NDLI: A survey of staff attitudes and responses to people with dementia who are aggressive in residential care settings.

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A survey of staff attitudes and responses to people with dementia who are aggressive in residential care settings.

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A survey of staff attitudes and responses to people with dementia who are aggressive in residential care settings.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Pulsford, D. Duxbury, J. A. Hadi, M.
Description	Country affiliation: United kingdom Author Affiliation: Pulsford D ( School of Nursing & Caring Sciences, University of Central Lancashire, Preston, Lancashire, UK.)
Abstract	Aggression is reportedly common among older people with dementia in residential care. The attitudes of staff in care homes and strategies they use are under researched. Theoretical models that may be used to both understand and respond to such behaviour exist. They are the standard and person-centred paradigms. The aim of this study was to explore the views of nursing staff about aggressive behaviour in people with dementia and strategies used in practice. A survey of the attitudes of staff in six dementia care units using the Management of Aggression in People with Dementia Attitude Questionnaire was conducted including an audit of aggressive incidents using the Staff Observation Aggression Scale-Revised over a 3-month period. Staff expressed views reflective of a person-centred as opposed to standard paradigm. They viewed aggressive behaviour by people with dementia as deriving from the environment, situation or interactions with others. Participants strongly supported interpersonal means of responding to aggression, the moderate use of medication, and were largely opposed to physical restraint. Aggressive incidents were managed using less intrusive strategies such as distraction and de-escalation. Responses to aggressive behaviour, while pragmatic, were largely underpinned by a person-centred ethic as reflected in the attitudes expressed by staff.
File Format	HTM / HTML
ISSN	13510126
Issue Number	2
Volume Number	18
e-ISSN	13652850
Journal	Journal of Psychiatric and Mental Health Nursing
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2011-03-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Psychiatry Discipline Nursing Aggression Psychology Attitude Of Health Personnel Dementia Nursing Nursing Staff Residential Facilities Questionnaires Female Humans Male Statistics & Numerical Data Population Surveillance Restraint, Physical Great Britain Journal Article
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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