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Centre for Policy on Ageing | |
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| A qualitative study of the views of residents with dementia, their relatives and staff about work practice in long-term care settings | | Author(s) | Georgina Train, Shirley Nurock, Ginnette Kitchen |
| Journal title | International Psychogeriatrics, vol 17, no 2, June 2005 |
| Pages | pp 237-252 |
| Source | http://journals.cambridge.org |
| Keywords | Dementia ; Residents [care homes] ; Family care ; Care home staff ; Qualitative Studies ; London ; Essex. |
| Annotation | Most people living in 24-hour care settings have dementia, and little is known about what makes long-term care a positive experience for them. This carer-led qualitative study examined working practices in 24-hour long-term care settings (including hospitals, nursing and residential homes) in North London and Essex. In semi-structured interviews, managers, nurses and care assistants were asked about work practices, such as how they coped with difficult behaviour, also about shifts, staffing levels, staff retention and training. Relatives of residents with dementia were asked about their role and perceptions of the care provided; and residents were asked for their opinions of their care. Staff reported that residents presented with increasingly challenging behaviour compared to the past, and that sometimes staffing levels and skills were inadequate. Of all the settings, hospitals had the most problems with staffing levels and retention, staff-relative relationships and staff support systems. Relatives saw their own role as positive. People with dementia of varying severity could usefully evaluate some of the services they received. Dementia-specific training and education of staff in all long-term care settings, including induction, should deal with the management of problem behaviour in dementia, and thereby improve staff fulfilment and relatives' satisfaction. The long-stay hospital may not be appropriate as a "home for life" for those with dementia. The authors recommend that long-term care settings should be able to cater flexibly for a range of residents' needs. (RH). |
| Accession Number | CPA-050825212 A |
| Classmark | EA: KX: P6:SJ: QRM: 3DP: 82L: 8ES |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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