Table 4.
Measurements on the resident level
| Resident level (assessed by nurses) | |||
|---|---|---|---|
|
Conceptual domain |
Operational definition |
Number of items |
Empirical measure |
| General Characteristics |
Gender |
1 |
Female/Male |
| Date of birth |
1 |
Date |
|
| Place of residence before NH admission |
1 |
5-response option |
|
| Date of entry into nursing home and write NH |
1 |
Date |
|
| Legal guardian |
1 |
4-response option |
|
| Court order for admission |
1 |
Yes/No |
|
| Court order for physical restraints |
1 |
Yes/No |
|
| Care level according to Long Term Care Insurance (LTCI) |
1 |
5-response option |
|
| Substantial additional care needs according to LTCI § 87b |
1 |
3-response option |
|
| Visitors |
1 |
Yes/No |
|
| * Frequency of visits (spouse / other relatives / friends-neighbors / legal guardian / volunteers / other residents / others) |
7 |
4 point-Likert-Scale |
|
| Characteristics of Living Environment |
Residents room (single / double / multi-shared rooms) |
1 |
3-response option |
| Individual furniture in residents room |
1 |
Yes/No |
|
| Resident brought a pet to the NH |
1 |
Yes/No |
|
| Provision of Dementia Care |
Case conference (CC) after admission |
1 |
Yes/No |
| * Date of last CC |
1 |
Date |
|
| * Participants of last CC (resident / relatives / legal guardian / head nurse / ward nurses / other care staff / physicians / therapeutic staff / facilitating service / external moderators / others) |
11 |
Yes/No |
|
| * Reason for conducting last CC (due to an acute occasion / due to the routines) |
1 |
2-response option |
|
| * Content of last CC (nutrition / continence problems / risk of falls-actual falls / chronic wound / physical restraints / acute health problems / pain / cognition based problems / challenging behavior / psychosocial situation / quality of life - well-being / needs of the resident and relatives / admission to NH / hospital stay / others) |
15 |
Yes/No |
|
| Assessment of pain |
1 |
Yes/No |
|
| * Instrument used for pain assessment |
1 |
11-response option |
|
| * Date of pain assessment |
1 |
Date |
|
| Assessment of behavior |
1 |
Yes/No |
|
| * Instrument used for behavioral assessment |
1 |
6-response option |
|
| * Date of behavioral assessment |
1 |
Date |
|
| Assessment of dementia severity |
1 |
Yes/No |
|
| * Instrument used for dementia severity assessment |
1 |
10-response option |
|
| MMSE-Score (if available) |
1 |
Free-text |
|
| * Date of MMSE |
1 |
Date |
|
| Assessment of quality of life |
1 |
Yes/No |
|
| * Instrument used for quality of life assessment |
1 |
6-response option |
|
| * Date of quality of life assessment |
1 |
Date |
|
| Assessment of depression |
1 |
Yes/No |
|
| * Instrument used for depression assessment |
1 |
3-response option |
|
| * Date of depression assessment |
1 |
Date |
|
| Participation in Dementia Care Mapping |
1 |
Yes/No/Unknown |
|
| *Date of last Dementia Care Mapping |
1 |
Date |
|
| Assessment of biography |
1 |
Yes/No |
|
| * Amendment of biography assessment after initial assessment |
1 |
Yes/No/Unknown |
|
| Provision of multisensory stimulation (aroma therapy / music therapy / massage / listening to music / Basale Stimulation© / Snoezelen / cuddling pets / using touch materials / others / none) |
10 |
Yes/No |
|
| Provision of validation therapy |
1 |
Yes/No |
|
| * Kind of validation therapy (use in daily conversation / in personal communications / in group therapy / as a crisis intervention) |
4 |
Yes/No |
|
| Frequency of being in the open air during the last week |
1 |
5 point-Likert-Scale |
|
| Participation on physical activities (PA) (gymnastics / dance / games / walk outside / physiotherapy / others / none) |
1 |
Yes/No |
|
| * Kind of PA (gymnastics / dance / games / walk outside / physiotherapy / others) |
10 |
Yes/No |
|
| Incidence of acute psychiatric crisis in the last 6 months |
1 |
Yes/No/Unknown |
|
| * Frequency of acute psychiatric crisis in the last 6 months |
1 |
4 point-Likert-Scale |
|
| Continuous attendance by a General Practitioner |
1 |
Yes/No |
|
| Continuous attendance by a neurologist/psychiatrist |
1 |
Yes/No |
|
| Care Dependency |
Physical Self Maintenance Scale (PSMS) [55] |
6 |
5 point-Likert- Scale |
| Behavior |
Neuropsychiatric Inventory (NPI-Q) [48] |
12 |
3 point-Likert-Scale |
| Dementia |
Medical diagnosis of dementia |
1 |
Yes/No/Unknown |
| Functional Assessment Staging (FAST) [51] |
16 |
7 stages |
|
| Dementia Screening Scale (DSS) [53] |
7 |
3 point-Likert-Scale |
|
| Quality of Life | Qualidem [41] | 40 | 4 point-Likert-Scale |
* Conditional answer depending on previous answer.