Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-23T23:56:27.321Z Has data issue: false hasContentIssue false
  • English
  • Français

Détresse chez les préposés aux bénéficiaires en centre d’hébergement exposés à des symptômes comportementaux

Published online by Cambridge University Press:  23 March 2018

Véronique Angers  and
Jean Vézina
Véronique Angers
Affiliation:
École de psychologie, Université Laval, Québec, Canada
Jean Vézina*
Affiliation:
École de psychologie, Université Laval, Québec, Canada
*
*Toute correspondance concernant cet article doit être adressée à Jean Vézina, Ph.D., École de psychologie, Université Laval, Pavillon Félix-Antoine-Savard, 2325, rue des Bibliothèques, Québec, QC, G1V 0A6, Canada. Numéro de téléphone : 418 656-2131, poste 6240. Télécopieur: 418 656-3646. Courrier électronique: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Care aides working in nursing homes are often exposed to responsive behaviours in older adults living with Alzheimer’s disease. As these behaviors may induce psychological distress, the current research aims to estimate the contribution of a set of variables on the psychological distress reported by care aides. Variables include perceived frequency of responsive behaviours, primary and secondary cognitive appraisal, and coping strategies. A total of ninety-two day care aides were recruited in nursing homes in the Quebec City area. Standard multiple regression was completed and findings show that frequency of responsive behaviours, primary appraisal of threat, secondary appraisal (feeling incapable of changing the situation) and seeking emotional support contribute to care aides’ psychological distress. This study highlights the importance of responsive behaviours on the units and discusses the psychological mechanisms used by care aides.

Résumé

Les préposés aux bénéficiaires (PAB), qui travaillent dans les centres d’hébergement avec des personnes atteintes de la maladie d’Alzheimer, sont à risque d’être exposés à des symptômes comportementaux. Étant donné que ces comportements peuvent constituer une source de stress, la présente étude vise à estimer la contribution d’un ensemble de variables sur le niveau de détresse psychologique des PAB. Ces variables comprennent la fréquence d’exposition perçue aux symptômes comportementaux, les évaluations cognitives primaires et secondaires et les stratégies de coping. Au total, 92 PAB détenant des postes de jour ont été recrutés dans les centres de la région de Québec. Une analyse de régression multiple révèle que la fréquence des symptômes comportementaux, l’évaluation cognitive « menace », l’évaluation cognitive secondaire « ne pas être capable de changer la situation » et la recherche de soutien émotionnel contribuent à la détresse psychologique. Les résultats mettent en lumière de considérer les symptômes comportementaux dans le travail des PAB et proposent une réflexion sur certains mécanismes psychologiques utilisés par les PAB.

Keywords

care aidespsychological distressresponsive behavioursnursing homestransactional theoryAlzheimer’s diseasepréposés aux bénéficiairesdétresse psychologiquesymptômes comportementauxcentre d’hébergementthéorie transactionnellemaladie d’Alzheimer
Type
Article
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 37 , Issue 2 , June 2018 , pp. 99 - 109
Copyright
Copyright © Canadian Association on Gerontology 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Cette étude a été rendue possible par le soutien financier du laboratoire de psychologie gérontologique de l’Université Laval. Nous remercions Laurie Martel pour sa contribution lors de la collecte de données.

References

Références

Aalten, P., de Vugt, M. E., Jaspers, N., Jolles, J., & Verhey, F. R. (2005). The course of neuropsychiatric symptoms in dementia. Part II: Relationships among behavioural sub-syndromes and the influence of clinical variables. International Journal of Geriatric Psychiatry, 20, 531–536.CrossRefGoogle ScholarPubMed
Berjot, S. et Girault-Lidvan, N. (2009). Validation d’une version française de l’échelle d’évaluation cognitive primaire de Brewer et Skinner. Canadian Journal of Behavioural Science, 41(4), 252–259.CrossRefGoogle Scholar
Carver, C. S. (1997). You want to measure coping but protocol’s too long: Consider the brief-cope. International Journal of Behavioral Medicine, 4(1), 92–100.10.1207/s15327558ijbm0401_6CrossRefGoogle ScholarPubMed
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56(2), 267–283.CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J. (2008). Agitated behavior in persons with dementia: The relationship between type of behavior, its frequency, and its disruptiveness. Journal of Psychiatric Research, 43(1), 64–69.CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J., Marx, M., & Rosenthal, A. (1989). A description of agitation in a nursing home. Journal of Gerontology, 44(3), 77–84.CrossRefGoogle ScholarPubMed
Cubit, K., Farrell, G., Robinson, A., & Myhill, M. (2007). A survey of the frequency and impact of behaviours of concern in dementia on residential aged care staff. Australian Journal on Aging, 26(2), 64–70.CrossRefGoogle Scholar
Cyr, N. (2009). Cadre de référence sur le partage des rôles et des responsabilités de l’équipe de soins en centre d’hébergement. Québec, QC: Centre de santé et de services sociaux de la Vieille-Capitale.Google Scholar
Deslauriers, S., Landreville, P., Dicaire, L., et Verreault, R. (2001). Validité et fidélité de l’Inventaire d’agitation de Cohen-Mansfield/The validity and reliability of the French version of the Cohen-Mansfield Agitation Inventory. Canadian Journal on Aging, 20(3), 373–384.10.1017/S0714980800012836CrossRefGoogle Scholar
Draper, B., Snowdon, J., Meares, S., Turner, J., Gonski, P., McMinn, B., Luscombe, G. (2000). Case-controlled study of nursing home residents referred for treatment of vocally disruptive behavior. International Psychogeriatrics, 12(3), 333–344.CrossRefGoogle ScholarPubMed
Edward, K. L., Ousey, K., Warelow, P., & Lui, S. (2014). Nursing and aggression in the workplace: A systematic review. British Journal of Nursing, 23(12), 653–659.CrossRefGoogle ScholarPubMed
Evers, W., Tomic, W., & Browsers, A. (2001). Effects of aggressive behavior and perceived self-efficacy on burnout among staff of homes for the elderly. Issues Mental Health Nursing, 22(4), 439–454.CrossRefGoogle ScholarPubMed
Finkel, S. I., Costa e Silva, J., Cohen, G., Miller, S., & Sartorius, N. (1996). Behavioural and psychological signs and symptoms of dementia: A consensus statement on current knowledge and implications for research and treatment. International Psychogeriatrics, 8(3), 497–500.CrossRefGoogle ScholarPubMed
Folkman, S., Lazarus, R. S., Gruen, R. J., & DeLongis, A. (1986). Appraisal, coping, health status and psychological symptoms. Journal of Personality and Social Psychology, 50(3), 571–579.CrossRefGoogle ScholarPubMed
Hegney, D., Tuckett, A., Parker, D., & Eley, R. (2010). Workplace violence: Differences in perceptions of nursing work between those exposed and those not exposed: A cross-sector analysis. International Journal of Nursing Practice, 16(2), 188–202.CrossRefGoogle Scholar
Ilfeld, F. W. (1976). Further validation of a psychiatric symptom index in a normal population. Psychological Reports, 39(3), 1215–1228.CrossRefGoogle Scholar
Institut canadien d’information sur la santé. (2010). Les soins aux personnes âgées atteintes de maladie d’Alzheimer et d’autres formes de démence. Repéré à https://secure.cihi.ca/free_products/Dementia_AIB_2010_FR.pdfGoogle Scholar
Isaksson, U. (2013). Exposure to challenging behaviour from nursing home residents is associated with reduced general health and work ability, and increased burnout reported by nurses. Evidence-Based Nursing, 16(4), 124–125.CrossRefGoogle ScholarPubMed
Isaksson, U., Åström, S., & Graneheim, U. H. (2008). Violence in nursing homes: Perceptions of female caregivers. Journal of Clinical Nursing, 17(12), 1660–1666.10.1111/j.1365-2702.2007.02196.xCrossRefGoogle ScholarPubMed
Isaksson, U., Graneheim, U., Åström, S., & Karlsson, S. (2011). Physically violent behavior in dementia care: Characteristics of residents and management of violent situations. Aging and Mental Health, 15(5), 573–579.CrossRefGoogle ScholarPubMed
Kessler, T. A. (1998). The cognitive appraisal of health scale: Development and psychometric evaluation. Research in Nursing & Health, 21(1), 73–82.3.0.CO;2-Q>CrossRefGoogle ScholarPubMed
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York, NY: Springer-Verlag.Google Scholar
Lebel-Lehoux, C., Camateros, C., Angers, V., Hudon, V., Vézina, J., et Laplante, C. (2011). Antécédents environnementaux aux comportements agressifs et physiques (CAP) chez les personnes atteintes de démence. Revue Québécoise de Psychologie, 32(3), 15–34.Google Scholar
Marchand, A. (2004). Travail et santé mentale: une perspective multiniveaux des determinants de la détresse psychologique. Montréal, Canada: Faculté des études supérieures, Université de Montréal.Google Scholar
Mariage, A., et Schmitt-Fournier, F. (2006). Rôle de la personnalité dans les stratégies de coping. Étude auprès de personnels soignants. Le travail humain, 69(1), 1–24.CrossRefGoogle Scholar
McCarty, E. F., & Drebing, G. (2003). Exploring professional caregivers’ perceptions balancing self-care with care for patients with Alzheimer’s disease. Journal of Gerontological Nursing, 29(9), 42–48.CrossRefGoogle ScholarPubMed
Mills, S., & Rose, J. (2011). The relationship between challenging behaviour, burnout and cognitive variables in staff working with people who have intellectual disabilities. Journal of Intellectual Disability Research, 55(9), 844–857.CrossRefGoogle ScholarPubMed
Ministère de la Santé et des Services sociaux. (2008). AGIR auprès de la personne âgée - Présentation du programme. Québec, Qc: Document non publié.Google Scholar
Morgan, D. G., Cammer, A., Stewart, N. J., Crossley, M. F., D’Arcy, C., Forbes, D.A., & Karunanayake, C. (2012). Nursing aide reports of combative behavior by residents with dementia: Results from a detailed prospective incident diary. Journal of the American Medical Directors Association, 13(3), 220–227.CrossRefGoogle ScholarPubMed
Muller, L., & Spitz, E. (2003). Evaluation multidimentionnelle du coping: Validation du Brief-COPE sur une population française. L’encéphale, 29(6), 507–518.Google Scholar
Ordre des infirmières et infirmiers du Québec (2014). Les conditions de vie des adultes hébergés en centre d’hébergement et de soins de longue durée (CHSLD). Repéré à https://www.oiiq.org/memoire-les-conditions-de-vie-des-adultes-heberges-en-centre-d-hebergement-et-de-soins-de-longue-dureeGoogle Scholar
Ornstein, K., & Gaugler, J. E. (2012). The problem with “problem behaviors”: A systematic review of the association between individual patient behavioral and psychological symptoms and caregiver depression and burden within the dementia patient–caregiver dyad. International Psychogeriatrics, 24(10), 1536–1552.CrossRefGoogle ScholarPubMed
Préville, M., Boyer, R., Potvin, L., Perrault, C., et Légaré, G. (1992). La détresse psychologique: Détermination de la fiabilité et de la validité de la mesure utilisée dans l’enquête Santé Québec. Montréal, QC: Santé Québec.Google Scholar
Rodney, V. (2000). Nurse stress associated with aggression in people with dementia: Its relationship to hardiness, cognitive appraisal and coping. Journal of Advanced Nursing, 31(1), 172–180.CrossRefGoogle ScholarPubMed
Schmidt, S. G., Dichter, M. N., Palm, R., & Hasselhorn, H. M. (2012). Distress experienced by nurses in response to the challenging behaviour of residents – evidence from German nursing homes. Journal of Clinical Nursing, 21(21–22), 3134–3142.CrossRefGoogle Scholar
Skinner, C., & Brewer, N. (2002). The dynamics of threat and challenge appraisals prior to stressful achievement events. Journal of Personality and Social Psychology, 83(3), 60–70.CrossRefGoogle ScholarPubMed
Slade, R. B. (2013). Understanding the Role of Stress and Burnout in Employees at Nursing Facilities for the Elderly [Thèse doctorale]. Repérée à partir de ProQuest. (UMI 3601478).Google Scholar
Spector, A., Orrell, M., & Goyder, J. (2013). A systematic review of staff training interventions to reduce the behavioural and psychological symptoms of dementia. Ageing Research Reviews, 12(1), 354–364.CrossRefGoogle ScholarPubMed
Toot, S., Swinson, T., Devine, M., Challis, D., & Orrell, M. (2017). Causes of nursing home placement for older people with dementia: A systematic review and meta-analysis. International Psychogeriatrics Association, 29(2), 195–208.CrossRefGoogle ScholarPubMed
van der Linde, R. M., Dening, T., Stephan, B. C. M., Prina, A. M., Evans, E., & Brayne, C. (2016). Longitudinal course of behavioural and psychological symptoms of dementia: Systematic review. The British Journal of Psychiatry, 209(5), 366–377.CrossRefGoogle ScholarPubMed
Zeller, A., Dassen, T., Kok, G., Needham, I., & Halfens, R. J. G. (2012). Factors associated with resident aggression toward caregivers in nursing homes. Journal of Nursing Scholarship, 44(3), 249–257.CrossRefGoogle ScholarPubMed
Zuidema, S. U., Derksen, E., Verhey, F. R. J., & Koopmans, R. T. C. M. (2007). Prevalence of neuropsychiatric symptoms in a large sample of Dutch nursing home patients with dementia. International Journal of Geriatric Psychiatry, 22(7), 632–638.CrossRefGoogle Scholar