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Article: Implementation and Evaluation of an Acute Care Multicomponent Intervention for Dementia-Related Behavioral Expressions.

Gilmore-Bykovskyi, Andrea / Markart, Megan / Imig, Khloe / Hunt, Karen / Murray, Dave / Block, Laura / Dhein, Jennifer

Journal of gerontological nursing

2021  Volume 47, Issue 9, Page(s) 21–30

Abstract: Despite the high prevalence and negative outcomes associated with poorly managed dementia-related behavioral expressions (BE) during hospitalization, evidence-based interventions for BE management in acute care environments are lacking. To address this ... ...

Abstract Despite the high prevalence and negative outcomes associated with poorly managed dementia-related behavioral expressions (BE) during hospitalization, evidence-based interventions for BE management in acute care environments are lacking. To address this gap, we designed, implemented, and evaluated feasibility, utility, and exploratory nurse and patient outcomes associated with a low-cost, nurse-led multicomponent decision support intervention-the Personalized Approach and Targeted Interventions (PROACTIVE) Treatment Approach-which was implemented as a quality improvement program and evaluated with a historical matched comparison group. The intervention was feasibly implemented and improved nurse-sensitive outcomes (stress, confidence), practices (use of nonpharmacological approaches) for BE management, and perceived utility of intervention resources. Patients receiving the PROACTIVE Treatment Approach (
MeSH term(s) Aged ; Behavior Therapy ; Dementia/therapy ; Geriatric Nursing ; Hospitalization ; Humans ; Quality Improvement
Language English
Publishing date 2021-09-01
Publishing country United States
Document type Journal Article
ZDB-ID 603140-7
ISSN 0098-9134
ISSN 0098-9134
DOI 10.3928/00989134-20210803-02
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