急性期医療における老年科および認知症のベストプラクティスを組み込むための実装科学戦略の使用
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).
Background:
Hospitalizations are challenging for older adults and people living with dementia due to geriatric syndromes and behavioral disturbances. Person-centered care (PCC) is a proven strategy to improve outcomes.
Problem:
We experienced an increase in behavioral disturbances and long stays of Veterans with dementia in an acute care setting.
Approach:
We used the Consolidated Framework for Implementation Research and Expert Recommendations for Implementing Changes to implement a Geriatric-Cognitive Impairment Protocol to promote PCC and geriatric best practices.
Results:
Through identification of barriers and facilitators, PCC interventions were enacted, behavioral disturbances declined, and nurses reported a more person-centered environment and improved access to tools to provide evidence-based care.
Conclusion:
Implementation science strategies can facilitate PCC and geriatric best practices through a modifiable nursing protocol.
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