Kathy J. Horvath, PhD RN, is Associate Director, Education and Program Evaluation, New England Geriatric Research Education and Clinical Center at E. N. Rogers Memorial Veterans Hospital, Bedford, MA, and Adjunct Associate Professor at School of Nursing, Bouvé College of Health Sciences, Northeastern University, Boston, MA.
Caregiver Competence to Prevent Home Injury to the Care Recipient with Dementia
Article first published online: 1 MAY 2012
2005 Association of Rehabilitation Nurses
Volume 30, Issue 5, pages 189–196, September-October 2005
How to Cite
Horvath, K. J., Hurley, A. C., Duffy, M. E., Gauthier, M. A., Harvey, R. M., Trudeau, S. A., Cipolloni, P. B. and Smith, S. J. (2005), Caregiver Competence to Prevent Home Injury to the Care Recipient with Dementia. Rehabilitation Nursing, 30: 189–196. doi: 10.1002/j.2048-7940.2005.tb00109.x
- Issue published online: 1 MAY 2012
- Article first published online: 1 MAY 2012
- Alzheimer's disease dementia home safety caregiving
Home safety is a major concern for persons with a progressive dementia, such as Alzheimer's disease, because much direct care is provided in the home setting. This study used the Home Safety/Injury Model as a framework to describe the domain of caregiver competence, one of the model's key constructs. Interview data from the perspectives of 17 informants yielded a total of 68 clinical situations that allowed exploration of the scope and dimensions of caregiver competence to prevent accidents in the home. The factors most influential for effective caregiver prevention of home injury were family support, an acceptance and ability to make role changes, teaching and role modeling from professionals, and long-standing values and family traditions. No single factor was sufficient to achieve effective caregiving for making the home safer, but the strength of one or two factors could compensate for the absence of others.