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Effectiveness of Nursing Home Staff as Managers of Disruptive Behavior

Perceptions of Nursing Directors

Received November 19, 1998; revised September 23, 1999; accepted October 22, 1999. From the Department of Psychiatry and Behavioral Sciences, Divisions of Geriatric Psychiatry and Neuroscience, University of Washington School of Medicine, Seattle Washington. Address correspondence to Dr. Borson, Dept. of Psychiatry and Behavioral Sciences, Box 356560, Room BB1517B, University of Washington School of Medicine, 1959 NE Pacific St., Seattle WA 98195-6560. e-mail: soob{at}u.washington.edu

Nursing directors of 899 geographically diverse skilled nursing facilities reported substantial limitations in the competence of staff at all levels in managing behaviorally disturbed patients and a broad-based need for improvements in skills. The authors propose an interdisciplinary team training model as an appropriate design for improving competence and promoting collaborative care.

Key Words: Long-Term Care • Nursing Homes • Staff Education