PosterPDF Available

Expanded nursing roles in the care for people with cognitive impairment in acute hospitals – a systematic review

Authors:
Verena von der Lühe at University of Cologne
Verena von der Lühe
Marcelina Roos at University of Cologne
Marcelina Roos
Mareike Löbberding at University of Cologne
Mareike Löbberding
Sophie Peter at Witten/Herdecke University
Sophie Peter
Show all 7 authorsHide
Download file PDF
Read file
Download citation
Content uploaded by Verena von der Lühe
Author content
All content in this area was uploaded by Verena von der Lühe on Jan 03, 2024
Content may be subject to copyright.
Expanded nursing roles in the care for people with cognitive
impairment in acute hospitals –a systematic review
References
[1] Fogg, C., Griffiths, P., Meredith, P., & Bridges, J. (2018). Hospital outcomes of older people with cognitive impairment: An integrative review. Int J Geriatr Psychiatry, 33(9), 1177-1197.
https://doi.org/10.1002/gps.4919, [2] Handley, M., Bunn, F., & Goodman, C. (2017). Dementia-friendly interventions to improve the care of people living with dementia admitted to hospitals: a realist review. BMJ
Open, 7(7), e015257. https://doi.org/10.1136/bmjopen-2016-015257, [3] Hong, Q., Pluye, P., Fàbregues, S., Bartlett, G., Boardman, F., Cargo, M., Dagenais, P., Gagnon, M.-P., Griffiths, F., Nicolau, B., O'Cathain, A.,
Rousseau, M.-C., & Vedel, I. (2018). Mixed Methods Appraisal Tool (MMAT). Canadian Intellectual Property Office. [4] Hoffmann, T. C., Glasziou, P. P., Boutron, I., Milne, R., Perera, R., et al. (2014). Better reporting
of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ : British Medical Journal, 348, g1687. https://doi.org/10.1136/bmj.g1687, [5] Tracy, M. F., O'Grady, E. T., &
Phillips, S. J. (2019). Hamric & Hanson's Advanced Practice Nursing-E-Book: An Integrative Approach. Elsevier Health Sciences. [6] Page, M. J., Moher, D., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., et al. (2021).
PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. Bmj, 372, n160. https://doi.org/10.1136/bmj.n160
Verena von der Lühe, M.Sc.
Institute of Nursing Science
University and University Hospital of Cologne
verena.von-der-luehe@uk-koeln.de
Background
•Hospitalisation is a challenge for people with cognitive impairment [1]
•Care processes not adapted to the individual needs lead to complications
and adverse events [1]
•Nurses in expanded roles can contribute to improve quality of care and
foster person-centred care for people with cognitive impairment [2]
Methods
Aim
To describe expanded roles and tasks of nurses caring for people with
cognitive impairment and their relatives in acute hospitals
Results
Agarwal (2020)
Baldwin (2004)
Burgess (2003)
Catic (2013)
Collinson
(1998)
Davies (2008)
Gilmore
-Bykowski
(2021)
Goldberg (2013)
Hasemann
(2015)
Law (2008)
Naylor (2014, 2016)*
Schindel
-Martin (2016)
Sinvani
(2018)
Travers (2018a, 2018b)
Yevchak
(2017)
Intervention
Transitional
care
Consultation
&
liaison
model
Specialised
care
unit
Specific
phenomena
&
adverse
events
Person
-centred
care
Nursing role
Advanced Practice
Nurse
(
Specialised)
Registered Nurse
Recipient
People
with
cognitive
impairment
Relatives
Health
care staff
Discussion
•The studies present different approaches to integrate expanded
practice nurses into specialised hospital care
•The results informed the curriculum of a 200-hour training that
supported the development of an expanded nursing role to
promote person-centred care for people with cognitive
impairment in Germany
Publications
Intervention
characteristics
•Of 44 studies identified, 29 include people with delirium and 15
include people with cognitive impairment
•We included 15 studies (Fig 1) reporting on 16 interventions (Tab. 1)
•Studies were randomised controlled trials (n=2), quasi-
experimental studies (n=10) and cross-sectional studies (n=3)
Tab. 1 Intervention characteristics
* This study reports two different interventions for transitional care
Records identified
n = 3 488
Records screened
n = 2 718
Reports assessed for eligibility
n = 178
Studies included
n = 44
Studies on people with cognitive
impairment
n = 15
Duplicates
n = 770
Excluded
n = 2 540
Excluded
n = 134
Identification
Screening
Inclusion
Fig. 1 Flowchart for study selection [6]
Systematic
Review (PROSPERO: CRD42021265157)
MEDLINE via PubMed, CINAHL via EBSCO, Cochrane
Library, Web of Science, ALOIS, and LIVIVO
searched
from inception to December 2021
criteria
Original research studies, all levels of expanded
nursing practice (e.g. nurse
-led concepts and
Advanced Practice Nursing), patients ≥ 65 years
Appraisal
Mixed
-Methods Appraisal Tool [3]
extraction
Study characteristics,
TIDieR-checklist for reporting
complex
interventions [4]
synthesis
Narrative synthesis
based on core competencies of
Advanced Practice Nursing [5]
POS3-16
Verena von der Lühe1, Marcelina Roos1, Mareike Löbberding1, Sophie Peter2,3, Nadine Scholten2, Sascha Köpke1, Martin N. Dichter1
1University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Nursing Science, Cologne, Germany
2University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Chair of Health Services Research, Cologne, Germany
3Chair of General Practice II and Patient-Centredness in Primary Care, Institute of General Practice and Primary Care, Faculty of Health, Witten/Herdecke University, Witten, Germany
ResearchGate has not been able to resolve any citations for this publication.
ResearchGate has not been able to resolve any references for this publication.