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Am J Alzheimers Dis Other Demen. 2019 Jul 21:1533317519863259. doi: 10.1177/1533317519863259. [Epub ahead of print]

The Quality of Interactions Between Staff and Residents With Cognitive Impairment in Nursing Homes.

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1
1 University of Maryland School of Nursing, Baltimore, MD, USA.

Abstract

BACKGROUND:

Positive and effective staff-resident interactions are imperative to adequately assess and meet the needs of cognitively impaired residents in nursing homes and optimize their quality of life.

AIM:

The purpose of this study was to quantify, describe, and analyze the interaction between staff and cognitively impaired residents in nursing homes, using the Quality of Interaction Schedule (QuIS).

METHOD:

This descriptive analysis utilized baseline data from the first 2 cohorts in a randomized clinical trial including 341 residents from 35 nursing homes.

RESULTS:

Five hundred fifty-six staff-resident interactions were evaluated; majority were positive (n = 466, 83.8%) and the remaining were either neutral (n = 60, 10.8%) or negative (n = 30, 5.4%). The quality of interactions varied by interaction location, interpersonal distance, and resident participation.

CONCLUSION:

Future research should focus on decreasing the negative/neutral interactions and explore staff characteristics (eg, gender, level of experience) and facility factors (eg, size, ownership) that might influence the quality of interactions.

KEYWORDS:

cognitive impairment; communication; long-term care; nursing homes; staff–resident interactions

PMID:
31327235
DOI:
10.1177/1533317519863259

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