Nursing staff stress from challenging behavior of residents with dementia: concept analysis
Nursing staff stress from challenging behavior of residents with dementia: concept analysis
Aim: Provide insight into the concept of stress in the context of challenging behavior of nursing home residents with dementia and its causes and consequences.
Background: Challenging behavior is frequent in residents with dementia, but consequences for nursing staff are unclear.
Introduction. Challenging behavior of residents can be enervating for nurses and may lead to stress. Although stress in general is associated with negative outcomes, an overview of stress in this context would be a welcome addition to the field.
Method: Concept analysis according to Walker and Avant.
Results: Identified antecedents of stress: physical and verbal aggression, conflicts, excessive demands and being unresponsive (residents), age, experience, tenure, nursing level and training (nursing staff). Defining attributes: disturbed homeostasis and the personal appraisal of the situation. Identified consequences regard health, psychological aspects and behavior.
Discussion: Intervening in the identified factors may contribute to prevention of stress in nursing staff.
Limitations: Given a lack of strong empirical studies, our analysis is not based on a high level of evidence and needs to be tested. Papers from before 1990 might have been missed.
Conclusion: The concept analysis revealed that nursing staff stress in the context of challenging behavior may result from resident and nursing staff factors. Besides health- and psychological consequences, behavioral consequences can enormously impact the well-being of residents.
Implications: Application in daily care to support teams in influencing resident and nursing staff factors could prevent stress, for instance using behavioral management training or recruiting higher educated nursing staff. Given the increasing complexity of care, creating specialized units with specifically trained staff for different groups of people with dementia may be desirable.
1-31
Hazelhof, T.J.G.M.
508743c1-442d-4946-8c49-b92f5c8a44e8
Schoonhoven, L.
46a2705b-c657-409b-b9da-329d5b1b02de
van Gaal, B.G.I.
066737a8-2dd7-41e4-bac8-badc4bca8771
Koopmans, R.T.C.M.
3a737cec-3104-44d4-8852-a239b2f7c08a
Gerritsen, D.L.
7636db5a-ab4e-4e69-a3d8-c62e302b0bd2
September 2016
Hazelhof, T.J.G.M.
508743c1-442d-4946-8c49-b92f5c8a44e8
Schoonhoven, L.
46a2705b-c657-409b-b9da-329d5b1b02de
van Gaal, B.G.I.
066737a8-2dd7-41e4-bac8-badc4bca8771
Koopmans, R.T.C.M.
3a737cec-3104-44d4-8852-a239b2f7c08a
Gerritsen, D.L.
7636db5a-ab4e-4e69-a3d8-c62e302b0bd2
Hazelhof, T.J.G.M., Schoonhoven, L., van Gaal, B.G.I., Koopmans, R.T.C.M. and Gerritsen, D.L.
(2016)
Nursing staff stress from challenging behavior of residents with dementia: concept analysis.
International Nursing Review, .
(doi:10.1111/inr.12293).
Abstract
Aim: Provide insight into the concept of stress in the context of challenging behavior of nursing home residents with dementia and its causes and consequences.
Background: Challenging behavior is frequent in residents with dementia, but consequences for nursing staff are unclear.
Introduction. Challenging behavior of residents can be enervating for nurses and may lead to stress. Although stress in general is associated with negative outcomes, an overview of stress in this context would be a welcome addition to the field.
Method: Concept analysis according to Walker and Avant.
Results: Identified antecedents of stress: physical and verbal aggression, conflicts, excessive demands and being unresponsive (residents), age, experience, tenure, nursing level and training (nursing staff). Defining attributes: disturbed homeostasis and the personal appraisal of the situation. Identified consequences regard health, psychological aspects and behavior.
Discussion: Intervening in the identified factors may contribute to prevention of stress in nursing staff.
Limitations: Given a lack of strong empirical studies, our analysis is not based on a high level of evidence and needs to be tested. Papers from before 1990 might have been missed.
Conclusion: The concept analysis revealed that nursing staff stress in the context of challenging behavior may result from resident and nursing staff factors. Besides health- and psychological consequences, behavioral consequences can enormously impact the well-being of residents.
Implications: Application in daily care to support teams in influencing resident and nursing staff factors could prevent stress, for instance using behavioral management training or recruiting higher educated nursing staff. Given the increasing complexity of care, creating specialized units with specifically trained staff for different groups of people with dementia may be desirable.
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Nursing staff stress from challenging behavior of residents with dementia concept analysis.docx
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Accepted/In Press date: 13 April 2016
e-pub ahead of print date: 4 July 2016
Published date: September 2016
Organisations:
Faculty of Health Sciences
Identifiers
Local EPrints ID: 394012
URI: http://eprints.soton.ac.uk/id/eprint/394012
ISSN: 0020-8132
PURE UUID: b215c630-441d-484f-a7f1-df13577fc0ca
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Date deposited: 10 May 2016 11:08
Last modified: 15 Mar 2024 05:33
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Contributors
Author:
T.J.G.M. Hazelhof
Author:
B.G.I. van Gaal
Author:
R.T.C.M. Koopmans
Author:
D.L. Gerritsen
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