scholarly journals Review: Working in small-scale, homelike dementia care: effects on staff burnout symptoms and job characteristics. A quasi-experimental, longitudinal study

2018 ◽  
pp. 174498711876190
Author(s):  
Liesbeth Van Humbeeck
2018 ◽  
pp. 174498711875783
Author(s):  
Sandra MG Zwakhalen ◽  
Jan PH Hamers ◽  
Erik van Rossum ◽  
Ton Ambergen ◽  
Gertrudis IJM Kempen ◽  
...  

2014 ◽  
Vol 26 (4) ◽  
pp. 657-668 ◽  
Author(s):  
Hilde Verbeek ◽  
Sandra M.G. Zwakhalen ◽  
Erik van Rossum ◽  
Ton Ambergen ◽  
Gertrudis I.J.M. Kempen ◽  
...  

ABSTRACTBackground:Small-scale, home-like care environments are increasingly implemented in institutional nursing care as a model to promote resident-directed care, although evidence on its effects is sparse. This study focuses on the effects of small-scale living facilities on the behavior of residents with dementia and use of physical restraints and psychotropic drugs.Methods:A quasi-experimental study was conducted comparing residents in two types of long-term institutional nursing care (i.e. small-scale living facilities and traditional psychogeriatric wards) on three time points: at baseline and follow-ups after six and 12 months. Residents were matched at baseline on cognitive and functional status to increase comparability of groups at baseline. Nurses assessed neuropsychiatric and depressive symptoms, agitation, social engagement, and use of physical restraints using questionnaires. Psychotropic drug use was derived from residents’ medical records.Results:In total, 259 residents were included: 124 in small-scale living facilities and 135 controls. Significantly fewer physical restraints and psychotropic drugs were used in small-scale living facilities compared with traditional wards. Residents in small-scale living facilities were significantly more socially engaged, at baseline and after six months follow-up, and displayed more physically non-aggressive behavior after 12 months than residents in traditional wards. No other differences were found.Conclusions:This study suggests positive effects of small-scale living facilities on the use of physical restraints and psychotropic drugs. However, the results for behavior were mixed. More research is needed to gain an insight on the relationship between dementia care environment and other residents’ outcomes.


2011 ◽  
Vol 19 (2) ◽  
pp. 429-436 ◽  
Author(s):  
Luís Carlos Carvalho da Graça ◽  
Maria do Céu Barbiéri Figueiredo ◽  
Maria Teresa Caetano Carreira Conceição

This study aimed to analyze the contributions of the Primary Healthcare nursing interventions, with primiparae in the promotion of breastfeeding. This is a quasi-experimental, longitudinal study, with a sample consisting of 151 primiparae, who had less than 28 weeks of pregnancy, with the child living for at least six months after the birth, performed between 15 October 2007 and 29 February 2008. Almost all the women initiated breastfeeding, with a sharp decline verified in the prevalence at six months. The mean duration of breastfeeding was 123.8±68.9 days. The intervention that began in the prepartum and continued into the postpartum period, using various strategies (individual consultation, preparation courses for parenting/childbirth, and domicile visits) and intervention contexts (health services and domicile) had significant effects on the duration of breastfeeding, which was not verified in the prevalence.


2012 ◽  
Vol 49 (1) ◽  
pp. 21-29 ◽  
Author(s):  
Hilde Verbeek ◽  
Sandra M.G. Zwakhalen ◽  
Erik van Rossum ◽  
Gertrudis I.J.M. Kempen ◽  
Jan P.H. Hamers

2015 ◽  
Vol 9 (1) ◽  
pp. 38-47 ◽  
Author(s):  
Annette Altendorf ◽  
Jason Schreiber

Purpose – The purpose of this paper is to illustrate some of the ethical issues and methodological obstacles encountered when trialling and using safer walking technologies and monitoring devices in dementia care. Design/methodology/approach – Using a number of recent studies as examples statistical, methodological and ethical issues are illustrated, which impact on the feasibility of randomised controlled trials or quasi-experimental designs. Findings – Much has already been achieved in using technology to aid people with memory and related problems. However, statistical evidence for the effectiveness of safer walking and monitoring devices in dementia care is still lacking. Careful considerations such as “treat the client as you would like to be treated” should be applied, when making a decision about a particular device. Originality/value – Safer walking and monitoring technology for people with memory and related problems is a rapidly advancing field of research. This is an updated discussion on methodological, statistical and ethical issues.


2004 ◽  
Vol 52 (7) ◽  
pp. 1085-1092 ◽  
Author(s):  
Marlene A. Reimer ◽  
Susan Slaughter ◽  
Cam Donaldson ◽  
Gillian Currie ◽  
Michael Eliasziw

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