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A best-evidence review of intervention studies for minimizing resistance-to-care behaviours for older adults with dementia in nursing homes.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Oct2014, Vol. 70 Issue 10, p2167-2180, 14p
- Publication Year :
- 2014
-
Abstract
- Aim To conduct a best-evidence review of non-pharmacological interventions for resistance-to-care behaviours of nursing home residents with dementia in a personal-care context. Background Resistance to care is a major source of staff burnout in nursing homes and it is also a safety issue for the staff. Design Best-evidence review. Data Sources We searched for non-pharmacological intervention studies published from 1990-2012, written in English. Review Methods The search identified 19 intervention studies that examined the effects of interventions to reduce the resistance-to-care behaviours of nursing home residents with dementia in a personal-care context. These 19 papers met the quality assessment requirements of the critical appraisal criteria for experimental studies, which were published by the Joanna Briggs Institute. Results Only three studies were RCTs and the rest were quasi-experimental. The sample size ranged from 7-127. Nine music interventions, such as pre-recorded music played to a group or playing a resident's preferred music, during his or her personal care, resulted in significant reductions in resistance-to-care behaviours. Resistance-to-care behaviours also were significantly reduced in three of four bathing interventions that focused on person-centred care. In the ability-focused interventions, only two out of five studies reported significant reductions in resistance-to-care behaviours. Conclusion Non-pharmacological interventions are options to consider to reduce resistance-to-care behaviours in older people with dementia, even though the evidence level is low, given the lack of alternatives. More randomized controlled trials are recommended to confirm the effects of non-pharmacological interventions during personal care. [ABSTRACT FROM AUTHOR]
- Subjects :
- ELDER care
BATHS
CINAHL database
COGNITION
CONCEPTUAL structures
DEMENTIA
HEALTH facilities
INFORMATION storage & retrieval systems
MEDICAL databases
MEDICAL information storage & retrieval systems
PSYCHOLOGY information storage & retrieval systems
LONG-term health care
RESEARCH methodology
MEDLINE
MILIEU therapy
MUSIC therapy
NURSING practice
NURSING home patients
NURSING home employees
OCCUPATIONAL therapy
PERSONNEL management
PROBABILITY theory
RECREATIONAL therapy
TOOTH care & hygiene
SYSTEMATIC reviews
AGITATION (Psychology)
ACTIVITIES of daily living
EVIDENCE-based nursing
NARRATIVES
BEHAVIOR disorders
INTER-observer reliability
PATIENT-centered care
DESCRIPTIVE statistics
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 70
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 98057981
- Full Text :
- https://doi.org/10.1111/jan.12432