Nurses' attitudes and views on the application of antipsychotics in patients with dementia: A systematic review of qualitative studies

Ma, Dongfei; Zhao, Yingnan; Wan, Zhenzhen; Sun, Dan; Li, Huanhuan; Xie, Zongting; Sun, Jiao

doi:10.1016/j.gerinurse.2019.10.007

Cited by 4 publications

(3 citation statements)

References 50 publications

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“…Despite a few negative beliefs, positive attitudes of staff towards antipsychotics use in residents with BPSD were evident, similar to a systematic review of qualitative studies in this field [ 22 ]. The positive beliefs were largely identified from study findings in nursing homes and long-term care facilities.…”

Section: Discussionsupporting

confidence: 63%

“…Several studies have explored staff perceptions on antipsychotic use for BPSD [ 14 – 20 ], with a systematic review of qualitative studies summarizing the decision-making process and prescribing behaviours of stakeholders for nursing home residents [ 21 ]. Another qualitative systematic review also focused on nurses’ attitudes and views towards antipsychotic use in people with dementia [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

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A systematic review of quantitative studies exploring staff views on antipsychotic use in residents with dementia in care homes

Raza,

Piekarz,

Jawad

et al. 2023

Int J Clin Pharm

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Background Despite significant warnings of adverse effects, antipsychotics continue to be prescribed for managing the behavioural and psychological symptoms of dementia (BPSD) in care homes. Information provided by staff working within care homes is a factor that can influence prescribing decisions in residents with BPSD. Aim The review aimed to capture care home staff views towards antipsychotics for residents with BPSD and separately analyse tools utilized in the studies, mapping them onto the theory of planned behaviour (TPB). Method A comprehensive literature search published in ten databases was conducted between May and July 2020 and updated in July 2021. Studies published in full with no date restriction were included and quality assessed using CROSS checklist. A thematic framework approach was applied to extract data and study tools which were then mapped onto the TPB. Results Fourteen studies (2059 participants) were included. Findings identified four overarching themes: attitudes toward antipsychotics (e.g. antipsychotics as an appropriate strategy and effectiveness); barriers to deprescribing (e.g. lower staff education, lack of resources and time, poor medication reviews); measures implemented (e.g. nonpharmacological interventions, medication reviews); and perceived needs of staff (e.g. need for training, financial or clinical support). Identified tools addressed seven but not all components of TPB namely, behavioural, normative and control beliefs, attitude, perceived behavioural control, intention and behaviour. Conclusion The positive attitudes toward antipsychotics, the identified barriers to deprescribing and the existing tools not addressing all components of the TPB provide the impetus for further research.

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Section: Discussionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

A systematic review of quantitative studies exploring staff views on antipsychotic use in residents with dementia in care homes

Raza,

Piekarz,

Jawad

et al. 2023

Int J Clin Pharm

View full text Add to dashboard Cite

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“…In particular, factor I displayed the importance of family involvement and family-centered care (Q30; +4 and Q3; À3 in Table 1) for dementia and that unconditional admission to a nursing home was not the best solution (Q31; À2 in Table 1). A study conducted by Ma et al (2019) has emphasized the importance of home care for dementia and reported that when home care fails, there might be increased behavioral and psychological symptoms of dementia, psychiatric referral, misuse or (2) overuse of medical drugs, and healthcare expenditures. Boscart et al (2019) have reported that living well with dementia means maintaining one's own home and staying together with healthy people in the community.…”

Section: Resultsmentioning

confidence: 99%

Home‐dwelling older adults' attitudes and perceptions of dementia: A Q‐methodological study in South Korea

2022

Japan Journal Nursing Sci

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Aim: Older adult attitudes and perceptions of dementia can have a major impact on early diagnosis, efforts to prevent and appropriately treat it, as well as being a family burden. The aim of this study is to explore attitudes and perceptions of dementia of home-dwelling older adults using Q-methodology.Method: A total of 42 adults, age 65 or over, who live in South Korea ranked 37 Q statements about their attitudes and perceptions of dementia into A Q sort table grid. Results: The following three distinct viewpoints were extracted: (1) it is my responsibility to prevent and to care about dementia (family-centered view);(2) there are no ways to treat dementia (despairing views); and (3) dementia is a national responsibility (nation-centered view). Conclusion:Based on these results, central and local government and communities should work together with older adults to manage dementia and reflect these three viewpoints when developing systematic dementia management programs.

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A description of risk associated with use of antipsychotics among community dwelling older adults: A descriptive cross-sectional study

Ruíz‐González,

González‐López,

García-Ramón

et al. 2024

Geriatric Nursing

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Nurses' attitudes and views on the application of antipsychotics in patients with dementia: A systematic review of qualitative studies

Cited by 4 publications

References 50 publications

A systematic review of quantitative studies exploring staff views on antipsychotic use in residents with dementia in care homes

A systematic review of quantitative studies exploring staff views on antipsychotic use in residents with dementia in care homes

Home‐dwelling older adults' attitudes and perceptions of dementia: A Q‐methodological study in South Korea

A description of risk associated with use of antipsychotics among community dwelling older adults: A descriptive cross-sectional study

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