Views and experiences of care home staff on managing behaviours that challenge in dementia: a national survey in England

Mallon, Charlotte; Krska, Janet; Gammie, Shivaun

doi:10.1080/13607863.2018.1452898

Cited by 9 publications

(2 citation statements)

References 13 publications

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“…In addition, the caregivers were influenced by singing (CS), as they described themselves as more relaxed and happy and less anxious of having to deal with possible aggression from the persons they cared for (Hammar et al, 2011c). Multiple studies focusing on different kinds of music interventions suggested that interventions should be person-centered (McCormack, 2004), which means that the music that is played or sung should be based on the person’s preference, and preferably from his or her youth, as persons with dementia tend to remember that kind of music (Spiro, 2010). Studies focusing on CS have included both persons with Alzheimer’s disease and persons with vascular dementia, but no studies have focused on possible differences regarding these diagnoses.…”

Section: Introductionmentioning

confidence: 99%

“…Regardless of diagnosis, dementia is associated with cognitive impairments, and responsive behaviors such as such as aggression, resistant behaviors (commonly to care), wandering, and screaming. (Aarsland, 2020;Mallon et al, 2019). Persons with dementia commonly express responsive behaviors in interaction with each other, such as in care situations when personal integrity is perceived as threatened (Wang et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Caregiver Singing Intervention: Do Expressions of Emotion and Resistance Differ Between Persons with Vascular Dementia and Those with Alzheimer’s Disease? A Pilot Study

Hammar

Wickberg²,

Skogsbäck

et al. 2022

Music & Science

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Background: The music intervention caregiver singing (CS) has been shown to be beneficial in facilitating care of persons with dementia in residential care, but no studies have focused on possible differences with respect to dementia diagnosis, which might be important due to possible different symptoms. Aim: To describe expressed emotions and resistiveness to care among persons with vascular dementia or Alzheimer’s disease during CS. Method: The study is a pilot intervention of CS which contains pre- and intervention measurements. Participants were persons with vascular dementia or Alzheimer’s disease. Measures were the Resistiveness to Care Scale and the Observed Emotion Rating Scale. Care situations without and with CS were compared of persons with vascular dementia and Alzheimer’s disease. The data are described with descriptive statistics. Results: During CS, positive emotion increased for persons with Alzheimer’s disease and vascular disease, with far longer intervals observed among persons with Alzheimer’s disease. Conclusion: CS may have positive influences regardless of diagnosis, but when targeting different emotional expressions, diagnosis may play an important role. However, larger studies need to be undertaken to confirm the results of this pilot study.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Caregiver Singing Intervention: Do Expressions of Emotion and Resistance Differ Between Persons with Vascular Dementia and Those with Alzheimer’s Disease? A Pilot Study

Hammar

Wickberg²,

Skogsbäck

et al. 2022

Music & Science

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A systematic review of quantitative studies exploring staff views on antipsychotic use in residents with dementia in care homes

Raza,

Piekarz,

Jawad

et al. 2023

Int J Clin Pharm

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Background Despite significant warnings of adverse effects, antipsychotics continue to be prescribed for managing the behavioural and psychological symptoms of dementia (BPSD) in care homes. Information provided by staff working within care homes is a factor that can influence prescribing decisions in residents with BPSD. Aim The review aimed to capture care home staff views towards antipsychotics for residents with BPSD and separately analyse tools utilized in the studies, mapping them onto the theory of planned behaviour (TPB). Method A comprehensive literature search published in ten databases was conducted between May and July 2020 and updated in July 2021. Studies published in full with no date restriction were included and quality assessed using CROSS checklist. A thematic framework approach was applied to extract data and study tools which were then mapped onto the TPB. Results Fourteen studies (2059 participants) were included. Findings identified four overarching themes: attitudes toward antipsychotics (e.g. antipsychotics as an appropriate strategy and effectiveness); barriers to deprescribing (e.g. lower staff education, lack of resources and time, poor medication reviews); measures implemented (e.g. nonpharmacological interventions, medication reviews); and perceived needs of staff (e.g. need for training, financial or clinical support). Identified tools addressed seven but not all components of TPB namely, behavioural, normative and control beliefs, attitude, perceived behavioural control, intention and behaviour. Conclusion The positive attitudes toward antipsychotics, the identified barriers to deprescribing and the existing tools not addressing all components of the TPB provide the impetus for further research.

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Effects on staff outcomes and process evaluation of the educating nursing staff effectively (TENSE) program for managing challenging behavior in nursing home residents with dementia: A cluster-randomized controlled trial

Bielderman

Nieuwenhuis²,

Hazelhof

et al. 2021

International Journal of Nursing Studies

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Views and experiences of care home staff on managing behaviours that challenge in dementia: a national survey in England

Abstract: BtC are commonly and frequently experienced by care staff, who consider individual approaches, having time and good communication are key to successful management.

Cited by 9 publications

References 13 publications

Caregiver Singing Intervention: Do Expressions of Emotion and Resistance Differ Between Persons with Vascular Dementia and Those with Alzheimer’s Disease? A Pilot Study

Caregiver Singing Intervention: Do Expressions of Emotion and Resistance Differ Between Persons with Vascular Dementia and Those with Alzheimer’s Disease? A Pilot Study

A systematic review of quantitative studies exploring staff views on antipsychotic use in residents with dementia in care homes

Effects on staff outcomes and process evaluation of the educating nursing staff effectively (TENSE) program for managing challenging behavior in nursing home residents with dementia: A cluster-randomized controlled trial

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