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Updated: Sep 20, 2025
04:13
Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
Published on: February 8, 2019
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Evidence-Based Clinical Guideline for Wandering in Hospitalized Persons With Dementia
Ko-Xin Chen1, Miao-Hsin Ko2, Valerie T Cotter3
1Department of Nursing, College of Medicine, National Cheng Kung University.
Journal of Gerontological Nursing
|May 22, 2025
Summary
New clinical guidelines help manage wandering in hospitalized persons with dementia (PwD). Developed through expert consensus and literature review, these recommendations are practical for improving dementia care.
Area of Science:
- Geriatric Medicine
- Neurology
- Nursing Science
Background:
- Wandering is a common and challenging behavior in hospitalized persons with dementia (PwD).
- Effective management strategies are crucial for patient safety and care quality.
Purpose of the Study:
- To develop evidence-based clinical guidelines for managing wandering in hospitalized persons with dementia (PwD).
Main Methods:
- Guideline development utilized the PICO framework and a scoping literature review.
- Expert consensus was achieved via the Delphi method, followed by external and methodological reviews.
- Clinical applicability was assessed through testing in hospital settings.
Main Results:
- The guideline includes 33 recommendations across two key topics.
- External and methodological experts provided positive ratings for the recommendations.
- Nurses found most recommendations easy to implement in clinical practice.
Conclusions:
- The developed guideline offers a valuable framework to enhance the quality of care for hospitalized persons with dementia.
- Implementation of these guidelines can lead to improved patient safety and management of wandering behaviors.
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