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Table 2 Measurements on nursing home level

From: Longitudinal evaluation of dementia care in German nursing homes: the “DemenzMonitor” study protocol

Nursing Homes [NH] - assessed by nursing home mangers
Conceptual domain Operational definition Number of items Empirical measure
General characteristics Funding body 1 3-response option
Locality measured in inhabitants 1 4-response option
Location (federal state) 1 16-response option
Number of beds in long term care / respite care / day care / night care / residential care 5 Free-text
Number of residents per care level 5 Free-text
Number of residents per care level with substantial additional care needs according to Long Term Care Insurance 5 Free-text
Costs for care per care level / accommodation & expenditure (single/double room) 9 Free-text
Existence of a segregative living unit (SLU) with additional costs 1 Yes/No
Costs for the SLU for care per care level / accommodation & expenditure (single/double room) 9 Free-text
Staff characteristics Staff divided in subgroups (administrative staff / registered nurses / nursing assistants / nursing students / additional care staff / facilitating services) 13 Fulltime equivalent (planned)
Number of volunteers 1 Free-text
Number of engaged clinical nurse specialists for Psychogeriatrics / Psychiatry / Palliative care / Dementia Care Mapping (Basic User) / multisensory stimulation / validation therapy / other dementia-related trainings 7 Free-text
Training of at least half of all nurses employed in case conferences / behavioral cognition assessments / validation therapy / reminiscence therapy / multisensory stimulation / physical activity 6 Yes/No
Characteristics of living environment Year of nursing home (NH) foundation 1 Free-text
Time span since last modernization 1 6-response option
Number of living units 1 Free-text
Number of single / double / multi-shared rooms 3 Free-text
Living and care concept Solely specialized for dementia 1 Yes/No
Type of living arrangement (integrative/segregative) 1 2-response option
Number of segregative living units (SLU) 1 Free-text
SLU for residents with very severe dementia 1 Yes/No
Care is based on a written dementia-specific concept 1 Yes/No
* Concept basis (Person centered care [Tom Kitwood] / Psycho-Biography [Erwin Böhm] / Validation concept [Naomi Feil, Nicole Richard, Cora van der Kooij] / Milieu therapy / Normalization principles / None of these approaches) 7 Yes/ No
* Characteristics of institutional dementia-specific concept (nurses/assistants are always working on the same LU / engagement of additional staff for daily activities / small scale living [max. 15 residents] / standard for admission procedures / structuring of daily activities / flexible mealtimes / night times / personal hygiene / active involvement of relatives) 12 Choose a maximum of 3
* Nursing interventions as part of the dementia-specific concept (case conferences / behavioral and cognition assessments / validation therapy / reminiscence therapy / multisensory stimulation / physical activity / others) 7 Yes/No
  1. * conditional answer depending on previous answer.