Back to Search
Start Over
Transferring people with dementia to severe challenging behavior specialized units, an in-depth exploration.
- Source :
- Aging & Mental Health; May2024, Vol. 28 Issue 5, p838-848, 11p
- Publication Year :
- 2024
-
Abstract
- One of the main reasons for people with dementia to move to a dementia special care unit of a nursing home is challenging behavior. This behavior is often difficult to manage, and in the Netherlands, residents are sometimes relocated to a severe challenging behavior specialized unit. However, relocation often comes with trauma and should be prevented if possible. This study aimed to investigate the patient- and context-related reasons for these relocations. Qualitative multiple case study using individual (n = 15) and focus group interviews (n = 4 with n = 20 participants) were held with elderly care physicians, physician assistants, psychologists, nursing staff members, and relatives involved with people with dementia and severe challenging behavior who had been transferred to a severe challenging behavior specialized unit. Audio recordings were transcribed and analyzed with thematic analysis, including directed content analysis. After five cases, data-saturation occurred. The thematic analysis identified three main processes: increasing severity of challenging behavior, increasing realization that the clients' needs cannot be met, and an increasing burden of nursing staff. The interaction between these processes, triggered mainly by a life-threatening situation, led to nursing staff reaching their limits, resulting in relocation of the client. Our study resulted in a conceptual framework providing insight into reasons for relocation in cases of severe challenging behavior. To prevent relocation, the increasing severity of challenging behavior, increasing burden on nursing staff, and increasing realization that the clients' needs cannot be met need attention. [ABSTRACT FROM AUTHOR]
- Subjects :
- BEHAVIOR disorders
QUALITATIVE research
FOCUS groups
PSYCHOLOGISTS
HOSPITAL admission & discharge
INTERVIEWING
CONTENT analysis
HOSPITAL nursing staff
NURSING care facilities
RELOCATION
HOSPITAL medical staff
SOUND recordings
THEMATIC analysis
RESEARCH methodology
CONCEPTUAL structures
DEMENTIA
HOSPITAL wards
Subjects
Details
- Language :
- English
- ISSN :
- 13607863
- Volume :
- 28
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Aging & Mental Health
- Publication Type :
- Academic Journal
- Accession number :
- 177165211
- Full Text :
- https://doi.org/10.1080/13607863.2023.2280673