Journal article
Person-centred and task-centred care: Impact on mealtime behaviours in nursing home residents with dementia
International journal of older people nursing, Vol.18(1), e12512
01/2023
DOI: 10.1111/opn.12512
PMCID: PMC9976786
PMID: 36374224
Appears in UI Libraries Support Open Access
Abstract
Introduction: Mealtime is a critical daily activity to ensure nutrition, hydration, function and socialisation. Interactions between staff and residents during mealtimes are complex and dynamic processes including verbal and/or nonverbal communication that can be positive/neutral or challenging. This study examined characteristics of and relationships between person-centred and task-centred care and positive/neutral and challenging mealtime behaviours in persons with dementia.
Methods: This study was a secondary behavioural analyses of videotaped mealtime observations (n = 110) involving 42 unique staff-resident dyads (29 staff and 25 residents with dementia) in nine nursing homes. The refined Cue Utilization and Engagement in Dementia mealtime video-coding scheme was used to code videos during 2019-2020. Dependent variables representing resident mealtime behaviours included positive verbal behaviours, positive/neutral nonverbal behaviours, functional impairments (nonverbal) and resistive behaviours (verbal and nonverbal). Independent variables were staff person-centred and task-centred approaches (verbal and nonverbal). Relationships between resident mealtime behaviours and staff approaches were examined using bivariate analysis and logistic regression.
Results: Staff person-centred verbal approaches were associated with resident positive verbal behaviours (OR = 1.38, 95% CI = 1.09-1.76), functional impairments (OR = 0.81, 95% CI = 0.66-1.00) and resistive behaviours (OR = 1.65, 95% CI = 1.18-2.31). Staff person-centred nonverbal approaches were associated with resident functional impairments (OR = 1.33, 95% CI = 1.02-1.74). Staff task-centred approaches were not associated with resident positive/neutral or challenging mealtime behaviours.
Conclusion: This study characterised staff approaches and resident behaviours during mealtime care and provided preliminary support on associations between staff person-centred approaches and resident positive and challenging behaviours. Person-centred mealtime care practice is recommended by focusing on support of common, challenging behaviours and reinforcement of positive behaviours with adequate consideration of individual needs and preferences.
Details
- Title: Subtitle
- Person-centred and task-centred care: Impact on mealtime behaviours in nursing home residents with dementia
- Creators
- Wen Liu - Univ Iowa, Coll Nursing, 432 CNB,50 Newton Rd, Iowa City, IA 52242 USAYelena Perkhounkova - University of IowaMaria Hein - University of Iowa
- Resource Type
- Journal article
- Publication Details
- International journal of older people nursing, Vol.18(1), e12512
- DOI
- 10.1111/opn.12512
- PMID
- 36374224
- PMCID
- PMC9976786
- NLM abbreviation
- Int J Older People Nurs
- ISSN
- 1748-3735
- eISSN
- 1748-3743
- Publisher
- Wiley
- Number of pages
- 16
- Grant note
- National Institute of Nursing Research; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR) National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA American Nurses Foundation
- Language
- English
- Electronic publication date
- 11/14/2022
- Date published
- 01/2023
- Academic Unit
- Nursing
- Record Identifier
- 9984323231302771
Metrics
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