reaction to stimuli rather than representing dysfunctions or deficiencies, and these "responsive behaviors" should be considered as a means of communication for persons with dementia (Dupuis et al, 2012;Hartung et al, 2020;Hung et al, 2020). Also this model presents subcategories focusing on the utilization of remaining capacities, respecting the individuality of persons with dementia, setting the approach of appropriate strategies and using them according to the situation, the hidden needs of persons with dementia, and causes of BPSD.…”

Section: Discussionsupporting

confidence: 82%

“…The behavioral psychological symptoms of dementia (BPSD) are considered to be highly significant for not only those persons with dementia but also their family caregivers, since the symptoms cause the stress, burden, depression, and distress of family caregivers and ultimately the institutionalization of persons with dementia (Afram et al, 2014; Cheng, 2017; Pearlin et al, 1990; Shikimoto et al, 2018; Stall et al, 2019). However, studies have formed new perspectives by considering BPSD not just as problem behaviors, but particularly as responsive behaviors or need‐driven behaviors, suggesting the need for an alternative term for BPSD viewing it as means of communication for persons with dementia (Algase et al, 1996; Dupuis et al, 2012; Hartung et al, 2020; Hung et al, 2020; Kovach et al, 2005). Therefore, when those caring for persons with dementia respond to BPSD, rather than focus on the apparent symptoms they should deal with the hidden causes or needs underlying those symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Family caregiver competence in managing behavioral and psychological symptoms of dementia: A concept synthesis

Jung

Song

Kim

et al. 2021

Japan Journal Nursing Sci

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Aim: This study aimed to identify the attributes of "family caregiver competence in managing behavioral psychological symptoms of dementia". Methods: Six electronic databases were searched for studies published between January 1990 and June 2017 with the key words "dementia", "behavioral psychological symptoms of dementia", "caregiver", "coping (managing)", and "competence". From the final fully reviewed 26 articles, descriptions related to family caregiver's dealing with behavioral psychological symptoms of dementia were extracted first. Then, based on Walker and Avant's concept synthesis, the concept of "family caregiver competence in managing behavioral psychological symptoms of dementia" was explored.Results: Four attributes, namely "Judging", "Empathizing", "Adjusting", and "Reflecting", comprised of ten categories were identified as constituting the concept of family caregiver competence in managing the behavioral psychological symptoms of dementia. As a meta competence, "reflecting" may play a significant role in improving family caregiver competence by interacting with the other dimensions of competence in managing symptoms.Conclusions: Based on the suggested conceptual model, education or training programs could be developed to improve family caregiver competence in managing behavioral psychological symptoms of dementia. To refine the attributes found in this study, field studies including observations of and interviews with family caregivers need to be conducted. Studies exploring the associations between these attributes are also of value.

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Family caregiver competence in managing behavioral and psychological symptoms of dementia: A concept synthesis

Jung

Song

Kim

et al. 2021

Japan Journal Nursing Sci

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“…This may help to ensure that both qualified and student nurses are given more formal support in their decision making about the use of therapeutic untruths. Research 20 to help prepare student nurses to work in dementia care services found that a practical workshop that covered the use of therapeutic untruths as part of an overall communication strategy resulted in the students feeling more competent and accepting of the use of therapeutic untruths. A workshop with qualified clinicians led to a greater awareness of their own use of therapeutic untruths and of the training and supervision needs of staff in their use.…”

Section: Discussionmentioning

confidence: 99%

The use of therapeutic untruths by learning disability nursing students

McKenzie

Taylor²,

Murray

et al. 2020

Nurs Ethics

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Background: The use of therapeutic untruths raises a number of ethical issues, which have begun to be explored to some extent, particularly in dementia care services, where their use has been found to be high. Little is known, however, about their use by health professionals working in learning disability services. Research question: The study aimed to explore the frequency of use of therapeutic untruths by student learning disability nurses, and by their colleagues; how effective the students perceived them to be as a means of responding to behaviours that challenge; and their level of comfort with using them. Research design: A correlational design was used to gather data from an online version of the Best Interest Scale, adapted for a learning disability context. Participants were 30 learning disability student nurses (female = 28, ages 18–48 years, M = 26.8, standard deviation = 7.3) studying at a university in the North-East of England. Ethical considerations: The study was reviewed and received ethical approval from the first author’s university ethics committee. Findings: Overall, 96% of participants reported using therapeutic untruths. ‘Omission’ was the most frequently used type of therapeutic untruths, the most effective and the type that the students felt most comfortable using. Frequency of use of therapeutic untruths correlated significantly and positively with perceived effectiveness and the level of comfort that the students felt when using them, for all types of therapeutic untruths. Conclusion: The use of therapeutic untruths by the student nurses was consistent with that found in research in dementia care services in the United Kingdom and abroad. Further research to explore the generalisability of the results to the wider context of learning disability services is needed. The study highlights that there may be a need for more formal guidance and educational input to student nurses in the use of therapeutic untruths with people with a learning disability.

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“…The literature suggests that responsive behaviours are a response to something else, for example, unmet needs, physical environment, or emotional, intellectual, or social stimuli (Algase et al, 2004;Detweiler et al, 2008). Responsive behaviours should be addressed in a supportive and positive manner by speaking calmly or ensuring that the needs of persons living with dementia are understood and managed (Hartung et al, 2020). It stands to reason that the efficient management of this variable could reduce the risk of getting lost in persons living with dementia (Neubauer, 2020).…”

Section: Other Medical Conditions and Precipitating Factors (Mental)mentioning

confidence: 99%

Risk Factors Associated with Missing Incidents among Persons Living with Dementia: A Scoping Review

Perez,

Miguel Cruz,

Neubauer

et al. 2024

Can. J. Aging

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Worldwide, over 55-million people have dementia, and the number will triple by 2050. Persons living with dementia are exposed to risks secondary to cognitive challenges including getting lost. The adverse outcomes of going missing include injuries, death, and premature institutionalization. In this scoping review, we investigate risk factors associated with going missing among persons living with dementia. We searched and screened studies from four electronic databases (Medline, CINAHL, Embase, and Scopus), and extracted relevant data. We identified 3,376 articles, of which 73 met the inclusion criteria. Most studies used quantitative research methods. We identified 27 variables grouped into three risk factor domains: (a) demographics and personal characteristics, (b) health conditions and symptoms, and (c) environmental and contextual antecedents. Identification of risk factors associated with getting lost helps to anticipate missing incidents. Risk factors can be paired with proactive strategies to prevent incidents and inform policies to create safer communities.

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Responding to responsive behaviours: A clinical placement workshop for nursing students

Cited by 9 publications

References 18 publications

Family caregiver competence in managing behavioral and psychological symptoms of dementia: A concept synthesis

Family caregiver competence in managing behavioral and psychological symptoms of dementia: A concept synthesis

The use of therapeutic untruths by learning disability nursing students

Risk Factors Associated with Missing Incidents among Persons Living with Dementia: A Scoping Review

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