Exploring Family Self-Efficacy in Dementia Care
Author Information
Author(s): Lopez Ruth, Zaguri-Greener Dalit, Kolpina Lola, Zisberg Anna
Primary Institution: MGH Institute of Health Professions, Boston, Massachusetts, United States
Hypothesis
Family self-efficacy for surrogate decision-making is positively associated with trust and quality of care in nursing homes.
Conclusion
Enhancing family self-efficacy may improve the quality of care for residents with advanced dementia in nursing homes.
Supporting Evidence
- Self-efficacy was positively associated with trust (r=.32, p<.001).
- Self-efficacy was positively associated with quality of decision-making (r=.34, p<.001).
- Self-efficacy was positively associated with communication (r=.33, p<.001).
- Self-efficacy was positively associated with family-staff relationships (r=.30, p<.01).
- Self-efficacy was positively associated with basic care and symptom management (r=.36, p<.001).
Takeaway
Families of people with dementia can make better decisions about care if they feel more confident and trusted by the nursing home staff.
Methodology
Cross-sectional survey design.
Limitations
The study is a pilot and may not capture all factors influencing family self-efficacy and care quality.
Participant Demographics
Average age 60, 53% female.
Statistical Information
P-Value
p<0.001
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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