[The usefulness of BOP and SIVIS (ADL and behavior rating scales) for the estimation of workload in a psychogeriatric nursing home. Results of a time-standard study]. / De bruikbaarheid van BOP en SIVIS voor het schatten van de werklast in het psychogeriatrisch verpleeghuis. Uitkomsten van een tijdnormstellingsonderzoek.

In a 168-bed psychogeriatric nursing home the estimated nursing time for all aspects of care was determined by setting time-standards for a sample of 39 patients. Then BOP (Behaviour Rating Scale for Elderly Patients) and SIVIS (SIG Nursing Home Information System) data were related to nursing time for different aspects of care, in order to determine the usefulness of these scales for estimating workload. Pearson correlations between time for basic care (mainly ADL care, representing 58% of total nursing time) and some BOP subscales were high: Dependency: r = 0.81, Physical Disability: r = 0.80 and Apathy: r = 0.81. The correlation between the SIVIS-Helpindex and time for basic care was within the same range: r = 0.78. If BOP subscale Dependency and SIVIS-Helpindex scores were very high, total nursing time for basic care varied widely from 100 to 220 minutes per day. Besides basic care there are other activities done with the patients, of which social activities are the most important (17% of total nursing time). Time spent on social activities was less for patients in need of very high levels of nursing care than for patients who required mild to moderate levels of care. This study shows that a global estimation of workload by BOP as well as SIVIS is possible. A more accurate estimation requires an instrument that is more suited to differentiate between the most impaired patients.

[Behavior problems at homes for the aged. An inventory of 6 homes for the aged and a comparison with various nursing homes]. / Gedragsproblemen in verzorgingstehuizen. Een inventarisatie in zes verzorgingstehuizen en een vergelijking met enkele verpleeghuizen.

An inventory of behavioural problems by means of the 'Beoordelingsschaal voor Oudere Patiënten' (BOP, Behaviour Rating Scale for Elderly Patients), was made in six residential homes. About half of the 673 residents made little social contact and showed depressive behaviour. Apathy and difficulties spending their time were found in 30% of the residents. Behaviour associated with cognitive dysfunctions was observed in 14%. Approximately 5% of the residents had very severe physical disabilities. Thus, in the residential homes we found a wide range of behavioural problems. These place high demands on the organisation and quality of the care. The BOP-scores of the subjects in the residential homes were compared with those sampled in the same period in a nursing home for patients suffering from physical disabilities (N = 152) and a psychogeriatric nursing home (N = 169). Highly significant differences between the inhabitants of the residential homes on the one hand and the nursing homes on the other, were found for the subscales dependency, social disturbance, physical disability, orientation/communication and apathy. Only depression-scores were the same in the three types of institutions. These results contradict the often-heard opinion that the problems of care and assistance in residential homes increasingly resemble those of nursing homes.