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Related Experiment Video

Updated: Jan 13, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Using Implementation Science Strategies to Embed Geriatric and Dementia Best Practices in Acute Care.

Karen Nicolai1, Catherine A Hebert, Mary Beth Turner

  • 1Author Affiliations: Nursing, Western North Carolina VA Health Care System, Asheville, NC, USA (Ms Nicolai, Dr Hebert, Ms Turner, Ms Trinity, Ms Sheppard, Ms Moore).

Journal of Nursing Care Quality
|January 6, 2026
PubMed
Summary
This summary is machine-generated.

Implementing a Geriatric-Cognitive Impairment Protocol improved person-centered care (PCC) for Veterans with dementia, reducing behavioral disturbances and hospital stays. This approach enhances geriatric best practices in acute care settings.

Keywords:
clinical protocoldementiageriatricimplementationnursing

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Area of Science:

  • Geriatric Medicine
  • Implementation Science
  • Nursing Care

Background:

  • Hospitalizations pose challenges for older adults and individuals with dementia.
  • Geriatric syndromes and behavioral disturbances complicate acute care.
  • Person-centered care (PCC) is a validated strategy for improving patient outcomes.

Purpose of the Study:

  • To address increased behavioral disturbances and prolonged hospital stays for Veterans with dementia in an acute care setting.
  • To implement a protocol promoting PCC and geriatric best practices.

Main Methods:

  • Utilized the Consolidated Framework for Implementation Research (CFIR) and Expert Recommendations for Implementing Change (ERIC).
  • Implemented a Geriatric-Cognitive Impairment Protocol.
  • Identified barriers and facilitators to intervention.

Main Results:

  • Successfully enacted PCC interventions.
  • Observed a decline in behavioral disturbances.
  • Nurses reported a more person-centered environment and better access to evidence-based care tools.

Conclusions:

  • Implementation science strategies effectively promote PCC and geriatric best practices.
  • A modifiable nursing protocol can facilitate these improvements.
  • This approach is valuable for managing complex patient populations in acute care.