Effects of multisensory and motor stimulation on the behavior of people with dementia

A quasi-experimental study using a pre–posttest design was conducted in four aged care facilities to assess the effects of a person-centred care (PCC) multisensory stimulation (MSS) and motor stimulation (MS) program, implemented by direct care workers, on the behaviors of residents with dementia. Data were collected at baseline and after the intervention through video recordings of morning care routines. Forty-five residents with moderate and severe dementia participated in the study. A total of 266 morning care routines were recorded. The frequency and duration of a list of behaviors were analyzed. The frequency of engagement in task decreased significantly ( p = .002) however, its duration increased ( p = .039). The duration of gaze directed at direct care workers improved significantly ( p = .014) and the frequency of closed eyes decreased ( p = .046). There was a significant decrease in the frequency of the expression of sadness. These results support the implementation of PCC–MSS and MS programs as they may stimulate residents’ behaviors.

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Person-centredness in direct care workers caring for residents with dementia: Effects of a psycho-educational intervention

Dementia ◽

10.1177/1471301215585667 ◽

2016 ◽

Vol 16 (2) ◽

pp. 192-203 ◽

Cited By ~ 6

Author(s):

Ana Barbosa ◽

Mike Nolan ◽

Liliana Sousa ◽

Daniela Figueiredo

Keyword(s):

Educational Intervention ◽

Aged Care ◽

Direct Care ◽

Direct Care Workers ◽

Management Skills ◽

Global Behaviour ◽

Care Workers ◽

Scale Total Score ◽

Aged Care Facilities ◽

Experimental Facilities

This study assessed the effects of a psycho-educational intervention on direct care workers' person-centredness during morning care to residents with dementia. A controlled pretest–posttest study was conducted in four aged-care facilities with 56 direct care workers (female, mean age 44.72 ± 9.02). Two experimental facilities received a psycho-educational intervention comprising person-centred care competences and stress management skills; control facilities received an education-only intervention, without stress support. In total, 112 video-recorded morning care sessions were coded using the Global Behaviour Scale. Both groups reported significantly higher scores on eight of 11 items of the Global Behaviour Scale and on the Global Behaviour Scale total score at posttest (F=10.59; p=0.02). Global Behaviour Scale total score improvements were higher for the experimental group, with values close to significance (F=3.90; p=0.054). The findings suggest that a psycho-educational intervention may increase care workers' person-centredness. Further research is needed to explore the long-term sustainability and extent of its benefits on workers and residents.

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Turnover Intention Among Direct Care Workers of Older Adults in Chinese Hospitals and Nursing Homes

Innovation in Aging ◽

10.1093/geroni/igaa057.284 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 86-86

Author(s):

Zhenzhen Zhang ◽

Shuangshuang Wang ◽

Nengliang (Aaron) Yao ◽

Zhang Zhenzhen

Keyword(s):

Job Satisfaction ◽

Nursing Homes ◽

Turnover Intention ◽

Aged Care ◽

Identity Transformation ◽

Direct Care ◽

Retention Rates ◽

Direct Care Workers ◽

Care Workers ◽

The Government

Abstract High retention rates among direct care workers (DCWs) affect the quality of aged care. However, limited research has explored factors associated with retention in the Chinese aged care industry. This study compared turnover intention and job satisfaction among DCWs in Chinese hospitals and nursing homes. A total 370 DCWs from 7 hospitals (297 contractual, 73 non-contractual) and 311 DCWs from 7 nursing homes (27 contractual, 284 non-contractual) located in Fujian, China were recruited to fill out a questionnaire. Overall, DCWs from hospitals reported lower turnover intention (20.5 % vs 37.0%) and higher levels of job satisfaction (31.1% vs 16.4%) than DCWs from nursing homes. Specifically, contractual DCWs from hospitals indicated lower turnover intention (14.8%) than non-contractual DCWs from hospitals (43.8%) and both types of DCWs from nursing homes (36.3% and 44.4%). Higher job satisfaction was associated with lower turnover intention, but did not mediate the association between DCW types and turnover intention. Findings suggested that the government and institutions should help DCWs complete the identity transformation from non-contractual DCWs to contractual DCWs to enhance job security and benefits. For nursing home DCWs, licensing and registration requirements shall meet the standards for hospital DCWs. Attention is also to be paid to working conditions and staff welfare of DCWs, including social insurance, pensions, and trainings, to improve job satisfaction and reduce turnover intention.

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Inadequate completion of advance care directives by individuals with dementia: national audit of health and aged care facilities

BMJ Supportive & Palliative Care ◽

10.1136/bmjspcare-2020-002767 ◽

2021 ◽

pp. bmjspcare-2020-002767

Author(s):

Jamie Bryant ◽

Marcus Sellars ◽

Craig Sinclair ◽

Karen Detering ◽

Kimberly Buck ◽

...

Keyword(s):

Healthcare Providers ◽

Aged Care ◽

Care Plan ◽

Residential Aged Care ◽

Multinomial Regression ◽

People With Dementia ◽

Care Facilities ◽

Aged Care Facilities ◽

Advance Care Directives ◽

Advance Care

Objectives(i) Describe the prevalence and type of advance care directives (ACDs) and other advance care planning (ACP) documentation completed by persons with dementia, healthcare providers and others on behalf of a person with dementia; (ii) identify the personal and ACP programme characteristics associated with having ACP documentation in the health record; (iii) identify the personal and ACP programme characteristics associated with having a self-completed ACD.MethodsA multicentre audit was undertaken in Australian hospitals, general practices and residential aged care facilities. Auditors extracted demographic and ACP data from the records of eligible patients. ACP programme characteristics were provided by a site representative. Logistic and multinomial regression were used respectively to examine the factors associated with completion of any ACP documentation, and self-completion of an ACD by persons with dementia.ResultsA total of 1388 people with dementia (33.2%) from 96 sites were included. Overall, 60.8% (n=844) had ACP documentation; 31.6% (n=438) had a self-completed ACD and 29.3% (n=406) had an ACP document completed by a health professional or someone else on their behalf. Older participants were more likely to have ACP documented. Multivariate analyses indicated the odds of having self-completed ACP documents, compared with no advance care plan or ACP completed by someone else, were significantly influenced by age, country of birth, setting and whether the site had ACP training, policies or guidelines.DiscussionWhile 60% of people with dementia had some form of ACP documentation, only half of the cases in which ACP was documented included an ACD completed by the person themselves.

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Person-centered care and engagement via technology of residents with dementia in aged care facilities

International Psychogeriatrics ◽

10.1017/s1041610217001375 ◽

2017 ◽

Vol 29 (12) ◽

pp. 2099-2103 ◽

Cited By ~ 6

Author(s):

Anita M. Y. Goh ◽

Samantha M. Loi ◽

Alissa Westphal ◽

Nicola T. Lautenschlager

Keyword(s):

Aged Care ◽

Care Staff ◽

Residential Aged Care ◽

Cross Sectional ◽

Convenience Sample ◽

Person Centered Care ◽

People With Dementia ◽

Care Facilities ◽

Centered Care ◽

Aged Care Facilities

ABSTRACTTouchscreen technology (TT) is a resource that can improve the quality of life of residents with dementia, and care staff, in residential aged care facilities (RACF) through a person-centered care approach. To enable the use of TTs to engage and benefit people with dementia in RACFs, education is needed to explore how these devices may be used, what facilitates use, and how to address barriers. We sought to provide education and explore RACF staff views and barriers on using TT to engage their residents with dementia. An educational session on using TT with residents with dementia was given to staff from three long-term RACFs in Melbourne, Australia. A cross-sectional convenience sample of 17 staff members (personal care attendants, registered nurses, enrolled nurses, allied health clinicians, and domestic staff) who attended were administered questionnaires pre- and post-sessions. As a result of the education seminar, they were significantly more confident in their ability to use TT devices with residents. TT, and education to staff about its use with residents with dementia, is a useful strategy to enhance RACF staff knowledge and confidence, thereby enhancing the use of technology in RACFs in order to improve care standards in people with dementia.

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