The role of the dementia specialist nurse in acute care: a scoping review
Aims and objectives To identify the potential benefits of dementia specialist nursing and to inform the implementation of roles to support people with dementia during hospital admission. Background Extended stays and adverse events mean that hospital admissions are costly for people with dementia, a...
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| Vydáno v: | Journal of clinical nursing Ročník 24; číslo 9-10; s. 1394 - 1405 |
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| Hlavní autoři: | , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
England
Blackwell Publishing Ltd
01.05.2015
Wiley Subscription Services, Inc |
| Témata: | |
| ISSN: | 0962-1067, 1365-2702, 1365-2702 |
| On-line přístup: | Získat plný text |
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| Shrnutí: | Aims and objectives
To identify the potential benefits of dementia specialist nursing and to inform the implementation of roles to support people with dementia during hospital admission.
Background
Extended stays and adverse events mean that hospital admissions are costly for people with dementia, and patient experiences and outcomes can be poor. Specialist nurses have been identified as having potential to enhance care quality, reduce excess stays and reduce costs, but the evidence base for dementia specialist nurse roles has not previously been synthesised.
Design
Scoping review.
Data sources
Cochrane Library, Campbell Collaboration, Clinical Evidence, Evidence‐Based Medicine, York Centre for Reviews and Dissemination, PubMed, Medline, CINAHL and PsycInfo databases and internet searches and personal libraries/expert consultation to identify grey literature.
Methods
Initial scoping searches were used to inform more focused systematic searches. Studies directly evaluating dementia nurse specialist roles or giving evidence of effectiveness of interventions/services that could be delivered by them to improve core outcomes were identified by one reviewer and verified by a second reviewer.
Results
While direct evidence for the effectiveness of these roles is lacking, a number of areas were identified in which a nurse specialist role could make a contribution, including preventing adverse events and improving patient experiences and outcomes. There is a considerable body of evidence for the effectiveness of these interventions although the volume of evidence for specific interventions is not always significant.
Conclusions
The evidence indicates that a skilled dementia specialist nurse, undertaking a clearly defined role, and working directly with people with dementia and their carers for a significant proportion of the time, could benefit people with dementia in hospitals and their family carers.
Relevance to clinical practice
Clear guidance for the development and implementation of dementia specialist nurse roles in acute hospital settings. |
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| Bibliografie: | ark:/67375/WNG-G7Q2R1DS-5 istex:ABF65465C5C32498E67223A630BBCC23E0B0F81B RCN Foundation ArticleID:JOCN12717 Royal College of Nursing SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 14 ObjectType-Article-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23 ObjectType-Article-2 ObjectType-Literature Review-3 |
| ISSN: | 0962-1067 1365-2702 1365-2702 |
| DOI: | 10.1111/jocn.12717 |