Staff and relatives' perspectives on the aggressive behaviour of older people with dementia in residential care: a qualitative study

• DOI: 10.1111/jpm.12018
• Publication Date: 2012-11-20T11:38:22Z
• Authors: J. Duxbury; D. Pulsford; M. Hadi; S. Sykes
• Keywords: Residential care

Staff and relative perspectives on patient aggression in dementia care units are seriously under researched the U.K. Any work that has been conducted relied upon quantitative studies. Qualitative research management older peoples services rare. In-depth views can offer insights into causation strategies therefore represented literature. In order to investigate this issue further we interviewed a number of nursing staff relatives four homes North West England. Using combined approach one-to-one interviews (for staff) focus groups relatives) explored their as reasons for ways responding aggressive behaviour. This was part larger study reported elsewhere. thematic analysis found similar results from both such were categorized two broad areas: management. regards noted three sub-themes; internal, external interpersonal factors which subdivided paper categories: compassionate 'don't go strong'. The indicated participating embraced person-centred They predominantly respond incidents with strategies, distraction opposed medication or restraint. Overall they adopt person centre care. Relatives clear perceptions an challenge, is compounded mediated by illness dementia. Consequently positive using non-coercive interventions. While our earlier promising suggesting less invasive aspect care, given limitations small sample, more nature warranted. Findings multidimensional studies then provide sounder basis health social education, centred informed practice reduce incidence through preventative strategies.