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Relationship of care staff attitudes with social well-being and challenging behavior of nursing home residents with dementia: a cross sectional study.

Gerritsen, D.L., Beek, A.P.A. van, Woods, R.T. Relationship of care staff attitudes with social well-being and challenging behavior of nursing home residents with dementia: a cross sectional study. Aging & Mental Health: 2019, 23(11), p.1517-1523.
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Objectives
This study investigates the relationship between attitudes of care staff and social wellbeing and challenging behavior of residents in long-term dementia care.

Methods
The study was based on a cross-sectional design using questionnaires. Care staff members (N ¼ 291) of 15 long-term care facilities in the Netherlands completed the Approaches to
Dementia Questionnaire. Additionally, the primary professional caregiver of each participating resident (N ¼ 239) completed an observational questionnaire regarding that resident’s behavior, which contained the scale for Social Wellbeing Of Nursing home residents and the Cohen-Mansfield Agitation Inventory. Data were analyzed using multilevel analyses, taking characteristics of residents into account.

Results
Attitudes of care staff towards residents with dementia differed between facilities. Further,
residents experienced more social well-being and displayed less challenging behavior in facilities
where care staff had more hopeful attitudes.

Conclusion
This study demonstrates a relationship between attitudes of care staff and resident
well-being. The results indicate that it is important to address attitudes towards residents with
dementia in the education of (future) care staff. Care processes may also be improved by focusing
on the attitudes of care staff. In this way, the well-being of residents with dementia can potentially
be improved as well.