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Knowing the diagnosis and counselling the relatives of a person with dementia
 — the perspective of home nurses and home care workers in Belgium
Author(s)Marc Roelands, Paulette Van Oost, AnneMarie Depoorter
Journal titleHealth & Social Care in the Community, vol 13, no 2, March 2005
Pagespp 112-124
Sourcewww.blackwellpublishing.com/hsc
KeywordsDementia ; Diagnosis ; Family care ; Advisory services [elderly] ; Care support workers ; District nurses ; Belgium.
AnnotationHome nurses and home care workers share the care of a person with dementia with family caregivers, and are confronted with their needs for medical and service-related information, advice on coping with behavioural changes, and emotional support. This study describes some of the conditions for effective counselling. It describes formal caregivers' counselling practice and the relationship with the psychological variables of attitudes, self-efficacy and subjective norm. A postal questionnaire was sent to 287 home nurses and 1,259 home care workers in a defined region of Belgium. The Theory of Planned Behaviour was the organising framework which underpinned the development of the instrument. 168 home nurses and 601 home care nurses reporting experience with caregiving to people with dementia were included in the analysis. Formal caregivers indicated that knowing the diagnosis was important, but could facilitate or hinder caregiving. They could describe behavioural characteristics indicative of dementia, but only in a limited way, and their strategies to uncover diagnoses were limited. While they reported that they supported family caregivers emotionally, advised about communication with the person with dementia, and informed family caregivers about services, formal caregivers' provision of information about dementia lagged behind these forms of support. In general, nurses scored higher than home care workers. Multiple linear regression analysis was used to investigate the relationships between self-reported practice and the concepts of the model. In both professions, attitudes and self-efficacy were found to be strong independent predictors. (RH).
Accession NumberCPA-050426204 A
ClassmarkEA: LK7: P6:SJ: IT: QRS: QTG: 76E

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