Training interventions to improve general hospital care for older people with cognitive impairment: systematic review
| Autor: | Lyndsay Lindley, Claire Dickinson, Clare Abley, Laura Prato, Zoe Andrews, Louise Robinson |
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| Rok vydání: | 2019 |
| Předmět: |
Health Knowledge
Attitudes Practice medicine.medical_specialty MEDLINE Psychological intervention PsycINFO CINAHL Hospitals General 03 medical and health sciences 0302 clinical medicine Intervention (counseling) medicine Humans Dementia Cognitive Dysfunction Staff Development 030212 general & internal medicine Aged 030504 nursing Health management system business.industry Delirium medicine.disease Quality Improvement Psychiatry and Mental health Family medicine medicine.symptom 0305 other medical science business |
| Zdroj: | British Journal of Psychiatry. 214:201-212 |
| ISSN: | 1472-1465 0007-1250 |
| DOI: | 10.1192/bjp.2019.29 |
| Popis: | BackgroundIn response to increasing numbers of older people in general hospitals who have cognitive impairment such as dementia and delirium, many hospitals have developed education and training programmes to prepare staff for this area of clinical practice.AimsTo review the evidence on educational interventions on hospital care for older people with cognitive impairment.MethodA mixed methods systematic review and narrative synthesis was undertaken. The following electronic databases were searched: Medline, Embase, CINAHL, PsycINFO, EBM Reviews, ASSIA and Scopus, as well as Health Management Information Consortium (HMIC), ProQuest, PubMed and SCIE: Social Care Online. Initial searches were run in August 2014 (update search September 2016). Titles and abstracts of studies retrieved were screened independently. The full text of eligible studies were then independently assessed by two review team members. All included studies were assessed using a standard quality appraisal tool.ResultsEight studies relating to delirium, six on dementia and two on delirium and dementia were included, each testing the use of a different educational intervention. Overall, the quality of the studies was low. In relation to delirium, all studies reported a significant increase in participants' knowledge immediately post-intervention. Two of the dementia studies reported an increase in dementia knowledge and dementia confidence immediately post-intervention.ConclusionsThe variety of outcomes measured makes it difficult to summarise the findings. Although studies found increases in staff knowledge, there is insufficient evidence to conclude that educational interventions for staff lead to improved patient outcomes.Declaration of interestNone. |
| Databáze: | OpenAIRE |
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