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Challenging behavior of nursing home residents during COVID-19 measures in the Netherlands.
Leontjevas, Ruslan; Knippenberg, Inge A H; Smalbrugge, Martin; Plouvier, Annette O A; Teunisse, Saskia; Bakker, Christian; Koopmans, Raymond T C M; Gerritsen, Debby L.
  • Leontjevas R; Department of Primary and Community Care, Radboud University Medical Centre, Radboud Institute for Health Sciences, Radboudumc Alzheimer Center, Nijmegen, the Netherlands.
  • Knippenberg IAH; Faculty of Psychology, Open University of The Netherlands, Heerlen, the Netherlands.
  • Smalbrugge M; Department of Primary and Community Care, Radboud University Medical Centre, Radboud Institute for Health Sciences, Radboudumc Alzheimer Center, Nijmegen, the Netherlands.
  • Plouvier AOA; Faculty of Psychology, Open University of The Netherlands, Heerlen, 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.
  • Koopmans RTCM; Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam University Medical Centre, Amsterdam, 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.
Aging Ment Health ; 25(7): 1314-1319, 2021 07.
Article in English | MEDLINE | ID: covidwho-967715
Semantic information from SemMedBD (by NLM)
1. Challenging behavior PROCESS_OF nursing home resident
Subject
Challenging behavior
Predicate
PROCESS_OF
Object
nursing home resident
2. Challenging behavior PROCESS_OF nursing home resident
Subject
Challenging behavior
Predicate
PROCESS_OF
Object
nursing home resident
ABSTRACT

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.
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Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Qualitative research Limits: Aged / Humans Country/Region as subject: Europa Language: English Journal: Aging Ment Health Journal subject: Geriatrics / Psychology Year: 2021 Document Type: Article Affiliation country: 13607863.2020.1857695

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Qualitative research Limits: Aged / Humans Country/Region as subject: Europa Language: English Journal: Aging Ment Health Journal subject: Geriatrics / Psychology Year: 2021 Document Type: Article Affiliation country: 13607863.2020.1857695