| 1. |
- Edvardsson, David, et al.
(författare)
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Associations between the working characteristics of nursing staff and the prevalence of behavioral symptoms in people with dementia in residential care
- 2008
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Ingår i: International psychogeriatrics. - New York : Cambridge University Press. - 1041-6102 .- 1741-203X. ; 20:4, s. 764-776
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Clinical experience suggests that the work characteristics of staff in residential care may influence the well-being of residents with dementia. However, few studies have explored those anecdotal experiences. The aim of this study was to investigate associations between work characteristics of nursing staff and prevalence of behavioral symptoms among people with dementia in residential care settings.METHODS: The self-report job strain assessment scale was used to measure staff perceptions of their working environment, and the Multi Dimensional Dementia Assessment Scale to measure the occurrence of behavioral symptoms among residents in 40 residential care units for people with dementia.RESULTS: The findings show that in settings where staff reported high job strain, the prevalence of behavioral symptoms was significantly higher compared to settings where staff reported low job strain. Furthermore, settings characterized by staff having a more positive caring climate had significantly less prevalence of escape, restless and wandering behaviors compared to settings having a less positive caring climate. There was no statistically significant association between staff members' self-reported knowledge in caring for people with dementia and prevalence of behavioral symptoms.CONCLUSIONS: This study provides evidence for the oft-cited clinical experience that the well-being of nursing staff is associated with the well-being of people with dementia in residential care settings.
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| 2. |
- Edvardsson, David
(författare)
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Therapeutic environments for older adults : constituents and meanings
- 2008
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Ingår i: Journal of Gerontological Nursing. - Thorofare : Slack inc.. - 0098-9134 .- 1938-243X. ; 34:6, s. 32-40
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Tidskriftsartikel (refereegranskat)abstract
- This article presents the findings of a study that aimed to describe what constitutes therapeutic environments and interpret what it means to be in such environments for older adults. Interview and observational data collected in Swedish health care contexts were subjected to qualitative content analysis. The findings describe therapeutic environments as being constituted by three interacting and interwoven categories: the physical environment, people's doing and being in the environment, and an organizational philosophy of care. The findings are interpreted in light of the existential philosophy of home as a concept, a place, and an existential experience, highlighting that therapeutic environments can support existential at-homeness among patients. The findings of this study can contribute to nursing practice by providing a conceptual basis for reflecting on and evaluating how the physical environment, staff's doing and being, and the organizational philosophy of care cooperate to support well-being among older adults living in long-term care facilities.
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| 3. |
- Nay, Rhonda, et al.
(författare)
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Person-centred care
- 2009. - 3
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Ingår i: Older people. - : Elsevier. - 9780729538985 ; , s. 169-
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Bokkapitel (populärvet., debatt m.m.)
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| 4. |
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| 5. |
- Edvardsson, David, et al.
(författare)
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Innovations in aged care: the aged care pain chart : an innovative approach to assessing, managing and documenting pain in older people
- 2008
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Ingår i: Australasian Journal on Ageing. - Oxford : Blackwell Publishing. - 1440-6381 .- 1741-6612. ; 27:2, s. 93-96
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Tidskriftsartikel (refereegranskat)abstract
- This article presents the development and initial testing of a comprehensive pain chart for the assessment, management and documentation of pain in older people in subacute and residential aged care. The pain chart was developed from existing assessment scales and pain indicators, and is targeting needs of older people in residential care and geriatric hospital settings with high prevalence of cognitive impairments. The chart is based on self-report of pain but allows for observation of pain-related behaviours for those unable to report pain. The chart consists of one evaluative and one documentation dimension, and was evaluated by a group of clinicians in geriatric hospital care (n = 15) and residential aged care (n = 6). The chart was found to be content valid, informative and easy to use, facilitating clinical assessments and monitoring, and assisting visual readings of patients' temporal pain trends.
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