![]() Dementia caregivers in long-term care institutions need to have higher nursing skills to deal with the complicated symptoms in PWD. Persons with advanced dementia are usually institutionalized. If the correct nursing intervention is not received, the patient’s cognitive deterioration will accelerate and it is difficult to reverse. ![]() The condition of dementia is relatively complex and latent, which means that early symptoms are difficult to identify. Whether it is a formal caregiver or an informal caregiver, caring for PWD is a long-term and difficult nursing task, especially if the nurses are not equipped with the care knowledge about BPSD or without much relevant work experience. Compared with non-dementia patients, nurses have heavier and greater responsibility for caring for patients with dementia. Residents with BPSD tend to have lower quality of life, progressive dysfunction, and increased mortality rate (Kales et al., ).īPSD not only have a significant impact on the health and quality of life of patients, but they also cause a huge physical and mental burden on caregivers. In addition to the decline in memory, language expression, visual space perception, and executive ability caused by cognitive decline, as the disease progresses, the clinical syndrome of PWD can show various behavioral and psychological symptom of dementia (BPSD), including apathy, depression, restlessness, anxiety, personality changes, and mental symptoms as well as abnormal behaviors such as wandering, aggressive behavior, sleep disorder, inappropriate sexual behaviors, and refusal to care (Oliveira et al., ). Dementia is a progressive condition yet its progression tends to be personalized in individuals and almost all patients will experience psycho-behavioral symptoms in different ways. In China, the number of the patients with dementia (PWD) reached 15.07 million in 2018, accounting for a quarter of the population with dementia around the world. Dementia is not simply a neurological disorder, but also a long-term care and social adaptation issue in public health. It can lead to the reduction of patient's ability of daily living, social communication and can be accompanied by mental and behavioral symptoms, which is the main cause of disability and dependence. It can be used as an appropriate tool to evaluate the competence of nursing care staff to provide dementia care for residents in nursing homes.ĭementia is an advanced cognitive impairment syndrome. The SCIDS-C has shown good reliability and validity. The named four factors are the same as the Sense of Competence in Dementia Care Staff (SCIDS) scale in English, including Building Relationships, Sustaining Personhood, Professionalism and Care Challenges. Exploratory factor analysis(EFA) extracted 2 common factors in each sub-scale, cumulative variance contribution rate was 56.71% and 53.92%, respectively. ![]() The full scale’s value of ICC was 0.94 which indicated good reliability. The Cronbach’s alpha value was 0.88, showing a good internal consistency. The SCIDS-C has 17 items, which belong to the two sub-scales, the Relationship-Centered Care(RCC) and Professional Care(PC). Reliability was tested using Cronbach’s alpha value and intraclass correlation coefficient (ICC). ![]() Construct validity was tested using exploratory factor analysis (EFA), including principal component analysis and maximum variance rotation method. In psychometric testing phase, we tested the validity and reliability of the scale with 174 nursing staff conveniently from six nursing homes. The scale’s adaptation consists of translating adaptation and semantic equivalence. In translation section, we adapted and tailored the original scale in the cultural and social context in China’s nursing homes. ![]() The research employed a correlational design with repeated measures. We aimed to adapt and psychometrically test the tool among frontline nursing staff in long-term care settings in China. We adapted SCIDS into a Chinese version (SCIDS-C) and validated its uses in China’s socio-cultural context to assess nursing staff’s capability and competence in dementia care at nursing homes. The Sense of Competence in Dementia Care Staff scale (SCIDS) is a user-friendly tool with satisfactory reliability and validity. Appropriately assessing nursing staff’s level of competence in dementia care is the first step to develop precision training interventions to improve the quality of dementia care. Although China has the largest population of persons with dementia, there is no validated tool available to accurately assess formal caregivers’ competence in dementia care in long-term care settings. ![]()
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