State-level nursing home in-service dementia training requirements and inappropriate psychotropic medication use
Abstract
Background Although non-pharmacological interventions, which are staff intensive, are recommended for behavioral symptoms of dementia, psychotropics are often prescribed in nursing homes (NHs), with insufficient nurse staffing levels and dementia care training. Since 2017, deficiency citations can be assigned for inappropriate psychotropics use (F-758 tag). Some states require in-service dementia training above federal minimums, but it is unknown whether extra dementia training requirements were related to fewer F-758 citations for residents with dementia and whether nurse staffing influenced the relationship between receiving F-758 citations and having additional state-level dementia training requirements.Purpose To relate F-758 citation occurrence to extra in-service dementia training regulations and to explore how the relationships are affected by nurse staffing levels.Method Generalized linear mixed models were used to examine F-758 citation occurrence in relation to state-level in-service dementia training regulations. Stratification was also conducted to compare the effects in NHs with low versus high nurse staffing.Findings Requiring in-service dementia training with extra hours was inversely related to receiving F-758 tags. That relationship was also noted in NHs with lower registered nurse and certified nurse assistant staffing.Discussion In-service dementia training may be helpful in reducing inappropriate psychotropics use, particularly in facilities with lower nurse staffing.
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Research suggests that with enhanced dementia-specific training, direct care workers may also play a role in reducing inappropriate antipsychotic prescribing for individuals living with dementia in nursing homes.
“Research suggests that with enhanced dementia‐specific training, direct care workers may also play a role in reducing inappropriate antipsychotic prescribing for individuals living with dementia in nursing homes.”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [775]
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- Authors
- Yoon, J. M., Trinkoff, A. M., Kim, M., & Kim, E.
- Affiliations
- Ewha Womans University (KR)
- University of Maryland, Baltimore (US)
- Corresponding author
- Yoon, Jung Min
- Venue
- Geriatric Nursing
- Publisher
- Elsevier BV
- Published
- 2023-05
- Volume
- 51
- Pages
- 209-214
- ISSN
- 0197-4572 (ISSN-L)
- OpenAlex
- W4362454578
- Cited by
- 9
- References
- 47
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2021: 2
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Geriatric Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Sigma Theta Tau International
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Keywords
- nursing homes, dementia care training, government regulation, nurse staffing, registered nurses, certified nursing assistants, behavioral symptoms of dementia, long-term care quality
- MeSH terms
- Workforce, Dementia, Humans, Inservice Training, Nursing Homes, Personnel Staffing and Scheduling, Psychotropic Drugs
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