Attitudes toward dementia-related aggression among staff in Japanese aged care settings

Nakahira, Miwa, Moyle, Wendy, Creedy, Debra and Hitomi, Hiroe (2009) Attitudes toward dementia-related aggression among staff in Japanese aged care settings. Journal of Clinical Nursing, 18 6: 807-816. doi:10.1111/j.1365-2702.2008.02479.x


Author Nakahira, Miwa
Moyle, Wendy
Creedy, Debra
Hitomi, Hiroe
Title Attitudes toward dementia-related aggression among staff in Japanese aged care settings
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
1365-2702
Publication date 2009-03-01
Sub-type Article (original research)
DOI 10.1111/j.1365-2702.2008.02479.x
Open Access Status Not yet assessed
Volume 18
Issue 6
Start page 807
End page 816
Total pages 10
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
Aim and objective. This study investigated attitudes of Japanese aged care staff toward aggression by people with dementia. Relationships between staff attitudes, professional characteristics and clinical practice were explored.
Background. Aggressive behaviour is often demonstrated by people with dementia and may be influenced by many factors including an inability by the individual to appropriately express their needs, difficulties with assessment, as well as organisational and practice issues.
Design. Survey.
Method. Twenty-seven facilities/organisations located in the western and middle parts of Japan were surveyed. Staff (n = 675) employed in these facilities provided personal and professional information and completed the Attitudes Towards Aggression Scale.
Results. Staff who were older, had more clinical experience, higher education and/or a higher position reported more positive attitudes towards patient aggression. Staff with negative attitudes towards patients who are aggressive reported using chemical and/or physical restraint more often than staff with positive attitudes.
Conclusions. Dementia education as well as restraint policy will be useful in addressing negative staff attitudes, in particular it may help to reverse the myth that restraint is necessary for staff protection. Furthermore, staff counseling may help to reduce stressors and to change staff negative attitudes towards people with dementia who display aggression.
Relevance to clinical practice. The findings show that negative staff attitudes may adversely affect clinical decision making and patient care. Measuring attitudes can identify areas requiring education or skill development and enable changes in attitudes to be monitored over time.
Keyword Aged care
Aggression management
Attitudes
Dementia care
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Published online 24 Oct 2008

Document type: Journal Article
Sub-type: Article (original research)
Collections: ERA 2012 Admin Only
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