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Relationship between dementia knowledge and occupational strain among staff of residential facilities for older adults: A cross-sectional survey


Lea, E and Robinson, A and Doherty, K, Relationship between dementia knowledge and occupational strain among staff of residential facilities for older adults: A cross-sectional survey, Ageing International ISSN 0163-5158 (2023) [Refereed Article]

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The Author(s) 2023. This article is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format.

DOI: doi:10.1007/s12126-023-09523-y


Working with people living with dementia in residential facilities for older adults can be challenging, and this is exacerbated when staff have a limited understanding of dementia. However, the relationship between knowledge of dementia and strain in caring for people with dementia among residential facility staff is unclear. This cross-sectional study investigated the relationship between dementia knowledge and strain in caring for people with dementia. A questionnaire containing the Dementia Knowledge Assessment and Strain in Dementia Care Scales was administered in 2017 and 2019 to 141 staff in three southern Australian residential facilities for older adults. Bivariate and hierarchical regression analysis examined inter-scale relationships and the power of dementia strain to explain knowledge variance. It was found that staff had substantial gaps in dementia knowledge (mean score 32/50) and low strain in dementia care (mean score 4/16). A positive relationship was found between higher dementia knowledge and greater strain in dementia care (rs = 0.319, p < .001), particularly with feeling that residents are not receiving appropriate care from colleagues (Factor 1 Frustrated Empathy; rs = 0.392, p < .001). Frustrated Empathy explained a significant amount of variance in dementia knowledge beyond demographic variables. The findings suggest that more comprehensive dementia knowledge is associated with higher strain in care of people with dementia, particularly in the context of perceived lapses in the quality of care provided by colleagues. Arguably, organisational-wide dementia education to address identified gaps should be supported by facilitating staff enaction of their knowledge to improve care.

Item Details

Item Type:Refereed Article
Keywords:dementia, knowledge, occupational stress, nursing homes, surveys and questionnaires, nursing
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Aged health care
Objective Division:Health
Objective Group:Specific population health (excl. Indigenous health)
Objective Field:Health related to ageing
UTAS Author:Lea, E (Dr Emma Lea)
UTAS Author:Robinson, A (Professor Andrew Robinson)
UTAS Author:Doherty, K (Dr Kathleen Doherty)
ID Code:155374
Year Published:2023
Deposited By:Wicking Dementia Research and Education Centre
Deposited On:2023-02-17
Last Modified:2023-03-21
Downloads:4 View Download Statistics

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