Aggressive behaviour of persons with dementia towards professional caregivers in the home care setting-A scoping review.
Aggression
Alzheimer's Disease
Community health nursing
Dementia
Home care services
Workplace violence
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
revised:
06
05
2020
received:
07
12
2019
accepted:
24
05
2020
medline:
7
7
2023
pubmed:
5
6
2020
entrez:
5
6
2020
Statut:
ppublish
Résumé
To outline and to examine the current research and grey literature on aggressive incidents of persons with dementia towards professional caregivers in the home care setting. We intended to identify evidence and research gaps in this field. Worldwide, around fifty million people are living with dementia. Current research indicates that aggressive behaviour of persons with dementia towards professional caregivers occurs frequently in inpatient settings. However, there has been little research on this phenomenon in the home care setting. The design entails a scoping review using the methodological framework of Arksey and O'Malley and PRISMA-ScR. A systematic literature search in five databases and a web search in Google Scholar was conducted. Title and abstract screening and a full-text screening were conducted by two independent authors. A free web search for grey literature was conducted in Google. The search yielded 1,376 hits. A total of seven journal articles met the inclusion criteria. In the free web search, six references were identified for inclusion, resulting in a total of 13 references. We identified the following four themes: (1) aggressive behaviour in the context of dementia, (2) triggering factors of aggressive behaviour in persons with dementia, (3) skills and educational needs and (4) hindrances to solving the problem of aggressive behaviour. There is a lack of literature on aggressive behaviour of persons with dementia in the home care setting, and various hindrances to solving this problematic behaviour have been identified. For home caregivers, specific education concerning communication skills and responding to aggressive behaviour may help to deal with the situation. A further approach may involve specific training aimed to improve caregivers' confidence.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
To outline and to examine the current research and grey literature on aggressive incidents of persons with dementia towards professional caregivers in the home care setting. We intended to identify evidence and research gaps in this field.
BACKGROUND
BACKGROUND
Worldwide, around fifty million people are living with dementia. Current research indicates that aggressive behaviour of persons with dementia towards professional caregivers occurs frequently in inpatient settings. However, there has been little research on this phenomenon in the home care setting.
DESIGN
METHODS
The design entails a scoping review using the methodological framework of Arksey and O'Malley and PRISMA-ScR.
METHODS
METHODS
A systematic literature search in five databases and a web search in Google Scholar was conducted. Title and abstract screening and a full-text screening were conducted by two independent authors. A free web search for grey literature was conducted in Google.
RESULTS
RESULTS
The search yielded 1,376 hits. A total of seven journal articles met the inclusion criteria. In the free web search, six references were identified for inclusion, resulting in a total of 13 references. We identified the following four themes: (1) aggressive behaviour in the context of dementia, (2) triggering factors of aggressive behaviour in persons with dementia, (3) skills and educational needs and (4) hindrances to solving the problem of aggressive behaviour.
CONCLUSIONS
CONCLUSIONS
There is a lack of literature on aggressive behaviour of persons with dementia in the home care setting, and various hindrances to solving this problematic behaviour have been identified.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
For home caregivers, specific education concerning communication skills and responding to aggressive behaviour may help to deal with the situation. A further approach may involve specific training aimed to improve caregivers' confidence.
Types de publication
Systematic Review
Review
Journal Article
Langues
eng
Pagination
4541-4558Subventions
Organisme : Foundation for Nursing Science Switzerland
Informations de copyright
© 2020 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.
Références
Algase, D. L., Beck, C., Kolanowski, A., Whall, A., Berent, S., Richards, K., & Beattie, E. (1996). Need-driven dementia-compromised behavior: An alternative view of disruptive behavior. American Journal of Alzheimer's Disease and Other Dementias, 11(6), 10-19. https://doi.org/10.1177/153331759601100603
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders: Dsm-5, 5th ed. Washington, DC: American Psychiatric Publ.
Arksey, H., & O'Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19-32. https://doi.org/10.1080/1364557032000119616
Barrick, Ann Louise (2008) Bathing without a battle. Person-directed care of individuals with dementia. 2nd ed. New York: Springer Pub (Springer series on geriatric nursing). Retrieved from http://site.ebrary.com/lib/academiccompletetitles/home.action.
Bundesamt für Gesundheit (2018). Zahlen & Fakten zu Demenz. Retrieved from https://www.bag.admin.ch/bag/de/home/zahlen-und-statistiken/zahlen-fakten-demenz.html.
Carter, D. (2016). Fix dementia care: Home Care. Alzheimer’s Society. Retrieved from alzheimers.org.uk/fixdementiacare.
Choi, S. S. W., Budhathoki, C., & Gitlin, L. N. (2017). Co-Occurrence and predictors of three commonly occurring behavioral symptoms in dementia: Agitation, aggression, and rejection of care. American Journal of Geriatric Psychiatry, 25(5), 459-468. https://doi.org/10.1016/j.jagp.2016.10.013
Cohen-Mansfield, J. (2013). Nonpharmacologic treatment of behavioral disorders in dementia. Current Treatment Options in Neurology, 15(6), 765-785. https://doi.org/10.1007/s11940-013-0257-2
Cohen-Mansfield, J., Marx, M. S., & Rosenthal, A. S. (1989). A description of agitation in a nursing home. Journal of Gerontology, 44(3), M77-84. https://doi.org/10.1093/geronj/44.3.M77
Cooper, C., Selwood, A., Blanchard, M., & Livingston, G. (2010). Abusive behaviour experienced by family carers from people with dementia: The CARD (caring for relatives with dementia) study. Journal of Neurology, Neurosurgery & Psychiatry, 81(6), 592-596. https://doi.org/10.1136/jnnp.2009.190934
Edward, K.-L., Ousey, K., Warelow, P., & Lui, S. (2014). Nursing and aggression in the workplace: A systematic review. British Journal of Nursing, 23(12), 653-654, 656-9 https://doi.org/10.12968/bjon.2014.23.12.653.
Fauth, E. B., & Gibbons, A. (2014). Which behavioral and psychological symptoms of dementia are the most problematic? Variability by prevalence, intensity, distress ratings, and associations with caregiver depressive symptoms. International Journal of Geriatric Psychiatry, 29(3), 263-271. https://doi.org/10.1002/gps.4002
Fitzwater, E., & Gates, D. (2000). Violence and home care. A focus group study. Home Healthcare Nurse, 18(9), 596-605. https://doi.org/10.1097/00004045-200010000-00012
Galinsky, T., Feng, H. A., Streit, J., Brightwell, W., Pierson, K., Parsons, K., & Proctor, C. (2010). Risk factors associated with patient assaults of home healthcare workers. Rehabilitation Nursing, 35(5), 206-215. https://doi.org/10.1002/j.2048-7940.2010.tb00049.x
Hadjistavropoulos, T., Herr, K., Prkachin, K. M., Craig, K. D., Gibson, S. J., Lukas, A., & Smith, J. H. (2014). Pain assessment in elderly adults with dementia. The Lancet Neurology, 13(12), 1216-1227. https://doi.org/10.1016/S1474-4422(14)70103-6
Hamel, M., Gold, D. P., Andres, D., Reis, M., Dastoor, D., Grauer, H., & Bergman, H. (1990). Predictors and consequences of aggressive behavior by community-based dementia patients. The Gerontologist, 30(2), 206-211. https://doi.org/10.1093/geront/30.2.206
Heckemann, B., Zeller, A., Hahn, S., Dassen, T., Schols, J., & Halfens, R. (2015). The effect of aggression management training programmes for nursing staff and students working in an acute hospital setting. A narrative review of current literature. Nurse Education Today, 35(1), 212-219. https://doi.org/10.1016/j.nedt.2014.08.003
Hedinger, B. (2015). Konzept Demenz: Pflege und Betreuung von Menschen mit Demenz und von Angehörigen im häuslichen. Luzern: Umfeld.
James, I. A., Jackman, L., Reichelt, K., Howarth, A., Crooks, M., Sells, D., & Hughes, J. (2017). Understanding behaviour in dementia that challenges, 2nd ed. London: Jessica Kingsley Publishers.
Kim, J., de Bellis, A. M., & Xiao, L. D. (2018). The experience of paid family-care workers of people with dementia in South Korea. Asian Nursing Research, 12(1), 34-41. https://doi.org/10.1016/j.anr.2018.01.002
Magnavita, N. (2014). Workplace violence and occupational stress in healthcare workers: A chicken-and-egg situation-results of a 6-year follow-up study. Journal of Nursing Scholarship, 46(5), 366-376. https://doi.org/10.1111/jnu.12088
McGowan, J., Sampson, M., Salzwedel, D. M., Cogo, E., Foerster, V., & Lefebvre, C. (2016). Press peer review of electronic search strategies: 2015 guideline statement. Journal of Clinical Epidemiology, 75, 40-46. https://doi.org/10.1016/j.jclinepi.2016.01.021
Meier, K. (2016). Mit Bedrohungen Aktiv Umgehen. Spitex Magazin, 3, 12-15.
Müller, S. (2017). Hochprofessionelle Mitarbeitende sind unverzichtbar, aber nicht kostenlos zu haben. Spitex Magazin, 1, 18-20.
Nakaishi, L., Moss, H., Weinstein, M., Perrin, N., Rose, L., Anger, W. K., … Glass, N. (2013). Exploring workplace violence among home care workers in a consumer-driven Home Health Care Program. Workplace Health and Safety, 61(10), 441-450. https://doi.org/10.3928/21650799-20130916-17
Nakanishi, M., Endo, K., Hirooka, K., Granvik, E., Minthon, L., Nägga, K., & Nishida, A. (2018). Psychosocial behaviour management programme for home-dwelling people with dementia: A cluster-randomized controlled trial. International Journal of Geriatric Psychiatry, 33(3), 495-503. https://doi.org/10.1002/gps.4784
Nakanishi, M., Endo, K., Hirooka, K., Nakashima, T., Morimoto, Y., Granvik, E., … Nishida, A. (2018). Dementia behaviour management programme at home: Impact of a palliative care approach on care managers and professional caregivers of home care services. Aging & Mental Health, 22(8), 1057-1062. https://doi.org/10.1080/13607863.2017.1332160
Nakanishi, M., Hirooka, K., Imai, Y., Inoue, S., Yukari, Y., Katayama, C., … Nishida, A. (2018). Dementia care competence among care professionals and reduced challenging behavior of home-dwelling persons with dementia: A pre- and post-intervention data analysis. Journal of Alzheimer’s Disease, 64(2), 515-523. https://doi.org/10.3233/JAD-171077
Needham, I., Abderhalden, C., Halfens, R. J. G., Fischer, J. E., & Dassen, T. (2005). Non-somatic effects of patient aggression on nurses: A systematic review. Journal of Advanced Nursing, 49(3), 283-296. https://doi.org/10.1111/j.1365-2648.2004.03286.x
Patterson, C. (2018). World Alzheimer Report 2018: The state of the art of dementia research: New frontiers. London: Retrieved from. https://www.alz.co.uk/research/WorldAlzheimerReport2018.pdf.
Pool, J. (2015). Alzheimer's Society guide to the dementia care environment. London: Alzheimer's Society.
Rabold, S., & Goergen, T. (2007). Abuse and neglect of older care recipients in domestic settings - a survey among nurses of in-home care services. Zeitschrift Für Gerontologie Und Geriatrie, 40(5), 366-374. https://doi.org/10.1007/s00391-007-0447-1
Richter, D., & Berger, K. (2001). Patientenübergriffe auf Mitarbeiter. Eine prospektive Untersuchung der Häufigkeit, Situationen und Folgen. Der Nervenarzt, 72(9), 693-699. https://doi.org/10.1007/s001150170048
Roberts, J. (2012). Dementia and challenging behaviour guidance for home care staff. Retrieved from https://www.communitycare.co.uk/2012/08/29/dementia-and-challenging-behaviour-guidance-for-home-care-staff/.
Schneider, F. (2017). Facharztwissen Psychiatrie, Psychosomatik und Psychotherapie. Berlin, Heidelberg: Springer, Berlin Heidelberg. https://doi.org/10.1007/978-3-662-50345-4
State of Minnesota, Office of the Revisor of Statutes (2018). Minnesota Legislature. Orientation and annual training requirements.
Steinert, T. (1995). Aggression bei psychisch Kranken: 5 Tabellen. Stuttgart: Enke.
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., … Straus, S. E. (2018). Prisma extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467-473. https://doi.org/10.7326/M18-0850
Zeh, A., Schablon, A., Wohlert, C., Richter, D., & Nienhaus, A. (2009). Gewalt und Aggression in Pflege- und Betreuungsberufen. Ein Literaturüberblick [Violence and aggression in care-related jobs - a literature overview]. Gesundheitswesen (Bundesverband Der Ärzte Des Öffentlichen Gesundheitsdienstes [Germany]), 71(8-9), 449-459. https://doi.org/10.1055/s-0029-1192027
Zeller, A., Needham, I., Dassen, T., Kok, G., & Halfens, R. J. G. (2013). Erfahrungen und Umgang der Pflegenden mit aggressivem Verhalten von Bewohner(inne)n: Eine deskriptive Querschnittstudie in Schweizer Pflegeheimen [Nurses' experiences with aggressive behaviour of nursing home residents: A cross sectional study in Swiss nursing homes]. Pflege, 26(5), 321-335. https://doi.org/10.1024/1012-5302/a000316