Resource use and its association to cognitive impairment, ADL functions, and behavior in residents of Swedish nursing homes: Results from the U‐Age program (SWENIS study)

2018 ◽  
Vol 34 (1) ◽  
pp. 130-136 ◽  
Author(s):  
Anders Sköldunger ◽  
Anders Wimo ◽  
Karin Sjögren ◽  
Sabine Björk ◽  
Annica Backman ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Nursing Homes ◽  
Resource Use ◽  
And Behavior

scholarly journals 406 - Spanish validation of the Revised Memory and Behavior Problems Checklist- Nursing Homes (RMBPC-NH)

2020 ◽  
Vol 32 (S1) ◽  
pp. 122-122
Author(s):  
Gema Perez-Rojo ◽  
Javier López ◽  
Cristina Velasco ◽  
Cristina Noriega ◽  
José Ángel Martínez-Huertas ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Behavior Problems ◽  
Factor Structure ◽  
Factor Model ◽  
Reliability And Validity ◽  
Quality Of Work Life ◽  
Structure Reliability ◽  
Spanish Validation ◽  
Confirmatory Factor ◽  
And Behavior

IntroductionThe behavior problems in residents may affect professionals’ performance at work, quality of work life, and even their health. Thus, it is important to have instruments that allow to estimate their prevalence. The objective of this study was to validate the Revised Memory and Behavior Problems Checklist-Nursing Homes (RMBPC-NH; Allen et al., 2003) in a Spanish population. Specifically, it was tested the factor structure of the RMBPC-NH proposed by Wagner et al. (1995). Moreover, the relevance of the different types of problems for the working performance, at the level of individuals and institutions, was explored.MethodIn the present study, a total of 200 professionals participated.ResultsA Confirmatory Factor Analysis was conducted using WLSMV estimator in Mplus 7. Results showed a good fit to the data for the four-factor model (?2(813) = 1733.73, p<.001, CFI = .90, TIL = .90, RMSEA = .08). Thus, it can be concluded that the original factor structure proposed by Wagner et al. (1995) and replicated by Allen et al. (2003) can also be applied to Spanish staff nursing homes. The reliability of the scale was adequate (α from .86 to .93). Moreover, different descriptive and correlational results showed that both the factor scores of the Spanish adaptation of the RMBPC-NH and the importance of each type of problem were associated to different variable related.DiscussionAfter analyzing the factor structure, reliability and validity of the adaptation of the RMBPC-NH scale for Spanish staff nursing homes it has found that it has good psychometric properties, so it could be a useful tool for this population.This work was funded by the Spanish Ministry of Economy and Competitiveness (grant number PSI2016-79803-R).

scholarly journals Factors Influencing the Deterioration from Cognitive Decline of Normal Aging to Dementia among Nursing Home Residents

2020 ◽  
Author(s):  
Audai A. Hayajneh ◽  
Mohammad Rababa ◽  
Alia A. Alghwiri ◽  
Dina Masha'al
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Nursing Homes ◽  
Nursing Home Residents ◽  
Bivariate Analysis ◽  
Medical Factors ◽  
Moderate Cognitive Impairment

Abstract Background: A dearth of differential research exists regarding the determinants of mild cognitive impairment (MCI) and moderate cognitive impairment or dementia among nursing home residents. This study aimed to identify and examine the association between medical factors (number of comorbidities, hospitalization, disability, depression, frailty and quality of life) and moderate cognitive impairment or dementia in nursing homes residents.Methods: A cross-sectional design was used in this study. Convenience sampling of 182 participants was conducted in nursing homes located in the central part of Jordan. Montreal cognitive assessment (MoCA) was used to screen both MCI and moderate cognitive impairment or dementia. Bivariate analysis, including t-test and ANOVA test, and logistic and linear regression models were used to examine and identify the medical factors associated with moderate cognitive impairment or dementia compared to mild cognitive impairment.Results: Most nursing home residents had MCI (87.4%) compared to a few with moderate cognitive impairment or dementia. Age (t = -2.773), number of comorbidities (t = -4.045), depression (t = -4.809), frailty (t = -4.038), and quality of life physical (t = 3.282) and mental component summaries (t = 2.469) were significantly different between the stages of cognitive impairment. Marital status (t = -4.050, p < 0.001), higher-income (t = 3.755, p < 0.001), recent hospitalization (t = 2.622,p = 0.01), depression (t = -2.737, p = 0.007), and frailty (t = 2.852, p = 0.005) were significantly associated with mental ability scores among nursing home residents.Conclusion: The coexistence of comorbidities and depression among nursing home residents with MCI necessitates prompt management by healthcare providers to combat depressive symptoms in order to delay the dementia trajectory among at-risk residents.Trail registration number: ClinicalTrials.gov Identifier: NCT04589637

scholarly journals Measurement of overall quality of life in nursing homes through self-report: the role of cognitive impairment

2007 ◽  
Vol 16 (6) ◽  
pp. 1029-1037 ◽  
Author(s):  
Debby Lydia Gerritsen ◽  
Nardi Steverink ◽  
Marcel E. Ooms ◽  
Henrica C. W. de Vet ◽  
Miel W. Ribbe
Keyword(s):  
Quality Of Life ◽  
Cognitive Impairment ◽  
Nursing Homes ◽  
Self Report

scholarly journals Health-Related Resource Use and Costs in Elderly Adults with and without Mild Cognitive Impairment

2013 ◽  
Vol 61 (3) ◽  
pp. 396-402 ◽  
Author(s):  
Carolyn W. Zhu ◽  
Mary Sano ◽  
Steven H. Ferris ◽  
Peter J. Whitehouse ◽  
Marian B. Patterson ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Resource Use ◽  
Elderly Adults ◽  
Health Related

scholarly journals PERSON-CENTERED CARE RELATED TO RESOURCE USE, RESIDENT QUALITY OF LIFE, AND STAFF JOB STRAIN IN SWEDISH NURSING HOMES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S36-S36 ◽  
Author(s):  
Annica Backman ◽  
Anders Sköldunger
Keyword(s):  
Quality Of Life ◽  
Nursing Homes ◽  
Resource Use ◽  
Job Strain ◽  
Cognitive Status ◽  
Nursing Home Care ◽  
Care Utilization ◽  
Care Needs ◽  
The Impact

Abstract A critical challenge facing aged care systems throughout the world is to meet the complex care needs of a growing population of older persons. Although person-centred care has been advocated as the “gold standard” and a key component of high quality of care, the significance of care utilization in person-centred units as well as the impact of person-centred care on resident quality of life and staff job strain in nursing home care is yet to be explored. Thus, the aim was to explore person-centred care and its association to resource use, resident quality of life and staff job strain. The study is based on a cross-sectional national survey and data on 4831 residents and 3605 staff were collected by staff in 2014, deriving from nursing homes in 35 Swedish municipalities. In this study, descriptive statistics and regression modelling were used to explore this association. The preliminary results showed that person-centred care was positively associated to resource use (i.e care hours) and resident quality of life in Swedish nursing homes, when controlling for resident age, gender and cognitive status. Person-centred care was negatively associated to staff perception of job strain. This indicates that person-centred care provision seem to increase resource use (i.e. slightly more care hours utilized) but also beneficially impact resident quality of life as well as alleviate care burden in terms job strain among staff.

scholarly journals The Relationship between Hypertension and Cognitive Function Impairment in the Elderly

2019 ◽  
Vol 7 (9) ◽  
pp. 1440-1445 ◽  
Author(s):  
Endy Juli Anto ◽  
Laura Oktavina Siagian ◽  
Jekson Martiar Siahaan ◽  
Hendrika Andriana Silitonga ◽  
Sony Eka Nugraha
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Function ◽  
Nursing Homes ◽  
Significant Relationship ◽  
The Elderly ◽  
Research Approach ◽  
Impaired Cognitive Function ◽  
Function Impairment ◽  
The Relationship ◽  
Second Degree

BACKGROUND: Hypertension is still a health problem both in developed and developing countries. Hypertension can cause various complications; one of them is cognitive function impairment. AIM: This study aimed to look at the relationship of hypertension with cognitive function. This research can also be useful to help optimise the health of the elderly, maximise quality of life and avoid hypertension as a risk factor for cognitive impairment in the elderly at the Karya Kasih Nursing Homes, Medan from May to June 2018. METHODS: This research was carried out by analytic observational with cross-sectional research approach. In this study, 57 elderly from Karya Kasih Nursing Homes Medan who met the inclusion and exclusion criteria participated. Assessment of cognitive function used Mini-Mental State Examination (MMSE), Six Item Cognitive Impairment Test (6CIT) and Abbreviated Mental Test Score (AMT) instruments. RESULT: This study obtained a significant relationship between the history of hypertension with impaired cognitive function (p = 0.003). The results of the cognitive function examination with MMSE showed that among 57 elderly, 16 people (43.2%) were normal and 21 people (56.8%) had impaired cognitive function in the first degree hypertension group, besides that, 3 people were normal (15%) and 7 people (85%) had impaired cognitive function in the second degree hypertension group (p = 0.031). Based on the result of mild and severe cognitive function impairment, among 12 people (57.1%) and 9 people (42.9%) had a mild and severe cognitive function impairment, respectively, in first-degree hypertension. 3 people (17.6%) and 14 people (82.4%) had a mild and severe cognitive function impairment, respectively, in the second-degree hypertension (p = 0.013). The 6-CIT instrument also showed a significant relationship between the severity of hypertension and impaired cognitive function (p = 0.027), and there was no significant relationship with AMT instruments (p = 0.078). CONCLUSION: There was a relationship between the history or duration and degree of hypertension with cognitive dysfunction in the elderly at the Karya Kasih Nursing Home Medan.

Attitudes to dementia and dementia care held by nursing staff in U.K. “non-EMI” care homes: what difference do they make?

2005 ◽  
Vol 17 (3) ◽  
pp. 383-391 ◽  
Author(s):  
A. J. D. Macdonald ◽  
R. T. Woods
Keyword(s):  
Cognitive Impairment ◽  
Nursing Homes ◽  
Medication Use ◽  
Dementia Care ◽  
Care Homes ◽  
Care Practice ◽  
Senior Nurse ◽  
South East England ◽  
Training And Support ◽  
State Examination

Background: There is doubt about the value of training in dementia care in U.K. nursing homes. We decided to estimate the association between nursing staff's attitudes to dementia and dementia care and their recognition of cognitive impairment in residents and other indicators of care practice in nonspecialist nursing homes derived from a probability sample of 445 residents in South-East England, and to relate this to previous training.Methods: Prospective survey. The most senior nurse on duty was interviewed about each resident sampled, about their own training and experience, their attitude to restriction of egress and covert medication use, and asked to complete the Attitudes to Dementia Questionnaire (ADQ) and the dementia Care Styles Questionnaire (CSQ). Nurses were also asked about care practices in relation to restriction of egress and covert medication use in the home. Residents were interviewed using the Mini-mental State Examination (MMSE).Results: One hundred and fifty-eight nurses were interviewed. Increased person-centered attitudes seem to be associated with better recognition of cognitive impairment independent of training and experience. The espousal of restrictive practices was also associated with better recognition, but only when analysis included nurses reporting on only one impaired resident.Conclusions: More person-centered attitudes are associated with better recognition of cognitive impairment, despite perverse U.K. regulatory incentives; the need for training and support in developing person-centered dementia care for staff in “non-Elderly Mentally Infirm” (“non-EMI”) care homes is supported by these results.

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