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Translating evidence into practice: the case of dementia guidelines in specialized geriatric services
David L Lewis1, David Jewell, Irene Turpie
1Regional Geriatrics Program Central, 88 Maplewood Avenue, Hamilton, ON, L8M 1W9, Canada. lewisda@mcmaster.ca
Abstract:
This paper describes a process of identifying best practice guidelines for non-pharmacological management for individuals with dementia and disseminating them to a group of frontline practitioners in specialized geriatric services. Our dissemination plan involved early participation of practitioners, development of a chart summarizing five guidelines showing commonalities, contrasts, and gaps in the guidelines, and their interpretation, colour-coded for the strength of the evidence on which they were based. Two sequential workshops were held in which recommendations for action were developed. Outcomes of the process included a resource manual, a network of practitioners, and action recommendations based upon survey data. An early follow-up evaluation showed increased adoption of guidelines.
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