Using a Nursing Minimum Data Set with older patients with dementia in an acute care setting

Park, Myonghwa; Delaney, Connie W; Maas, Meridean; Reed, David

doi:10.1111/j.1365-2648.2004.03097.x

Cited by 25 publications

(30 citation statements)

References 36 publications

(75 reference statements)

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“…Six of the included studies measured activities that were seen as direct measurements of nursing practice linked to safety, prevention and medication, for example, health screening (Coenen, Weis, Schank, & Matheus, ), prevention (Coenen et al., ; Crogan & Evans, ), bedsore prevention (Goossen et al., ; Myny et al., ), fall prevention (Park, Delaney, Maas, & Reed, ), administration of drugs (Bernaerts, Evers, & Sermeus, ) and glycemia management (Myny et al., ). The studies described findings allocated to nursing diagnoses and nursing interventions performed by parish nurses in faith communities (Coenen et al., ), nursing phenomena, nursing activities and nursing outcomes performed at hospital wards (Goossen et al., ; Park et al., ), frequency of administration of drugs (Bernaerts et al., ) and standard times for nursing activities (Myny et al., ). Nurses' knowledge of preventing pressure ulcers and falls at nursing homes was also investigated (Crogan & Evans, ).…”

Section: Resultsmentioning

confidence: 99%

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Methods, metrics and research gaps around minimum data sets for nursing practice and fundamental care: A scoping literature review

Athlin

2017

Journal of Clinical Nursing

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Section: Resultsmentioning

confidence: 99%

“…Five studies were allocated to the communication and education element (Cardona‐Morrell et al., ; Coenen et al., ; Goossen et al., ; Myny et al., ; Park et al., ). Teaching was described as a nursing intervention by Coenen et al.…”

Section: Resultsmentioning

confidence: 99%

Methods, metrics and research gaps around minimum data sets for nursing practice and fundamental care: A scoping literature review

Athlin

2017

Journal of Clinical Nursing

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“…On average, older adults with dementia have at least three physical comorbidities, which at some point might necessitate hospital admission . However, such individuals are generally not hospitalized for dementia itself . Hospital admission can be associated with reductions in the ability to perform activities of daily living, functioning, and independence .…”

Section: Introductionmentioning

confidence: 99%

“…6 However, such individuals are generally not hospitalized for dementia itself. 7 Hospital admission can be associated with reductions in the ability to perform activities of daily living, functioning, and independence. 8 The behavioural and psychological symptoms of dementia (BPSD) include agitation, aggression, affective disorders, and sleep disturbance.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing hospital admission among patients with autopsy‐confirmed dementia

et al. 2019

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Background The symptoms of geriatric syndromes and the behavioural and psychological symptoms of dementia (BPSD), in addition to clinical conditions, are associated with hospital admission among dementia patients. However, the principal factors that necessitate hospital admission among dementia patients have not been fully elucidated. Methods We retrospectively reviewed the data in the medical and autopsy reports of patients who had been treated at a hospital in Toyohashi, Japan. Each patient had been hospitalized sometime between 2012 and 2016 and underwent a brain autopsy. Dementia and the subtypes of dementia were diagnosed neuropathologically. Information about patients’ general backgrounds, clinical conditions at the time of admission, and the geriatric syndrome symptoms and BPSD before admission was collected; comparisons were then made between patients with and without dementia and among those with the different major subtypes of dementia. Then, the factors relating to hospital admission of dementia patients were comprehensively evaluated by using principle component analysis. Results Of the 128 eligible patients, 100 (78.1%) had dementia. In the comparison of patients with and without dementia, patients without dementia were younger at both admission (P = 0.034) and death (P = 0.003). Among the patients with dementia with Lewy bodies, delusions had a significantly high prevalence (P = 0.014). Principal component analysis identified nine components (disinhibition, irritability/lability, agitation/aggression, anxiety, delusions, sleep/night‐time behaviour disorders, hallucinations, aberrant motor behaviour, and speech impairment) as the principal factors related to hospital admission among dementia patients. Thus, BPSD were identified as principal factors. Conclusions Compared to other factors, BPSD are more likely to cause dementia patients to be admitted to hospital. The present results indicate that measures should be taken to ameliorate the difficulties associated with caring for patients with BPSD at home.

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“…These findings are similar to those found in the United Kingdom and those reported in other studies. 55,58 Significant differences were found between hospitals and wards with the prevalence of some practices. The most significant differences were that in the nongovernment hospital, practices related to paying more attention to the physically disabled patients were more common for both types of wards than that of the government hospital.…”

Section: Discussionmentioning

confidence: 93%

Practices Used in Israel by Nurses Who Care During Hospitalization for Older Patients With Dementia or Who are Bedridden

Iecovich

Rabin

2013

Am J Alzheimers Dis Other Demen

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The study's purpose was to examine (a) bedside nurses' care practices when providing care to patients with dementia or those who are physically disabled and (b) the extent to which these actions vary by type of hospital, type of ward, and nurse's characteristics. The sample included 265 nurses in internal medicine and geriatric wards in 2 general hospitals in Israel. The results showed that the most prevalent practices were giving greater attention to these patients, locating them in a room near the nurses' station and asking family members to stay with the patient or to hire paid carers. Use of restraints was more prevalent in patients with dementia than those who were physically disabled. Use of specific practices significantly varied by type of ward and hospital, suggesting that nurses' care practices are more connected with organizational characteristics than other factors.

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Using a Nursing Minimum Data Set with older patients with dementia in an acute care setting

Cited by 25 publications

References 36 publications

Methods, metrics and research gaps around minimum data sets for nursing practice and fundamental care: A scoping literature review

Methods, metrics and research gaps around minimum data sets for nursing practice and fundamental care: A scoping literature review

Factors influencing hospital admission among patients with autopsy‐confirmed dementia

Practices Used in Israel by Nurses Who Care During Hospitalization for Older Patients With Dementia or Who are Bedridden

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