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

Melanie Karrer*, Angela Schnelli, Adelheid Zeller, Hanna Mayer

*Corresponding author for this work

Research output: Journal article (peer-reviewed)Journal article

8 Citations (Scopus)

Abstract

The aim of this study was to provide an overview of interventions targeting hospital care of patients with dementia. We conducted a systematic review, including interventional study designs. We searched five electronic databases, conducted a hand search and performed citation tracking. To assess risk of bias, we used Cochrane Collaboration's tool, ROBANS and AMSTAR. We narratively summarized the outcomes. The findings of twenty studies indicated a broad range of interventions and outcomes. We categorised the interventions into eight intervention types. Educational programmes were the most 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 some patient-related outcomes. However, current evidence is insufficient to declare which interventions are effective in improving dementia care in acute hospitals. Future research should focus on relevant patient and family caregiver outcomes and must consider the complexity of the interventions when evaluating them.

Original languageEnglish
Pages (from-to)657-673
Number of pages17
JournalGeriatric Nursing
Volume42
Issue number3
DOIs
Publication statusPublished - 01 May 2021
Externally publishedYes

Keywords

  • Acute care
  • Acute hospital
  • Cognitive impairment
  • Dementia
  • Systematic review
  • Caregivers
  • Hospitals
  • Humans
  • Family
  • Dementia/therapy

ASJC Scopus subject areas

  • Gerontology

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