What do nursing home residents with mental-physical multimorbidity need and who actually knows this? A cross-sectional cohort study

Autor: Anne M. A. van den Brink, Debby L. Gerritsen, Miranda M. H. de Valk, Richard C. Oude Voshaar, Astrid T. Mulder, Raymond T.C.M. Koopmans
Přispěvatelé: Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Clinical Cognitive Neuropsychiatry Research Program (CCNP)
Rok vydání: 2018
Předmět:
Male
Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1]
Health Status
Neuropsychological Tests
Cohort Studies
0302 clinical medicine
Geriatric psychiatry
Health care
030212 general & internal medicine
Nursing staff
General Nursing
Netherlands
Aged
80 and over
Mental Disorders
Middle Aged
Needs assessment
Anxiety
Female
medicine.symptom
Psychology
Cohort study
Adult
REGISTERED NURSES
Nursing homes
HOSPITAL ANXIETY
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
03 medical and health sciences
Long-term care
All institutes and research themes of the Radboud University Medical Center
Quality of life (healthcare)
Nursing
medicine
Humans
Aged
UNMET CARE NEEDS
Health Services Needs and Demand
Inpatients
EPIDEMIOLOGICALLY REPRESENTATIVE SAMPLE
Data collection
OLDER PATIENTS
business.industry
Other Research Radboud Institute for Health Sciences [Radboudumc 0]
Multimorbidity
ELDERLY CANE
DEPRESSION SCALE
Cross-Sectional Studies
HEALTH-CARE
Quality of Life
LONG-TERM-CARE
CAMBERWELL ASSESSMENT
business
030217 neurology & neurosurgery
Zdroj: International Journal of Nursing Studies, 81, 89-97. PERGAMON-ELSEVIER SCIENCE LTD
International Journal of Nursing Studies, 81, 89-97
International Journal of Nursing Studies, 81, pp. 89-97
ISSN: 0020-7489
DOI: 10.1016/j.ijnurstu.2018.02.008
Popis: Objective: Aging societies will bring an increase in the number of long-term care residents with mental-physical multimorbidity. To optimize care for these residents, it is important to study their care needs, since unmet needs lower quality of life. To date, knowledge about care needs of residents with mental-physical multimorbidity is limited. The aim of this study was to explore (un)met care needs of residents with mental-physical multimorbidity and determinants of unmet needs.Methods: Cross-sectional cohort study among 141 residents with mental-physical multimorbidity without dementia living in 17 geronto-psychiatric nursing home units across the Netherlands. Data collection consisted of chart review, semi-structured interviews, (brief) neuropsychological testing, and self-report questionnaires. The Camberwell Assessment of Need for the Elderly (CANE) was used to rate (un)met care needs from residents' and nursing staff's perceptions. Descriptive and multivariate regression analyses were conducted.Results: Residents reported a mean number of 11.89 needs (SD 2.88) of which 24.2% (n = 2.88, SD 2.48) were unmet. Nursing staff indicated a mean number of 14.73 needs (SD 2.32) of which 10.8% (n = 1.59, SD 1.61) were unmet. According to the residents, most unmet needs were found in the social domain as opposed to the psychological domain as reported by the nursing staff. Different opinions between resident and nursing staff about unmet needs was most common in the areas accommodation, company, and daytime activities. Further, nearly half of the residents indicated 'no need' regarding behavior while the nursing staff supposed that the resident did require some kind of support. Depression, anxiety and less care dependency were the most important determinants of unmet needs.Conclusions: Systematic assessment of care needs showed differences between the perspectives of resident and nursing staff. These should be the starting point of a dialogue between them about needs, wishes and expectations regarding care. This dialogue can subsequently lead to the most optimal individually tailored care plan. To achieve this, nurses with effective communication and negotiation skills, are indispensable.
Databáze: OpenAIRE
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