Carin M. Wong PhD , Dominique H. Como PhD, OTR/L , Cara Lekovitch CScD, OTR/L, BCG , Felicia Chew MS, OTR/L , Natalie E. Leland PhD, OTR/L, BCG, FAOTA, FGSA
{"title":"疗养院员工对提供痴呆症护理的益处和挑战的看法。","authors":"Carin M. Wong PhD , Dominique H. Como PhD, OTR/L , Cara Lekovitch CScD, OTR/L, BCG , Felicia Chew MS, OTR/L , Natalie E. Leland PhD, OTR/L, BCG, FAOTA, FGSA","doi":"10.1016/j.jamda.2024.105411","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>To capture nursing home staff perspectives on the benefits and challenges related to caring for residents living with Alzheimer disease and other related dementias. These perspectives will inform the initial development of strategies to help with staff retention.</div></div><div><h3>Design</h3><div>A secondary qualitative analysis of semistructured interviews conducted with nursing home staff, which was embedded within a pragmatic clinical trial.</div></div><div><h3>Setting and Participants</h3><div>Purposive sampling was used to capture perspectives of staff spanning across job roles from 23 nursing homes.</div></div><div><h3>Methods</h3><div>During the parent study primary analysis, staff experiences providing dementia care were consistently described. In response, this study completed a secondary analysis of study data using thematic analysis to identify benefits and challenges of caring for this population.</div></div><div><h3>Results</h3><div>Analysis of nursing home staff (n = 327) interviews captured benefits and challenges of caring for residents living with dementia. Three themes reflected staff perspectives of the benefits, including valuing interpersonal relationship with residents (eg, learning about residents' likes, dislikes, and history), providing care fosters a sense of purpose, and the variability of the job from day to day (eg, getting to use different strategies to interact with residents). Two themes portrayed the challenges staff articulated, including feeling discouraged because of ineffective care strategies (eg, not being able to manage residents’ behaviors) and the toll that caring for this resident population takes on staff mental health (eg, death of residents).</div></div><div><h3>Conclusions and Implications</h3><div>Nursing home staff report benefits and challenges to providing care to people with dementia. To assist with staff retention and lower staff turnover, nursing home administrators need to take into consideration how to help their staff manage the challenges and facilitate the benefits through the implementation of organizational strategies.</div></div>","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"26 2","pages":"Article 105411"},"PeriodicalIF":4.2000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Nursing Home Staff Perspectives of the Benefits and Challenges of Providing Dementia Care\",\"authors\":\"Carin M. Wong PhD , Dominique H. Como PhD, OTR/L , Cara Lekovitch CScD, OTR/L, BCG , Felicia Chew MS, OTR/L , Natalie E. Leland PhD, OTR/L, BCG, FAOTA, FGSA\",\"doi\":\"10.1016/j.jamda.2024.105411\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>To capture nursing home staff perspectives on the benefits and challenges related to caring for residents living with Alzheimer disease and other related dementias. These perspectives will inform the initial development of strategies to help with staff retention.</div></div><div><h3>Design</h3><div>A secondary qualitative analysis of semistructured interviews conducted with nursing home staff, which was embedded within a pragmatic clinical trial.</div></div><div><h3>Setting and Participants</h3><div>Purposive sampling was used to capture perspectives of staff spanning across job roles from 23 nursing homes.</div></div><div><h3>Methods</h3><div>During the parent study primary analysis, staff experiences providing dementia care were consistently described. In response, this study completed a secondary analysis of study data using thematic analysis to identify benefits and challenges of caring for this population.</div></div><div><h3>Results</h3><div>Analysis of nursing home staff (n = 327) interviews captured benefits and challenges of caring for residents living with dementia. Three themes reflected staff perspectives of the benefits, including valuing interpersonal relationship with residents (eg, learning about residents' likes, dislikes, and history), providing care fosters a sense of purpose, and the variability of the job from day to day (eg, getting to use different strategies to interact with residents). Two themes portrayed the challenges staff articulated, including feeling discouraged because of ineffective care strategies (eg, not being able to manage residents’ behaviors) and the toll that caring for this resident population takes on staff mental health (eg, death of residents).</div></div><div><h3>Conclusions and Implications</h3><div>Nursing home staff report benefits and challenges to providing care to people with dementia. To assist with staff retention and lower staff turnover, nursing home administrators need to take into consideration how to help their staff manage the challenges and facilitate the benefits through the implementation of organizational strategies.</div></div>\",\"PeriodicalId\":17180,\"journal\":{\"name\":\"Journal of the American Medical Directors Association\",\"volume\":\"26 2\",\"pages\":\"Article 105411\"},\"PeriodicalIF\":4.2000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the American Medical Directors Association\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1525861024008338\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Medical Directors Association","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1525861024008338","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Nursing Home Staff Perspectives of the Benefits and Challenges of Providing Dementia Care
Objectives
To capture nursing home staff perspectives on the benefits and challenges related to caring for residents living with Alzheimer disease and other related dementias. These perspectives will inform the initial development of strategies to help with staff retention.
Design
A secondary qualitative analysis of semistructured interviews conducted with nursing home staff, which was embedded within a pragmatic clinical trial.
Setting and Participants
Purposive sampling was used to capture perspectives of staff spanning across job roles from 23 nursing homes.
Methods
During the parent study primary analysis, staff experiences providing dementia care were consistently described. In response, this study completed a secondary analysis of study data using thematic analysis to identify benefits and challenges of caring for this population.
Results
Analysis of nursing home staff (n = 327) interviews captured benefits and challenges of caring for residents living with dementia. Three themes reflected staff perspectives of the benefits, including valuing interpersonal relationship with residents (eg, learning about residents' likes, dislikes, and history), providing care fosters a sense of purpose, and the variability of the job from day to day (eg, getting to use different strategies to interact with residents). Two themes portrayed the challenges staff articulated, including feeling discouraged because of ineffective care strategies (eg, not being able to manage residents’ behaviors) and the toll that caring for this resident population takes on staff mental health (eg, death of residents).
Conclusions and Implications
Nursing home staff report benefits and challenges to providing care to people with dementia. To assist with staff retention and lower staff turnover, nursing home administrators need to take into consideration how to help their staff manage the challenges and facilitate the benefits through the implementation of organizational strategies.
期刊介绍：
JAMDA, the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine, is a leading peer-reviewed publication that offers practical information and research geared towards healthcare professionals in the post-acute and long-term care fields. It is also a valuable resource for policy-makers, organizational leaders, educators, and advocates.
The journal provides essential information for various healthcare professionals such as medical directors, attending physicians, nurses, consultant pharmacists, geriatric psychiatrists, nurse practitioners, physician assistants, physical and occupational therapists, social workers, and others involved in providing, overseeing, and promoting quality
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