Israeli nursing home staff perspectives on challenges to quality care for residents with dementia

Jiska Cohen-Mansfield*, Guy Meschiany

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


This study examines nursing home employees' perspectives concerning barriers to quality care for people with dementia. Data were derived from observations of care units and interviews with forty-one employees, including chief executive officers, social workers, nurses, occupational therapists, activity workers and nursing assistants at five Israeli nursing homes. Residents’ behavior was reported as challenging for staff. Physical restraints and psychotropic medication were commonly used to address behavioral challenges, while few staff acknowledged these practices as problematic. Staff complained that some co-workers were insufficiently caring and wages and overall funding were inadequate, resulting in unsatisfactory staffing levels and insufficient activities for residents. Rigid care routines failed to meet resident needs, and staff failed to notice the relationship between care practices and resident behavior. While problems were described concerning multiple aspects of care, the root causes seemed to include the need for additional funding and for greater expertise in dementia care.

Original languageEnglish
Pages (from-to)15-23
Number of pages9
JournalGeriatric Nursing
StatePublished - 1 Mar 2022


FundersFunder number
Minerva Foundation
Ministry of Health, State of Israel


    • Alternatives to physical restraint
    • Dementia care education and training
    • Non-pharmacologic interventions
    • Person-centered geriatric care


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