title: Barriers to managing behavioural and psychological symptoms of dementia: staff perceptions.
abstract: BACKGROUND
  Residential aged care facilities are increasingly using pharmacological methods of managing BPSD such as antipsychotics, despite little evidence of effectiveness and high rates of adverse effects. Nonpharmacological approaches to management of behavioural and psychological symptoms of dementia (BPSD) have not been widely implemented in residential aged care, despite reported effectiveness of these strategies. Residential aged care staff opinions on the effectiveness of non-pharmacological approaches to dementia care and any limitations to their use are not well documented.
  
  
  METHODS
  This is the qualitative arm of a broader research project. A 43-point questionnaire was distributed to 6 rural aged care facilities to explore nurses' perceptions of the limitations of five commonly employed non pharmacological and pharmacological interventions in managing BPSD.
  
  
  RESULTS
  Staff reported that some non-pharmacological methods of managing BPSD were not the role of nursing staff. This suggests that other interventions such as increased staffing levels would not be effective in facilitating non pharmacological approaches to managing BPSD.
authors: Kaye
authors: K
authors: Ervin
authors: Maddalena
authors: M
authors: Cross
authors: Alison
authors: A
authors: Koschel
mesh_terms: D001291:Attitude of Health Personnel; D003704:Dementia / Q000451:nursing / Q000523:psychology*; D006801:Humans; D001523:Mental Disorders / Q000523:psychology*; D009740:Nursing Staff / Q000523:psychology*