Sustainable nurse‐led care for people with dementia including mild cognitive impairment and their family in an ambulatory care setting: A scoping review

Aims This review aimed to determine the characteristics of a nurse‐led intervention for people with dementia including mild cognitive impairment and their family in an ambulatory care setting. Background Enhancing the role of nurses in a multidisciplinary team of ambulatory care follow‐up after a di...

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Veröffentlicht in:International journal of nursing practice 2022-06, Vol.28 (3), p.e13008-n/a
Hauptverfasser: Yamakawa, Miyae, Kanamori, Takuya, Fukahori, Hiroki, Sakai, Ikuko
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Sprache:eng
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Zusammenfassung:Aims This review aimed to determine the characteristics of a nurse‐led intervention for people with dementia including mild cognitive impairment and their family in an ambulatory care setting. Background Enhancing the role of nurses in a multidisciplinary team of ambulatory care follow‐up after a diagnosis of dementia is thought to lead to successful dementia care. Design This is a scoping review. Data Sources MEDLINE, CINAHL, EMBASE, Cochrane, JBI, Japan Medical s Society, PsycINFO and Web of Science were searched on 14 March 2019. Review Methods This scoping review was conducted using the Joanna Briggs Institute methodology, followed the PRISMA‐ScR checklist and considered studies that included interventions conducted by nurses and included outcomes regarding dementia symptoms or family care burden. Results Eleven studies were included. Of these, all interventions were multifactorial and reported effective results. Educational interventions were most common, and the content of education included the characteristics of dementia and how to interact with patients with dementia. The roles of nurses included caregiver education, assessment, care plan creation for continuous monitoring and team building. Conclusion This scoping review suggested that effective nurse‐led interventions in the ambulatory care of people with dementia are continuous patient and family supports, primarily caregiver education within multidisciplinary teams. Summary statement What is already known about this topic? Roles of nurses in dementia care consisted of understanding dementia, recognizing dementia, effective communication, assisting with daily living activities, promoting a positive environment, ethical and person‐centred care, therapeutic work, responding to the needs of family carers, preventative work and health promotion and special needs groups. Outpatient nurse‐led interventions were not economically different from those led by doctors, but they produced better results regarding health‐related quality of life. Nurse education was an important factor in ambulatory dementia care. What this paper adds? Among the selected 11 studies, nurse interventions in interdisciplinary teams included assessment, care coordination and monitoring. Nurse‐centred psychological support is important in addition to determining the patient's condition and dealing with potential problems. Follow‐up for at least 6 months is important to determine a patient's condition, which is associated with a wi
ISSN:1322-7114
1440-172X
DOI:10.1111/ijn.13008