McPherson Rachel, Resnick Barbara, Galik Elizabeth, Gruber-Baldini Ann L, Holmes Sarah, Kusmaul Nancy
Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, MD, USA.
University of Maryland School of Medicine, Department of Epidemiology, Baltimore, MD, USA.
Ethn Health. 2025 Jan;30(1):120-131. doi: 10.1080/13557858.2024.2417392. Epub 2024 Oct 19.
The resident population in nursing homes is increasingly racially diverse. The purpose of this study was to assess racial differences in the quality of care interactions among nursing home residents with dementia.
The study utilized baseline data from the Testing the Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia (EIT-4-BPSD), a randomized controlled pragmatic trial. The Quality of Interaction Scale (QuIS) was used to measure quality of staff-resident care interactions. The sample included 531 residents. An analysis of covariance was conducted to address the aim.
The majority of interactions were positive social (42%) or positive care (37%). Black residents living with dementia had higher QuIS scores (= 5.98, = 1.66) than White residents with dementia (= 5.40, = 1.75), whereas higher QuIS scores indicating more positive interactions. However, the results of the analysis of covariance indicated that there was not a significant difference in QuIS scores between Black versus White residents living with dementia (=.203).
The findings suggest that care interactions in nursing homes are consistent between Black residents and White residents. Future research should evaluate the impact of staff race on the quality of care interaction among nursing home residents.
养老院中的常住人口种族日益多样化。本研究的目的是评估患有痴呆症的养老院居民在护理互动质量方面的种族差异。
该研究利用了来自痴呆症行为和心理症状的证据整合三角测试（EIT - 4 - BPSD）的基线数据，这是一项随机对照实用试验。互动质量量表（QuIS）用于衡量工作人员与居民的护理互动质量。样本包括531名居民。进行了协方差分析以实现该目标。
大多数互动是积极社交（42%）或积极护理（37%）。患有痴呆症的黑人居民的QuIS得分（= 5.98，= 1.66）高于患有痴呆症的白人居民（= 5.40，= 1.75），而较高的QuIS得分表明互动更积极。然而，协方差分析结果表明，患有痴呆症的黑人居民与白人居民之间的QuIS得分没有显著差异（= 0.203）。
研究结果表明，养老院中黑人居民和白人居民之间的护理互动是一致的。未来的研究应该评估工作人员种族对养老院居民护理互动质量的影响。
