Adelheid Holst1, Lisa Skär2. 1. Faculty of Professional Studies, Nord University, Bodø, Norway. 2. Department of Health, Blekinge Institute of Technology, Karlskrona, Sweden.
Abstract
AIM: The purpose of this study was to investigate formal caregivers' experiences of aggressive behaviour in older people living with dementia in nursing homes. BACKGROUND: Aggressive behaviour symptoms among older people living with dementia are reported to be prevalent. As aggressive behaviour includes both verbal and physical behaviours, such as kicking, hitting and screaming, it causes an increased burden on formal caregivers. Professionals experiencing this aggression perceived it as challenging, causing physical and psychological damage, leading to anger, stress and depression. METHODS: A systematic review was conducted. A search of published research studies between 2000 and 2015 was conducted using appropriate search terms. Eleven studies were identified and included in this review. RESULTS: The analysis resulted in four categories: formal caregivers' views on triggers of aggression, expressions of aggression, the effect of aggressive behaviours on formal caregivers and formal caregivers' strategies to address aggression. The results show that aggressive behaviour may lead to negative feelings in formal caregivers and nursing home residents. CONCLUSION: The results of this study suggest that having the ability to identify triggers possibly assists caregivers with addressing aggressive behaviour. Aggressive behaviour might also affect quality of care. IMPLICATIONS FOR PRACTICE: Results from this systematic review indicate that caregivers prefer person-centred strategies to handle aggressive behaviour among older people, while the use of pharmaceuticals and coercion strategies is a last resort.
AIM: The purpose of this study was to investigate formal caregivers' experiences of aggressive behaviour in older people living with dementia in nursing homes. BACKGROUND: Aggressive behaviour symptoms among older people living with dementia are reported to be prevalent. As aggressive behaviour includes both verbal and physical behaviours, such as kicking, hitting and screaming, it causes an increased burden on formal caregivers. Professionals experiencing this aggression perceived it as challenging, causing physical and psychological damage, leading to anger, stress and depression. METHODS: A systematic review was conducted. A search of published research studies between 2000 and 2015 was conducted using appropriate search terms. Eleven studies were identified and included in this review. RESULTS: The analysis resulted in four categories: formal caregivers' views on triggers of aggression, expressions of aggression, the effect of aggressive behaviours on formal caregivers and formal caregivers' strategies to address aggression. The results show that aggressive behaviour may lead to negative feelings in formal caregivers and nursing home residents. CONCLUSION: The results of this study suggest that having the ability to identify triggers possibly assists caregivers with addressing aggressive behaviour. Aggressive behaviour might also affect quality of care. IMPLICATIONS FOR PRACTICE: Results from this systematic review indicate that caregivers prefer person-centred strategies to handle aggressive behaviour among older people, while the use of pharmaceuticals and coercion strategies is a last resort.
Authors: Siân Russell; Rachel Stocker; Robert Oliver Barker; Jennifer Liddle; Joy Adamson; Barbara Hanratty Journal: Br J Gen Pract Date: 2020-10-29 Impact factor: 5.386
Authors: Yuting Song; Matthias Hoben; Lori Weeks; Anne-Marie Boström; Zahra S Goodarzi; Janet Squires; Helen Doan; Adrian Wagg; R Colin Reid; Carole Estabrooks Journal: BMJ Open Date: 2019-05-28 Impact factor: 2.692
Authors: Annelies E Veldwijk-Rouwenhorst; Sytse U Zuidema; Martin Smalbrugge; Anke Persoon; Raymond T C M Koopmans; Debby L Gerritsen Journal: BMC Geriatr Date: 2022-09-16 Impact factor: 4.070