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Perceived needs for support among care home staff providing end of life care for people with dementia: a qualitative study.

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Title: Perceived needs for support among care home staff providing end of life care for people with dementia: a qualitative study.
Authors: Vandrevala, T., Samsi, K., Rose, C., Adenrele, C., Barnes, C., Manthorpe, J.
Source: International Journal of Geriatric Psychiatry. Feb2017, Vol. 32 Issue 2, p155-163. 9p.
Subjects: Terminal care, Dementia patients, Residential care, Mortality, Qualitative research
Abstract: Objective: The aim of the current exploratory study was to investigate the impact on care home staff when working with people with dementia at the end of life and to explore how they cope with this aspect of their work. With UK policy encouraging death in the place of residence, rather than hospital, more people with dementia are dying in care homes.Method: A qualitative approach was employed; 20 care home staff working in five English care homes were interviewed. Thematic Analysis was used to analyse the data.Results: Care home staff found the external demands on them and difficulties associated with interacting with people with dementia sometimes challenging, stressful and anxiety-provoking, particularly as residents approached end of life. Emotional aspects of caring for dying residents were sometimes heightened by close attachments with residents and their families. Staff were able to recognise these unmet needs and identified a need for further training and emotional support to manage these stressors.Conclusions: This study revealed rich and complex understandings of the practice dimensions of caring for people with dementia at the end of life and the impact these have on staff. There is a need to develop effective psychosocial interventions that focus on emotional support for care home staff. There will be challenges in providing this in employment settings that are generally low paid, low status, have high turnover and are reliant on temporary or migrant staff, where training is not rewarded, mandatory or culturally valued. Copyright © 2016 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Geriatric Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Perceived needs for support among care home staff providing end of life care for people with dementia: a qualitative study.
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  Data: <searchLink fieldCode="AR" term="%22Vandrevala%2C+T%2E%22">Vandrevala, T.</searchLink><br /><searchLink fieldCode="AR" term="%22Samsi%2C+K%2E%22">Samsi, K.</searchLink><br /><searchLink fieldCode="AR" term="%22Rose%2C+C%2E%22">Rose, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Adenrele%2C+C%2E%22">Adenrele, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Barnes%2C+C%2E%22">Barnes, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Manthorpe%2C+J%2E%22">Manthorpe, J.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Geriatric+Psychiatry%22">International Journal of Geriatric Psychiatry</searchLink>. Feb2017, Vol. 32 Issue 2, p155-163. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Terminal+care%22">Terminal care</searchLink><br /><searchLink fieldCode="DE" term="%22Dementia+patients%22">Dementia patients</searchLink><br /><searchLink fieldCode="DE" term="%22Residential+care%22">Residential care</searchLink><br /><searchLink fieldCode="DE" term="%22Mortality%22">Mortality</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink>
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  Data: <bold>Objective: </bold>The aim of the current exploratory study was to investigate the impact on care home staff when working with people with dementia at the end of life and to explore how they cope with this aspect of their work. With UK policy encouraging death in the place of residence, rather than hospital, more people with dementia are dying in care homes.<bold>Method: </bold>A qualitative approach was employed; 20 care home staff working in five English care homes were interviewed. Thematic Analysis was used to analyse the data.<bold>Results: </bold>Care home staff found the external demands on them and difficulties associated with interacting with people with dementia sometimes challenging, stressful and anxiety-provoking, particularly as residents approached end of life. Emotional aspects of caring for dying residents were sometimes heightened by close attachments with residents and their families. Staff were able to recognise these unmet needs and identified a need for further training and emotional support to manage these stressors.<bold>Conclusions: </bold>This study revealed rich and complex understandings of the practice dimensions of caring for people with dementia at the end of life and the impact these have on staff. There is a need to develop effective psychosocial interventions that focus on emotional support for care home staff. There will be challenges in providing this in employment settings that are generally low paid, low status, have high turnover and are reliant on temporary or migrant staff, where training is not rewarded, mandatory or culturally valued. Copyright © 2016 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Geriatric Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=120747624
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              Text: Feb2017
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