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Everyday Life and Social Contacts of Dementia and Non-Dementia Residents over 80 Years in Long-Term Inpatient Care: A Multi-Level Analysis on the Effect of Staffing

Author

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  • Melanie Zirves

    (Graduate School GROW—Gerontological Research on Well-Being, Faculty of Human Sciences and Faculty of Medicine, University of Cologne, 50931 Cologne, Germany)

  • Ibrahim Demirer

    (Institute of Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), Faculty of Human Sciences and Faculty of Medicine, University of Cologne and University Hospital Cologne, 50933 Cologne, Germany)

  • Holger Pfaff

    (Institute of Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), Faculty of Human Sciences and Faculty of Medicine, University of Cologne and University Hospital Cologne, 50933 Cologne, Germany)

Abstract

The relationship between nurse staffing, physical outcomes of residents, as well as quality of care receives major attention. The impact of staffing levels on residents’ ability to organize their everyday life and maintain social contacts, however, has not been analyzed to date. This study examines whether a relationship between the staff-to-resident ratio for registered nurses and nursing home residents with and without dementia aged over 80 exists. Secondary data collected in the project inQS (indikatorengestützte Qualitätsförderung) were used ( n = 1782, mean age = 88.14). The analyzed cross-sectional data were collected in winter 2019 in facilities of the Diocesan Caritas Association in Germany. A sum score formed from variables measuring residents’ abilities to independently organize their everyday life and maintain social contacts functioned as the dependent variable. A multi-level regression analysis was performed. The results revealed that the ability of residents without dementia was significantly associated with the staff-to-resident ratio of registered nurses. This was not true for residents with dementia. For the latter, however, whether the facility offers a segregated care unit turned out to be significant. Additional and longitudinal research is indispensable to explain the inequality between the two groups analyzed.

Suggested Citation

  • Melanie Zirves & Ibrahim Demirer & Holger Pfaff, 2021. "Everyday Life and Social Contacts of Dementia and Non-Dementia Residents over 80 Years in Long-Term Inpatient Care: A Multi-Level Analysis on the Effect of Staffing," IJERPH, MDPI, vol. 18(21), pages 1-18, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11300-:d:666367
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    References listed on IDEAS

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    1. Jaroslava Zimmermann & Michael Swora & Holger Pfaff & Susanne Zank, 2019. "Organizational factors of fall injuries among residents within German nursing homes: secondary analyses of cross-sectional data," European Journal of Ageing, Springer, vol. 16(4), pages 503-512, December.
    2. Hongsoo Kim & Christine Kovner & Charlene Harrington & William Greene & Mathy Mezey, 2009. "A Panel Data Analysis of the Relationships of Nursing Home Staffing Levels and Standards to Regulatory Deficiencies," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(2), pages 269-278.
    3. Andreas Follmann & Franziska Schollemann & Andrea Arnolds & Pauline Weismann & Thea Laurentius & Rolf Rossaint & Michael Czaplik, 2021. "Reducing Loneliness in Stationary Geriatric Care with Robots and Virtual Encounters—A Contribution to the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(9), pages 1-10, May.
    4. Melanie Zirves & Holger Pfaff, 2020. "Nursing Home Residents Aged over 80—A Cross-Sectional Analysis on Which Activity Traits Correlate to Positive Affect," IJERPH, MDPI, vol. 17(24), pages 1-13, December.
    5. Gørill Haugan & Siw T Innstrand & Unni K Moksnes, 2013. "The effect of nurse–patient interaction on anxiety and depression in cognitively intact nursing home patients," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(15-16), pages 2192-2205, August.
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    Cited by:

    1. Klaudia Przybysz & Agnieszka Stanimir, 2023. "How Active Are European Seniors—Their Personal Ways to Active Ageing? Is Seniors’ Activity in Line with the Expectations of the Active Ageing Strategy?," Sustainability, MDPI, vol. 15(13), pages 1-22, July.

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