Attitudes of Nursing Home Managers Regarding Cognitively Stimulating Activities in People With Dementia: A Multicentre Cross-Sectional Study

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY International Journal of Older People Nursing Pub Date : 2024-09-14 DOI:10.1111/opn.12645

Julie Guicheteau, Sascha Köpke, Ümran Sema Seven, Ann-Kristin Folkerts, Elke Kalbe, Martin N. Dichter

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Abstract

Introduction

Group-based cognitive stimulation has shown short-term benefits for the cognitive outcomes of people with dementia living in nursing homes (NH). However, group participation can be a barrier for people with advanced dementia, bedridden people or isolated people. The CogStim24 project seeks to develop and implement a new psychosocial intervention based on cognitively stimulating (CS) activities integrated into daily nursing care. As part of the intervention development process, this study aimed to survey NH managers' attitudes and describe currently used approaches to CS activities in German NH.

Methods

We performed a multicentre cross-sectional study between September and December 2021 in randomly recruited NH in the German federal state of North Rhine-Westphalia. NH representatives were asked to fill in a self-developed online questionnaire. We analysed data descriptively, presenting means and standard deviations. For case scenario questions, we used a summative content analysis.

Results

We contacted 354 NH and 106 agreed to participate. Representatives of 64 facilities completed the survey. Almost all stated to have implemented CS activities. Cognitive exercises (98%), physical and relaxation exercises (98%) and reminiscence therapy (95%) were most often used. The majority (96%) thought that CS activities could support people with dementia in maintaining their cognitive functions and that nurses should have a key role in the implementation of CS activities. More than half believed that regular CS activities were easy to implement alongside routine nursing care.

Conclusions

Results indicate that CS activities are frequently applied in German NH. The positive attitude of NH managers regarding the implementation and effects of CS activities is an important implementation resource.

Implications for Practice

Nursing staff should be more involved in providing CS activities for people with dementia. Training, information, and implementation material must be made available for nursing staff who wish to have an active role in providing CS activities.

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养老院管理人员对痴呆症患者认知刺激活动的态度：一项多中心横断面研究

导言：以小组为基础的认知刺激对居住在疗养院（NH）中的痴呆症患者的认知结果有短期益处。然而，对于晚期痴呆症患者、卧床不起的患者或与世隔绝的患者来说，参加小组活动可能是一个障碍。CogStim24 项目旨在开发和实施一种新的社会心理干预措施，该措施基于日常护理中的认知刺激（CS）活动。作为干预措施开发过程的一部分，本研究旨在调查疗养院管理人员的态度，并描述德国疗养院目前使用的 CS 活动方法。方法我们于 2021 年 9 月至 12 月期间在德国联邦北莱茵-威斯特法伦州随机招募的 NH 中开展了一项多中心横断面研究。国家卫生机构代表被要求填写一份自行开发的在线问卷。我们对数据进行了描述性分析，列出了平均值和标准差。对于案例情景问题，我们采用了总结性内容分析。结果我们联系了 354 家 NH，其中 106 家同意参与调查。64 家医疗机构的代表完成了调查。几乎所有机构都表示已经开展了 CS 活动。认知练习（98%）、体能和放松练习（98%）以及回忆疗法（95%）是最常用的方法。大多数人（96%）认为，CS 活动可以帮助痴呆症患者保持认知功能，护士应该在 CS 活动的实施中扮演重要角色。半数以上的人认为，在开展常规护理的同时，定期开展 CS 活动也很容易。结论结果表明，CS 活动在德国的 NH 中得到了广泛应用。疗养院管理者对 CS 活动的实施和效果所持的积极态度是一项重要的实施资源。对实践的启示护理人员应更多地参与为痴呆症患者提供的 CS 活动。必须为希望积极参与 CS 活动的护理人员提供培训、信息和实施材料。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.