Challenging behavior of nursing home residents during COVID-19 measures in the Netherlands.

Autor:	Leontjevas R; Department of Primary and Community Care, Radboud University Medical Centre, Radboud Institute for Health Sciences, Radboudumc Alzheimer Center, Nijmegen, the Netherlands.; Faculty of Psychology, Open University of The Netherlands, Heerlen, the Netherlands., Knippenberg IAH; Department of Primary and Community Care, Radboud University Medical Centre, Radboud Institute for Health Sciences, Radboudumc Alzheimer Center, Nijmegen, the Netherlands.; Faculty of Psychology, Open University of The Netherlands, Heerlen, the Netherlands., Smalbrugge M; Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam University Medical Centre, Amsterdam, the Netherlands., Plouvier AOA; Department of Primary and Community Care, Radboud University Medical Centre, Radboud Institute for Health Sciences, Radboudumc Alzheimer Center, Nijmegen, the Netherlands., Teunisse S; Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam University Medical Centre, Amsterdam, the Netherlands., Bakker C; Department of Primary and Community Care, Radboud University Medical Centre, Radboud Institute for Health Sciences, Radboudumc Alzheimer Center, Nijmegen, the Netherlands.; Groenhuysen, Center for Specialized Geriatric Care, Roosendaal, the Netherlands., Koopmans RTCM; Department of Primary and Community Care, Radboud University Medical Centre, Radboud Institute for Health Sciences, Radboudumc Alzheimer Center, Nijmegen, the Netherlands.; Joachim en Anna, Centre for Specialized Geriatric Care, Nijmegen, the Netherlands., Gerritsen DL; Department of Primary and Community Care, Radboud University Medical Centre, Radboud Institute for Health Sciences, Radboudumc Alzheimer Center, Nijmegen, the Netherlands.
Jazyk:	angličtina
Zdroj:	Aging & mental health [Aging Ment Health] 2021 Jul; Vol. 25 (7), pp. 1314-1319. Date of Electronic Publication: 2020 Dec 09.
DOI:	10.1080/13607863.2020.1857695
Abstrakt:	Objectives: From the perspective of the nursing home (NH) practitioners, to gain understanding of (1) whether challenging behavior in NH residents changed during the COVID-19 measures, (2) whether the practitioners' involvement in the treatment of challenging behavior changed, (3) what can be learned from the experience of NH staff. Methods: A mixed methods study with a survey in 323 NH practitioners (psychologists, elderly care physicians, nurse practitioners) in the Netherlands, and in-depth interviews in 16 NH practitioners. Nonparametric analyses were used to compare estimated proportions of residents with increased and with decreased challenging behavior. Content analyses were conducted for open-ended questions and in-depth interviews. Results: Participants reported changes in challenging behavior with slightly higher proportions for increased (Q1/Mdn/Q3: 12.5%, 21.7%, 30.8%) than for decreased (8.7%, 14.8%, 27.8%, Z = -2.35, p = .019) challenging behavior. Half of the participants reported that their work load increased and work satisfaction worsened during the measures. Different strategies were described to respond to the effects of COVID-19 measures, such as video calls, providing special areas for residents to meet their loved ones, adjusting activities, and reducing the exposure to negative news. Conclusions: Because COVID-19 measures resulted in both increased and decreased challenging behavior in NH residents, it is important to monitor for their potential long lasting effects. Increased work load and worsened work satisfaction of the NH staff, together with the changes in type of challenging behavior, indicate that the harmful effects of the anti-pandemic measures should be taken seriously.
Databáze:	MEDLINE
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