A person-centred team approach targeting agitated and aggressive behaviour amongst nursing home residents with dementia using the Senses Framework.
Identifieur interne : 000644 ( Main/Exploration ); précédent : 000643; suivant : 000645A person-centred team approach targeting agitated and aggressive behaviour amongst nursing home residents with dementia using the Senses Framework.
Auteurs : Katrin Gillis [Belgique] ; Hilde Lahaye [Belgique] ; Stijn Dom [Belgique] ; Dirk Lips [Belgique] ; Heidi Arnouts [Belgique] ; Peter Van Bogaert [Belgique]Source :
- International journal of older people nursing [ 1748-3743 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Agitation psychomotrice (MeSH), Agressivité (MeSH), Belgique (MeSH), Démence (psychologie), Démence (soins infirmiers), Femelle (MeSH), Humains (MeSH), Maisons de repos (MeSH), Modèles de soins infirmiers (MeSH), Mâle (MeSH), Sensation (MeSH), Services de santé pour personnes âgées (MeSH), Soins centrés sur le patient (MeSH), Soins infirmiers en gériatrie (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH).
- MESH :
- psychologie : Démence.
- soins infirmiers : Démence.
- Adulte d'âge moyen, Agitation psychomotrice, Agressivité, Belgique, Femelle, Humains, Maisons de repos, Modèles de soins infirmiers, Mâle, Sensation, Services de santé pour personnes âgées, Soins centrés sur le patient, Soins infirmiers en gériatrie, Sujet âgé, Sujet âgé de 80 ans ou plus.
- Wicri :
- geographic : Belgique.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Aggression (MeSH), Belgium (MeSH), Dementia (nursing), Dementia (psychology), Female (MeSH), Geriatric Nursing (MeSH), Health Services for the Aged (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Models, Nursing (MeSH), Nursing Homes (MeSH), Patient-Centered Care (MeSH), Psychomotor Agitation (MeSH), Sensation (MeSH).
- MESH :
- geographic : Belgium.
- nursing : Dementia.
- psychology : Dementia.
- Aged, Aged, 80 and over, Aggression, Female, Geriatric Nursing, Health Services for the Aged, Humans, Male, Middle Aged, Models, Nursing, Nursing Homes, Patient-Centered Care, Psychomotor Agitation, Sensation.
Abstract
PURPOSE
The increase in agitated or aggressive behaviour amongst nursing home residents with dementia is a challenging problem. Such behaviour causes stress for both resident and caregiver. Many non-pharmacological interventions have been studied, but these interventions disregard the resident's unfulfilled needs and are executed by a single, designated caregiver. This study tests a non-pharmacological intervention, applied by the entire team and based on the resident's underlying needs.
DESIGN
A pretest and post-test interventional study design was used, in which 65 residents with dementia who expressed agitated or aggressive behaviour. Data were collected from December 2016 until March 2017.
METHODS
The ABC method and the Senses Framework were used to assign residents to either therapeutic touch, group music sessions or a meaningful individual activity. All staff members applied the interventions. Data were collected by use of the Neuropsychiatric Inventory-Nursing Home version (NPI-NH) and the Cohen-Mansfield Agitation Inventory (CMAI).
RESULTS
The frequency of aggression, loss of decorum, depression and the severity of aggression decreased for all three interventions. However, the overall severity of fear also increased. The overall prevalence of agitated of residents decreased for the therapeutic touch, group music sessions and individual activities.
CONCLUSIONS
This study shows the possibilities of designing individualised interventions on the Senses Framework and the ABC method for addressing agitated and aggressive behaviour amongst nursing home residents with dementia. The framework presented in this study should be further explored.
IMPLICATIONS FOR PRACTICE
A team-based approach is effective to reduce agitated or aggressive behaviour amongst nursing home residents.
DOI: 10.1111/opn.12269
PubMed: 31469240
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Agitation psychomotrice (MeSH)</term><term>Agressivité (MeSH)</term><term>Belgique (MeSH)</term><term>Démence (psychologie)</term><term>Démence (soins infirmiers)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maisons de repos (MeSH)</term><term>Modèles de soins infirmiers (MeSH)</term><term>Mâle (MeSH)</term><term>Sensation (MeSH)</term><term>Services de santé pour personnes âgées (MeSH)</term><term>Soins centrés sur le patient (MeSH)</term><term>Soins infirmiers en gériatrie (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Belgium</term></keywords><keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Dementia</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Démence</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Dementia</term></keywords><keywords scheme="MESH" qualifier="soins infirmiers" xml:lang="fr"><term>Démence</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Aggression</term><term>Female</term><term>Geriatric Nursing</term><term>Health Services for the Aged</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Models, Nursing</term><term>Nursing Homes</term><term>Patient-Centered Care</term><term>Psychomotor Agitation</term><term>Sensation</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Agitation psychomotrice</term><term>Agressivité</term><term>Belgique</term><term>Femelle</term><term>Humains</term><term>Maisons de repos</term><term>Modèles de soins infirmiers</term><term>Mâle</term><term>Sensation</term><term>Services de santé pour personnes âgées</term><term>Soins centrés sur le patient</term><term>Soins infirmiers en gériatrie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Belgique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>The increase in agitated or aggressive behaviour amongst nursing home residents with dementia is a challenging problem. Such behaviour causes stress for both resident and caregiver. Many non-pharmacological interventions have been studied, but these interventions disregard the resident's unfulfilled needs and are executed by a single, designated caregiver. This study tests a non-pharmacological intervention, applied by the entire team and based on the resident's underlying needs.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>A pretest and post-test interventional study design was used, in which 65 residents with dementia who expressed agitated or aggressive behaviour. Data were collected from December 2016 until March 2017.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The ABC method and the Senses Framework were used to assign residents to either therapeutic touch, group music sessions or a meaningful individual activity. All staff members applied the interventions. Data were collected by use of the Neuropsychiatric Inventory-Nursing Home version (NPI-NH) and the Cohen-Mansfield Agitation Inventory (CMAI).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The frequency of aggression, loss of decorum, depression and the severity of aggression decreased for all three interventions. However, the overall severity of fear also increased. The overall prevalence of agitated of residents decreased for the therapeutic touch, group music sessions and individual activities.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>This study shows the possibilities of designing individualised interventions on the Senses Framework and the ABC method for addressing agitated and aggressive behaviour amongst nursing home residents with dementia. The framework presented in this study should be further explored.</p></div><div type="abstract" xml:lang="en"><p><b>IMPLICATIONS FOR PRACTICE</b></p><p>A team-based approach is effective to reduce agitated or aggressive behaviour amongst nursing home residents.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31469240</PMID><DateCompleted><Year>2020</Year><Month>03</Month><Day>23</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>23</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1748-3743</ISSN><JournalIssue CitedMedium="Internet"><Volume>14</Volume><Issue>4</Issue><PubDate><Year>2019</Year><Month>Dec</Month></PubDate></JournalIssue><Title>International journal of older people nursing</Title><ISOAbbreviation>Int J Older People Nurs</ISOAbbreviation></Journal><ArticleTitle>A person-centred team approach targeting agitated and aggressive behaviour amongst nursing home residents with dementia using the Senses Framework.</ArticleTitle><Pagination><MedlinePgn>e12269</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/opn.12269</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The increase in agitated or aggressive behaviour amongst nursing home residents with dementia is a challenging problem. Such behaviour causes stress for both resident and caregiver. Many non-pharmacological interventions have been studied, but these interventions disregard the resident's unfulfilled needs and are executed by a single, designated caregiver. This study tests a non-pharmacological intervention, applied by the entire team and based on the resident's underlying needs.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">A pretest and post-test interventional study design was used, in which 65 residents with dementia who expressed agitated or aggressive behaviour. Data were collected from December 2016 until March 2017.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The ABC method and the Senses Framework were used to assign residents to either therapeutic touch, group music sessions or a meaningful individual activity. All staff members applied the interventions. Data were collected by use of the Neuropsychiatric Inventory-Nursing Home version (NPI-NH) and the Cohen-Mansfield Agitation Inventory (CMAI).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The frequency of aggression, loss of decorum, depression and the severity of aggression decreased for all three interventions. However, the overall severity of fear also increased. The overall prevalence of agitated of residents decreased for the therapeutic touch, group music sessions and individual activities.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study shows the possibilities of designing individualised interventions on the Senses Framework and the ABC method for addressing agitated and aggressive behaviour amongst nursing home residents with dementia. The framework presented in this study should be further explored.</AbstractText><AbstractText Label="IMPLICATIONS FOR PRACTICE" NlmCategory="CONCLUSIONS">A team-based approach is effective to reduce agitated or aggressive behaviour amongst nursing home residents.</AbstractText><CopyrightInformation>© 2019 John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gillis</LastName><ForeName>Katrin</ForeName><Initials>K</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-2258-8285</Identifier><AffiliationInfo><Affiliation>Odisee University College, Sint-Niklaas, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Curando VZW, Ruiselede, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lahaye</LastName><ForeName>Hilde</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Odisee University College, Sint-Niklaas, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>VZW Woonzorg Samen Ouder, Sint-Niklaas, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dom</LastName><ForeName>Stijn</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Faculty of Medicine and Healthcare, Antwerp University, Antwerp, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lips</LastName><ForeName>Dirk</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Curando VZW, Ruiselede, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Arnouts</LastName><ForeName>Heidi</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Odisee University College, Sint-Niklaas, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Engineering Management, Antwerp University, Antwerp, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Bogaert</LastName><ForeName>Peter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Faculty of Medicine and Healthcare, Antwerp University, Antwerp, Belgium.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>08</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int J Older People Nurs</MedlineTA><NlmUniqueID>101267281</NlmUniqueID><ISSNLinking>1748-3735</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000374" MajorTopicYN="Y">Aggression</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001530" MajorTopicYN="N" Type="Geographic">Belgium</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003704" MajorTopicYN="N">Dementia</DescriptorName><QualifierName UI="Q000451" MajorTopicYN="N">nursing</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005851" MajorTopicYN="N">Geriatric Nursing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006299" MajorTopicYN="N">Health Services for the Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016294" MajorTopicYN="N">Models, Nursing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009735" MajorTopicYN="N">Nursing Homes</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018802" MajorTopicYN="Y">Patient-Centered Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011595" MajorTopicYN="Y">Psychomotor Agitation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012677" MajorTopicYN="N">Sensation</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">behavioural change</Keyword><Keyword MajorTopicYN="N">dementia</Keyword><Keyword MajorTopicYN="N">long-term care</Keyword><Keyword MajorTopicYN="N">nursing care</Keyword><Keyword MajorTopicYN="N">older people nursing</Keyword><Keyword MajorTopicYN="N">person-centred practice</Keyword><Keyword MajorTopicYN="N">residential care</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>10</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>04</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>07</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>8</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>3</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>8</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31469240</ArticleId><ArticleId 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