Residents’ life stories in nursing homes.xlsx

The aim of the study is to determine the impact of life story on staff members before implementation of care for residents with dementia in nursing homes.
We realized a cross-sectional study with an online survey based on two fictive clinical vignettes: one described a resident with typical clinical elements (i.e. basic vignette) while the other contained typical clinical elements and life story information (i.e. enriched vignette). The two vignettes were visually similar and the order in which vignettes were presented (basic vignette then enriched; order 1 - enriched vignette, then basic; order 2) to staff members was counterbalanced (all staff members considered the two vignettes).
After reading each vignette, staff members had to answer the following questions using a Visual Analogue Scale (VAS; a cursor is placed on a line between two extremes, for example “not at all” and “quite”): (1) Useful information: do you think you have all the useful information you need to adequately support this person? (from "not at all" to "quite"); (2) Confidence: to what extent would you feel confident in caring for this person in the NH where you work? (from "not at all" to "quite"); (3) Empathy: how much empathy do you feel for this person? (from "not at all" to "very much”). The notion of empathy refers to the ability to feel another person’s emotions, feelings and experiences; (4) Notion of sympathy: how do you perceive this person? (from “unsympathetic” to “sympathetic”); (5) Notion of independence: how do you perceive this person? (from “dependent” to “independent”); and (6) Workload: how would you estimate the workload that this person would need from you? (from “permanent” to “null”). For each question, a score ranging between 0 and 100 was obtained. The closer the score was to 100, the more “positive” it was.

本研究旨在明确养老机构痴呆患者照护实施前，人生经历对机构工作人员的影响。本研究采用横断面研究设计，基于两份虚构临床情境（vignette）开展线上调查：其中一份仅包含痴呆患者典型临床特征（下称基础情境），另一份则在典型临床特征基础上补充了患者人生经历信息（下称丰富情境）。两份情境的视觉呈现效果一致，且呈现顺序设置为平衡设计：分为两种顺序，即先基础情境后丰富情境，以及先丰富情境后基础情境，所有工作人员均需评估两份情境。

工作人员阅读每份情境后，需采用视觉模拟评分法（Visual Analogue Scale, VAS）回答以下问题：评分时可在两极间的线段上拖动光标进行选择，例如选项区间为"not at all"（完全没有）至"quite"（相当程度）。具体问题如下：
1. 信息实用性：您是否认为已获取足够信息，以对该照护对象提供恰当支持？（评分区间："完全没有"至"相当程度"）
2. 照护信心：您在当前供职的养老机构中，照护该对象的信心程度如何？（评分区间："完全没有"至"相当程度"）
3. 共情程度：您对该对象的共情程度如何？（评分区间："完全没有"至"非常强烈"），其中共情指感知他人情绪、感受与经历的能力；
4. 好感度感知：您对该对象的观感如何？（评分区间："不讨喜"至"讨喜"）
5. 独立性感知：您对该对象的独立性评价如何？（评分区间："完全依赖"至"完全独立"）
6. 工作负荷预估：您预估该对象所需的照护工作量如何？（评分区间："持续繁重"至"完全无负担"）

所有问题的评分均转换为0~100分区间的得分，得分越接近100，则代表该维度的评价越偏向积极。