Behaviour Support for People Living with Dementia in Residential Aged Care: A Cross-Sectional Survey of Staff Experiences and Support Needs.

Objectives: Behavioural and psychological symptoms of dementia (BPSD) are prevalent in residential aged care (RAC) settings, negatively impacting residents' quality of life and increasing carer burden. This study investigated current practices and experiences of RAC staff in managing BPSD, including collaborative behaviour support planning with family members. Methods: A cross-sectional survey was conducted with 43 RAC staff supporting residents with dementia. Data was collected about demographics, resident characteristics, and current behaviour support practices and support needs. Quantitative and qualitative data were analysed using descriptive statistics and thematic analysis respectively. Results: Despite the prevalence of written behaviour support plans, their perceived usefulness and staff involvement in their development were inconsistent. Collaboration with family members is valued but often limited by factors such as time constraints and communication difficulties. Staff identified a need for increased training and additional resources to provide effective behaviour support. Conclusion: This study highlights the need for improved training and support for RAC staff in managing BPSD, and a practice framework that clarifies roles and responsibilities across behaviour support service systems. Further research is needed to inform evidence-based behavioural interventions in RAC settings, with emphasis on collaborative practices that support best outcomes for residents with dementia.