What nursing home environment can maximise eating independence best among residents with cognitive impairment? Findings of a secondary analysis
Palese, Alvisa; Gonella, Silvia; Grassetti, Luca; Longobardi, Melania; De Caro, Alessandro; Achil, Illarj; Hayter, Mark; Watson, Roger
Alessandro De Caro
Professor Mark Hayter M.Hayter@hull.ac.uk
Professor Roger Watson R.Watson@hull.ac.uk
Professor of Nursing
To explore the influence of the Nursing Home (NH) environment on eating independence
while taking into account individual and nursing care factors, was the aim of the study. A
secondary analysis was performed based on data collected in a multicentre prospective
observational study involving 13 NHs. Residents aged >65 were included (n=1,027).
Dependence in eating was measured using the Edinburgh Feeding Evaluation in Dementia
scale (EdFED, range 0-20). In addition to individual and nursing care variables, the NHs
environments were assessed with the Therapeutic Environment Screening Survey for Nursing
Homes (TESS-NH, range 0-149). The mean EdFED score was 2.48 (95% Confidence
Interval [CI]=2.22-2.73) and the TESS-NH score was 122.19 (95% CI=115.89−128.49). A
linear regression analysis explained 30.8% of the total variance in eating dependence.
Alongside individual and nursing care factors, in poor NH unit environments, residents with
severe cognitive impairment showed increased eating dependence; in contrast, in better
environments, similar residents showed maximal eating performance.
Palese, A., Gonella, S., Grassetti, L., Longobardi, M., De Caro, A., Achil, I., …Watson, R. (in press). What nursing home environment can maximise eating independence best among residents with cognitive impairment? Findings of a secondary analysis. Geriatric Nursing, https://doi.org/10.1016/j.gerinurse.2020.03.020
|Journal Article Type||Article|
|Acceptance Date||Apr 14, 2020|
|Online Publication Date||May 13, 2020|
|Deposit Date||Jun 30, 2020|
|Publicly Available Date||May 14, 2021|
|Peer Reviewed||Peer Reviewed|
|Keywords||Cognitive impairment; Dementia; Eating difficulties; Eating performance; Environment; Nursing home; Therapeutic principles; Policy|
This file is under embargo until May 14, 2021 due to copyright reasons.
Contact R.Watson@hull.ac.uk to request a copy for personal use.