Publication

What do nursing home residents with mental-physical multimorbidity need and who actually knows this? A cross-sectional cohort study

van den Brink, A. M. A., Gerritsen, D. L., de Valk, M. M. H., Mulder, A. T., Voshaar, R. C. O. & Koopmans, R. T. C. M., May-2018, In : International Journal of Nursing Studies. 81, p. 89-97 9 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

van den Brink, A. M. A., Gerritsen, D. L., de Valk, M. M. H., Mulder, A. T., Voshaar, R. C. O., & Koopmans, R. T. C. M. (2018). What do nursing home residents with mental-physical multimorbidity need and who actually knows this? A cross-sectional cohort study. International Journal of Nursing Studies, 81, 89-97. https://doi.org/10.1016/j.ijnurstu.2018.02.008

Author

van den Brink, Anne M. A. ; Gerritsen, Debby L. ; de Valk, Miranda M. H. ; Mulder, Astrid T. ; Voshaar, Richard C. Oude ; Koopmans, Raymond T. C. M. / What do nursing home residents with mental-physical multimorbidity need and who actually knows this? A cross-sectional cohort study. In: International Journal of Nursing Studies. 2018 ; Vol. 81. pp. 89-97.

Harvard

van den Brink, AMA, Gerritsen, DL, de Valk, MMH, Mulder, AT, Voshaar, RCO & Koopmans, RTCM 2018, 'What do nursing home residents with mental-physical multimorbidity need and who actually knows this? A cross-sectional cohort study', International Journal of Nursing Studies, vol. 81, pp. 89-97. https://doi.org/10.1016/j.ijnurstu.2018.02.008

Standard

What do nursing home residents with mental-physical multimorbidity need and who actually knows this? A cross-sectional cohort study. / van den Brink, Anne M. A.; Gerritsen, Debby L.; de Valk, Miranda M. H.; Mulder, Astrid T.; Voshaar, Richard C. Oude; Koopmans, Raymond T. C. M.

In: International Journal of Nursing Studies, Vol. 81, 05.2018, p. 89-97.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

van den Brink AMA, Gerritsen DL, de Valk MMH, Mulder AT, Voshaar RCO, Koopmans RTCM. What do nursing home residents with mental-physical multimorbidity need and who actually knows this? A cross-sectional cohort study. International Journal of Nursing Studies. 2018 May;81:89-97. https://doi.org/10.1016/j.ijnurstu.2018.02.008


BibTeX

@article{925c5fb7be1343219d378096a1481193,
title = "What do nursing home residents with mental-physical multimorbidity need and who actually knows this? A cross-sectional cohort study",
abstract = "Objective: Aging societies will bring an increase in the number of long-term care residents with mental-physical multimorbidity. To optimize care for these residents, it is important to study their care needs, since unmet needs lower quality of life. To date, knowledge about care needs of residents with mental-physical multimorbidity is limited. The aim of this study was to explore (un)met care needs of residents with mental-physical multimorbidity and determinants of unmet needs.Methods: Cross-sectional cohort study among 141 residents with mental-physical multimorbidity without dementia living in 17 geronto-psychiatric nursing home units across the Netherlands. Data collection consisted of chart review, semi-structured interviews, (brief) neuropsychological testing, and self-report questionnaires. The Camberwell Assessment of Need for the Elderly (CANE) was used to rate (un)met care needs from residents' and nursing staff's perceptions. Descriptive and multivariate regression analyses were conducted.Results: Residents reported a mean number of 11.89 needs (SD 2.88) of which 24.2{\%} (n = 2.88, SD 2.48) were unmet. Nursing staff indicated a mean number of 14.73 needs (SD 2.32) of which 10.8{\%} (n = 1.59, SD 1.61) were unmet. According to the residents, most unmet needs were found in the social domain as opposed to the psychological domain as reported by the nursing staff. Different opinions between resident and nursing staff about unmet needs was most common in the areas accommodation, company, and daytime activities. Further, nearly half of the residents indicated 'no need' regarding behavior while the nursing staff supposed that the resident did require some kind of support. Depression, anxiety and less care dependency were the most important determinants of unmet needs.Conclusions: Systematic assessment of care needs showed differences between the perspectives of resident and nursing staff. These should be the starting point of a dialogue between them about needs, wishes and expectations regarding care. This dialogue can subsequently lead to the most optimal individually tailored care plan. To achieve this, nurses with effective communication and negotiation skills, are indispensable.",
keywords = "Cohort study, Geriatric psychiatry, Long-term care, Multimorbidity, Needs assessment, Nursing homes, Nursing staff, UNMET CARE NEEDS, LONG-TERM-CARE, EPIDEMIOLOGICALLY REPRESENTATIVE SAMPLE, CAMBERWELL ASSESSMENT, DEPRESSION SCALE, HOSPITAL ANXIETY, REGISTERED NURSES, OLDER PATIENTS, ELDERLY CANE, HEALTH-CARE",
author = "{van den Brink}, {Anne M. A.} and Gerritsen, {Debby L.} and {de Valk}, {Miranda M. H.} and Mulder, {Astrid T.} and Voshaar, {Richard C. Oude} and Koopmans, {Raymond T. C. M.}",
year = "2018",
month = "5",
doi = "10.1016/j.ijnurstu.2018.02.008",
language = "English",
volume = "81",
pages = "89--97",
journal = "International Journal of Nursing Studies",
issn = "0020-7489",
publisher = "PERGAMON-ELSEVIER SCIENCE LTD",

}

RIS

TY - JOUR

T1 - What do nursing home residents with mental-physical multimorbidity need and who actually knows this? A cross-sectional cohort study

AU - van den Brink, Anne M. A.

AU - Gerritsen, Debby L.

AU - de Valk, Miranda M. H.

AU - Mulder, Astrid T.

AU - Voshaar, Richard C. Oude

AU - Koopmans, Raymond T. C. M.

PY - 2018/5

Y1 - 2018/5

N2 - Objective: Aging societies will bring an increase in the number of long-term care residents with mental-physical multimorbidity. To optimize care for these residents, it is important to study their care needs, since unmet needs lower quality of life. To date, knowledge about care needs of residents with mental-physical multimorbidity is limited. The aim of this study was to explore (un)met care needs of residents with mental-physical multimorbidity and determinants of unmet needs.Methods: Cross-sectional cohort study among 141 residents with mental-physical multimorbidity without dementia living in 17 geronto-psychiatric nursing home units across the Netherlands. Data collection consisted of chart review, semi-structured interviews, (brief) neuropsychological testing, and self-report questionnaires. The Camberwell Assessment of Need for the Elderly (CANE) was used to rate (un)met care needs from residents' and nursing staff's perceptions. Descriptive and multivariate regression analyses were conducted.Results: Residents reported a mean number of 11.89 needs (SD 2.88) of which 24.2% (n = 2.88, SD 2.48) were unmet. Nursing staff indicated a mean number of 14.73 needs (SD 2.32) of which 10.8% (n = 1.59, SD 1.61) were unmet. According to the residents, most unmet needs were found in the social domain as opposed to the psychological domain as reported by the nursing staff. Different opinions between resident and nursing staff about unmet needs was most common in the areas accommodation, company, and daytime activities. Further, nearly half of the residents indicated 'no need' regarding behavior while the nursing staff supposed that the resident did require some kind of support. Depression, anxiety and less care dependency were the most important determinants of unmet needs.Conclusions: Systematic assessment of care needs showed differences between the perspectives of resident and nursing staff. These should be the starting point of a dialogue between them about needs, wishes and expectations regarding care. This dialogue can subsequently lead to the most optimal individually tailored care plan. To achieve this, nurses with effective communication and negotiation skills, are indispensable.

AB - Objective: Aging societies will bring an increase in the number of long-term care residents with mental-physical multimorbidity. To optimize care for these residents, it is important to study their care needs, since unmet needs lower quality of life. To date, knowledge about care needs of residents with mental-physical multimorbidity is limited. The aim of this study was to explore (un)met care needs of residents with mental-physical multimorbidity and determinants of unmet needs.Methods: Cross-sectional cohort study among 141 residents with mental-physical multimorbidity without dementia living in 17 geronto-psychiatric nursing home units across the Netherlands. Data collection consisted of chart review, semi-structured interviews, (brief) neuropsychological testing, and self-report questionnaires. The Camberwell Assessment of Need for the Elderly (CANE) was used to rate (un)met care needs from residents' and nursing staff's perceptions. Descriptive and multivariate regression analyses were conducted.Results: Residents reported a mean number of 11.89 needs (SD 2.88) of which 24.2% (n = 2.88, SD 2.48) were unmet. Nursing staff indicated a mean number of 14.73 needs (SD 2.32) of which 10.8% (n = 1.59, SD 1.61) were unmet. According to the residents, most unmet needs were found in the social domain as opposed to the psychological domain as reported by the nursing staff. Different opinions between resident and nursing staff about unmet needs was most common in the areas accommodation, company, and daytime activities. Further, nearly half of the residents indicated 'no need' regarding behavior while the nursing staff supposed that the resident did require some kind of support. Depression, anxiety and less care dependency were the most important determinants of unmet needs.Conclusions: Systematic assessment of care needs showed differences between the perspectives of resident and nursing staff. These should be the starting point of a dialogue between them about needs, wishes and expectations regarding care. This dialogue can subsequently lead to the most optimal individually tailored care plan. To achieve this, nurses with effective communication and negotiation skills, are indispensable.

KW - Cohort study

KW - Geriatric psychiatry

KW - Long-term care

KW - Multimorbidity

KW - Needs assessment

KW - Nursing homes

KW - Nursing staff

KW - UNMET CARE NEEDS

KW - LONG-TERM-CARE

KW - EPIDEMIOLOGICALLY REPRESENTATIVE SAMPLE

KW - CAMBERWELL ASSESSMENT

KW - DEPRESSION SCALE

KW - HOSPITAL ANXIETY

KW - REGISTERED NURSES

KW - OLDER PATIENTS

KW - ELDERLY CANE

KW - HEALTH-CARE

U2 - 10.1016/j.ijnurstu.2018.02.008

DO - 10.1016/j.ijnurstu.2018.02.008

M3 - Article

VL - 81

SP - 89

EP - 97

JO - International Journal of Nursing Studies

JF - International Journal of Nursing Studies

SN - 0020-7489

ER -

ID: 62706955