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 | |