Impact of the Dementia Care in Hospitals Program on acute hospital staff satisfaction

Murray, Margaret E.; Shee, Anna Wong; West, Emma C.; Morvell, Michelle; Theobald, Meredith; Versace, Vincent L.; Yates, Mark

doi:10.1186/s12913-019-4489-z

Cited by 15 publications

(35 citation statements)

References 17 publications

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“…In total, 20 articles met the inclusion criteria (see ow chart in Figure 1). Most of the interventional studies had a before-after design [22][23][24][25][26][27][28][29][30][31] (n = 10). One was a cluster-randomised controlled trial [32], and two were controlled clinical trials [33,34].…”

Section: Resultsmentioning

confidence: 99%

“…Of the interventional studies, ve studies were conducted in Australia [24,25,30,31,34], three in the United States [22,26,32], two in the United Kingdom [23,28] and each one in Canada [33], Germany [29] and Switzerland [27]. Four systematic reviews were carried out in the UK [15,16,35,36] and three in Australia [37][38][39].…”

Section: Resultsmentioning

confidence: 99%

“…Four systematic reviews were carried out in the UK [15,16,35,36] and three in Australia [37][38][39]. The included interventional studies presented a range of interventions for people with dementia in the acute hospital setting, including educational interventions for healthcare staff [23,26,28,30,33] (n = 5), for healthcare staff and non-clinical staff [31] (n=1) or for volunteers working with people with dementia in the hospital [29] (n = 1). Two studies focused on family-/person-centred programmes [24,25], and two studies on specially trained nurses [32,34].…”

Section: Resultsmentioning

confidence: 99%

“…The main weakness of the non-randomized interventional studies was the selection of participants since most studies did not use a control group [23][24][25][26][28][29][30][31]. Confounders were considered in four of the twelve studies [24,26,30,33].…”

Section: Risk Of Bias Of Included Studiesmentioning

confidence: 99%

“…Three of the educational interventions for healthcare staff were aimed at different hospital professions (nurses, doctors, allied health professionals, occupational/physiotherapists) [23,28,33]. One focussed on both clinical and non-clinical staff [31]. Two addressed communication skills and used experiential as well as interactive strategies [21,26].…”

Section: Intervention Characteristicsmentioning

confidence: 99%

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A systematic review of interventions to improve acute hospital care for people with dementia

Karrer

Schnelli

Zeller

et al. 2020

Preprint

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Background: People with dementia are confronted with negative consequences due to hospital stays. When developing new interventions to improve care for people with dementia in acute care hospitals (by intervention we understand organisational strategies, programmes, and/or treatments and actions performed by healthcare professionals), it is crucial to have a comprehensive overview of previous interventions tested in this field and to know the outcomes.Methods: We conducted a systematic review to provide an overview of interventions targeting the care situation of patients with dementia in acute care hospitals. We included trials with interventional study designs and systematic reviews without restrictions regarding the outcomes. We searched five electronic databases, conducted a hand search of journals and performed forward and backward citation tracking of included studies. For risk of bias assessment, we used the Cochrane Collaboration’s tool for assessing risk of bias in randomised trials, ROBANS (for non-randomised controlled trials) and AMSTAR (for systematic reviews). We provide tabular and narrative summaries of the findings. Results: Twenty studies met the inclusion criteria. The findings indicated a broad range of interventions and outcomes. We categorised the interventions into eight intervention types: educational programmes, special non-pharmacological interventions, delirium management programmes, inpatient rehabilitation interventions, family-/person-centred programmes, use of specially trained nurses, volunteer programmes and special care units. Staff outcomes were investigated in most of the studies, followed by patient outcomes. Outcomes concerning relatives were reported in four studies. Educational programmes were the most commonly reported intervention type and resulted in improved staff outcomes. Family-/person-centred care programmes, use of specially trained nurses and delirium management programmes were effective in improving patient-related outcomes, e.g. delirium severity and functional performance. Rehabilitation interventions after hip fractures and special care units for people with dementia hardly showed any significant effects. Conclusions: Although the included interventional studies reported improved outcomes concerning patients, relatives and staff, the evidence is insufficient to declare which interventions are effective in improving care for people with dementia in acute care hospitals. Future research should focus on relevant patient and family caregiver outcomes. Thereby, it is necessary to consider the complexity of the interventions. Interventions addressing relatives, interprofessional collaboration and the entire practice culture are needed. Trial registration: PROSPERO: CRD42018111032.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Risk Of Bias Of Included Studiesmentioning

confidence: 99%

Section: Intervention Characteristicsmentioning

confidence: 99%

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A systematic review of interventions to improve acute hospital care for people with dementia

Karrer

Schnelli

Zeller

et al. 2020

Preprint

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A Principle-Based Approach to Visual Identification Systems for Hospitalized People with Dementia

Brigden,

Mitchell,

Kuberska

et al. 2023

Bioethical Inquiry

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A large proportion of hospital inpatients are affected by cognitive impairment, posing challenges in the provision of their care in busy, fast-paced acute wards. Signs and symbols, known as visual identifiers, are employed in many U.K. hospitals with the intention of helping healthcare professionals identify and respond to the needs of these patients. Although widely considered useful, these tools are used inconsistently, have not been subject to full evaluation, and attract criticism for acting as a shorthand for a routinized response. In order for visual identifiers to be used effectively in acute care settings, thorough consideration must be given to the ethical and legal issues that are engaged in this context, and their potential benefits and harms must be weighed and balanced. This paper proposes a set of legal and ethical principles that can be used to guide the implementation of visual identifiers. Together, these principles provide a framework applicable in the design and implementation phases to systematically identify relevant considerations arising from the use of these tools. We outline some tensions that arise between principles and conclude that selecting a preferred moral framework could help to guide decision-making, as does clarity around the purpose and objectives of the identifier.

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A systematic review of interventions to improve acute hospital care for people with dementia

et al. 2021

View full text Add to dashboard Cite

Impact of the Dementia Care in Hospitals Program on acute hospital staff satisfaction

Cited by 15 publications

References 17 publications

A systematic review of interventions to improve acute hospital care for people with dementia

A systematic review of interventions to improve acute hospital care for people with dementia

A Principle-Based Approach to Visual Identification Systems for Hospitalized People with Dementia

A systematic review of interventions to improve acute hospital care for people with dementia

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