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Center for Excellence in Assisted Living

Center for Excellence in Assisted Living CEAL@UNC

Advancing the well-being of the people who live and work in assisted living through research, practice, and policy.

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Factors Associated with the Quality of Staff-Resident Interactions in Assisted Living

Date: June 2022Topics: Staff/StaffingType: Academic PublicationPublication: Journal of Nursing Care QualityAuthors: Paudel, A., Galik, E., Resnick, B., Doran, K., Boltz, M., & Zhu, S.
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Background
Care interactions are verbal or nonverbal interactions between staff and residents during social or physical care activities. The quality of care interactions could be positive, negative, or neutral.

Purpose
The purpose of this study was to examine the resident- and facility-level factors associated with the care interactions in assisted living (AL).

Methods
Regression analysis was performed using a stepwise method utilizing baseline data of 379 residents from 59 AL facilities recruited in a randomized trial.

Results
Accounting for 8.2% of variance, increased resident agitation was associated with negative or neutral quality interactions while for-profit ownership was associated with positive quality interactions.

Conclusions
To promote positive care interactions, findings suggest the need to educate staff about strategies to minimize resident agitation (eg, calm posture and respectful listening) and work toward optimizing care interactions in nonprofit settings. Future research could further explore the influence of staff-level factors on care interactions.

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