Using Implementation Science Strategies to Embed Geriatric and Dementia Best Practices in Acute Care.

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...

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Publicado en:Journal of Nursing Care Quality Vol. 41; no. 3; pp. 215 - 224
Autores principales: Nicolai, Karen, Hebert, Catherine A., Turner, Mary Beth, Trinity, Christen, Sheppard, Jennifer, Moore, Heather
Formato: CEU research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Jun-Sep2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun-Sep2026
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      pub: Lippincott Williams & Wilkins
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        atl: Using Implementation Science Strategies to Embed Geriatric and Dementia Best Practices in Acute Care.
      aug:
        au:
          Nicolai, Karen
          Hebert, Catherine A.
          Turner, Mary Beth
          Trinity, Christen
          Sheppard, Jennifer
          Moore, Heather
        affil: Nursing, Western North Carolina VA Health Care System, Asheville, NC, USA (Ms Nicolai, Dr Hebert, Ms Turner, Ms Trinity, Ms Sheppard, Ms Moore).
      sug:
        subj:
          Implementation Science
          Acute Care
          Dementia Therapy
          Quality Improvement
          Patient Centered Care
          Nursing Protocols
          Dementia Nursing
          Gerontologic Nursing
          Cognition Disorders Nursing
          Human
          Education, Continuing (Credit)
          Veterans
          Dementia Patients
          Nursing Units
          Aged
          Aged, 80 and Over
          Male
          Female
          Descriptive Statistics
          Pearson's Correlation Coefficient
          North Carolina
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
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        research
        tables/charts
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      ougenre: Article
    language: English
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