Person‐centred and task‐centred care: Impact on mealtime behaviours in nursing home residents with dementia.
Introduction: Mealtime is a critical daily activity to ensure nutrition, hydration, function and socialisation. Interactions between staff and residents during mealtimes are complex and dynamic processes including verbal and/or nonverbal communication that can be positive/neutral or challenging. Thi...
| Publicado en: | International Journal of Older People Nursing Vol. 18; no. 1; pp. 1 - 17 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=161228598&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 161228598 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17483735 1WQP jtl: International Journal of Older People Nursing issn: 17483735 maglogo: Y pubinfo: dt: Jan2023 vid: 18 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 161228598 160156693 161228598 161228598 10.1111/opn.12512 161228598 ppf: 1 ppct: 16 formats: tig: atl: Person‐centred and task‐centred care: Impact on mealtime behaviours in nursing home residents with dementia. aug: au: Liu, Wen Perkhounkova, Yelena Hein, Maria affil: The University of Iowa College of Nursing, Iowa City Iowa, , USA sug: subj: Patient Centered Care Eating Behavior Meals Nursing Home Residents Psychosocial Factors Dementia, Senile Task Performance and Analysis Human Secondary Analysis Bivariate Statistics Logistic Regression Odds Ratio Confidence Intervals Descriptive Statistics Kansas Scales Male Female Aged Aged, 80 and Over Wilcoxon Rank Sum Test Clinical Assessment Tools Checklists Questionnaires Nursing Home Personnel Eating Disorders Nurse-Patient Relations Geriatric Functional Assessment Food Intake kappa Statistic Data Analysis Software Linear Regression Multivariate Analysis Funding Source Aged: 65+ years Aged, 80 & over Male Female ab: Introduction: Mealtime is a critical daily activity to ensure nutrition, hydration, function and socialisation. Interactions between staff and residents during mealtimes are complex and dynamic processes including verbal and/or nonverbal communication that can be positive/neutral or challenging. This study examined characteristics of and relationships between person‐centred and task‐centred care and positive/neutral and challenging mealtime behaviours in persons with dementia. Methods: This study was a secondary behavioural analyses of videotaped mealtime observations (n = 110) involving 42 unique staff‐resident dyads (29 staff and 25 residents with dementia) in nine nursing homes. The refined Cue Utilization and Engagement in Dementia mealtime video‐coding scheme was used to code videos during 2019–2020. Dependent variables representing resident mealtime behaviours included positive verbal behaviours, positive/neutral nonverbal behaviours, functional impairments (nonverbal) and resistive behaviours (verbal and nonverbal). Independent variables were staff person‐centred and task‐centred approaches (verbal and nonverbal). Relationships between resident mealtime behaviours and staff approaches were examined using bivariate analysis and logistic regression. Results: Staff person‐centred verbal approaches were associated with resident positive verbal behaviours (OR = 1.38, 95% CI = 1.09–1.76), functional impairments (OR = 0.81, 95% CI = 0.66–1.00) and resistive behaviours (OR = 1.65, 95% CI = 1.18–2.31). Staff person‐centred nonverbal approaches were associated with resident functional impairments (OR = 1.33, 95% CI = 1.02–1.74). Staff task‐centred approaches were not associated with resident positive/neutral or challenging mealtime behaviours. Conclusion: This study characterised staff approaches and resident behaviours during mealtime care and provided preliminary support on associations between staff person‐centred approaches and resident positive and challenging behaviours. Person‐centred mealtime care practice is recommended by focusing on support of common, challenging behaviours and reinforcement of positive behaviours with adequate consideration of individual needs and preferences. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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