[Relations with nursing home residents with dementia: an exploratory study of behavior and behavioral determinants of caregiving personnel].
The number of demented old people in residential homes is increasing. The majority of the staff of these homes is not or insufficiently trained in dealing with demented people which may cause problems in daily practice. Staff behaviour and determinants of that behaviour associated with the management of demented old people, were examined with a questionnaire. The research took place in Maastricht and its surrounding area in July 1990 in eight residential homes with a total number of 136 responding attendants. The results give insight into changes that are necessary in order to align the staff's behaviour with recommendations for dealing with demented people. The behaviour of the respondents fits rather well with recommendations to activate demented people, to communicate with them and not to change anything around them. Respondents' behaviour that is not in agreement with the recommendations is correcting and testing of the demented elderly. Moreover, there is more correcting and testing when knowledge about the effects is less and when there is less support from colleagues on the inappropriateness of correcting or testing. Training the attending staff in dealing with dementia has a positive influence on knowledge about dementia and increases the provision of recommended care. A specific training in dealing with demented old people is recommended during and after the professional training of the staff.