title: Experiences of nursing staff using dementia-specific case conferences in nursing homes.
abstract: BACKGROUND
  Dementia specific-case conferences with the Innovative dementia oriented assessment tool (CC-IdA) could be an important tool with which to analyze and manage challenging behavior. The study gives an insight into nursing staff' experiences using CC-IdA in dementia care.
  
  
  METHODS
  Qualitative interviews were conducted with 18 nursing teams from 12 nursing homes alongside a quasi-experimental study. In addition, observational field notes were taken. Interviews and observational field notes were analyzed using the thematic content analysis.
  
  
  RESULTS
  CC-IdA contributed to a reflective handling of challenging behavior, to changes in the communication with residents and to the identification of potentially triggers of challenging behavior. Factors influencing the implementation of CC-IdA were among others a lack of moderation skills, limited knowledge of dementia, a lack of biographical information and a lack of involvement by other professionals.
  
  
  CONCLUSIONS
  CC-IdA represents an important tool in the management of challenging behavior of people with dementia. For the successful implementation of these case conferences, both structural and personal resources are needed.
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE), Witten, Germany School of Nursing Science, Witten/Herdecke University, Witten, Germany daniela.holle@dzne.de.
authors.forename: Daniela
authors.initials: D
authors.lastname: Holle
authors.affiliation: School of Nursing Science, Witten/Herdecke University, Witten, Germany Medical Advisory Service of Compulsory Health Insurance Funds, Munich, Germany.
authors.forename: Cornelia
authors.initials: C
authors.lastname: Krüger
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE), Witten, Germany School of Nursing Science, Witten/Herdecke University, Witten, Germany.
authors.forename: Margareta
authors.initials: M
authors.lastname: Halek
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE), Witten, Germany.
authors.forename: Erika
authors.initials: E
authors.lastname: Sirsch
authors.affiliation: Medical Advisory Service of Compulsory Health Insurance Funds, Munich, Germany.
authors.forename: Sabine
authors.initials: S
authors.lastname: Bartholomeyczik
mesh_terms: D000328:Adult; D019090:Case Management; D003704:Dementia / Q000451:nursing*; D006707:Homes for the Aged; D006801:Humans; D007400:Interprofessional Relations; D009730:Nursing Assessment / Q000379:methods*; D009735:Nursing Homes; D009740:Nursing Staff; D036301:Qualitative Research
keywords: behavioral and psychological symptoms of dementia; case conference; dementia; experiences; nursing home