Factors associated with unsettled relationships between residents and care staff in long-term care facility

In our study, UR were observed in 28.8% of LTCF residents, with the highest frequency of RR (20.5%), followed by RS (19.4%) and SF (17.4%). We found that men demonstrated higher than women risk of the analyzed UR. Interestingly, moderate to severe cognitive impairment decreased the odds of RR and SF. We used to think that dementia and psychiatric diseases are the main predictors of conflict behaviors in LTCF setting. However, our findings show that behavioral, psychotic and depressive symptoms are the major factors which enhance the risk of UR in LTCF. Hence, we recommend clinicians to focus on better detecting, monitoring and controlling these symptoms to prevent the URs in LTCF. The second important study results is that some somatic diseases may also independently increase the risk of UR between the residents and the staff.