Rank

Mean

Item

1

2.88

Anxiety and/or depression (how to recognize, treat, prevent relapse)

2

2.82

Getting/keeping staff (CNAs and/or nurses)

3

2.72

Falls/severe mobility issues (how to prevent injuries/maintain safety)

4

2.70

Inadequate reimbursement not reflecting resident care needs

2.70

Having enough staff to care for persons with dementia (staffing ratios)

5

2.65

Verbal and/or physical aggression/violence (pt-staff, pt-pt, staff-pt)

6

2.55

Staff stress and/or burnout

2.55

Other behavior problems associated with dementia (wandering, screaming, resistance to care, stealing, hoarding, sexual acting out, etc.)

7

2.53

Pain assessment and management

8

2.42

Development of pressure sores during hospitalizations

9

2.37

Resistance to personal care to persons with dementia

10

2.33

Use of psychiatric medication/physical restraints

11

2.27

Inappropriate use of psychiatric medications/physical restraints during hospitalization

12

2.20

Urinary incontinence (how to prevent, treat, and manage problems)

13

2.15

Feeding/intake problems (refusal to eat, overeating, bingeing, PEG's, etc.)

2.15

Socialization and quality of life (such as through culture change, resident choice, etc.)

14

2.12

Staff input into shifts, workloads, assignments, etc.

15

2.07

Pressure sores (how to prevent, treat, manage)

2.07

Family involvement in care

16

2.05

Care of persons with dementia in ER and hospital settings

17

2.02

End-of-life care (physical and emotional care; support for grieving staff)

18

1.90

Spiritual care needs (through formal and informal channels)