Evidence map›Paper›PMID 31011113›Full record

ArticleGeriatrics (Basel, Switzerland)2018

Pilot of a Charter to Improve Management of Medicines and Oral Care for Residents with Dysphagia in Care Homes.

Jacqueline E Morris, Frances Hollwey, Dharinee Hansjee, Rachel A Power, Richard Griffith, Timothy Longmore, David G Smithard, Eleanor Dann-Reed, David J Wright

Open access · goldAbstract read
In one paragraph

Article in Geriatrics (Basel, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Dysphagia in Frail Patients Is Not Frailty Dysphagia.Geriatrics (Basel, Switzerland) · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Jacqueline E MorrisPatients Association, Harrow HA1 3YJ, UK. jacqueline.seifert.morris@gmail.com.
Frances HollweyPatients Association, Harrow HA1 3YJ, UK. frances.hollwey@patients-association.com.
Dharinee HansjeeRoyal College of Speech and Language Therapists, London SE1 1NX, UK. dharinee.hansjee@nhs.net.
Rachel A PowerPatients Association, Harrow HA1 3YJ, UK. rachel.power@patients-association.com.
Richard GriffithCollege of Human and Health Sciences, Swansea University, Singleton Park, Swansea SA2 8PP, UK. richard.griffith@swansea.ac.uk.
Timothy LongmoreElvington Medical Practice, Elvington, York YO41 4LD, UK. timothy.longmore@nhs.net.ORCID 0000-0003-3090-6105
David G SmithardLewisham and Greenwich NHS Trust, Queen Elizabeth Hospital, London SE18 4QH, UK. david.smithard@nhs.net.
Eleanor Dann-ReedSchool of Pharmacy, University of East Anglia, Norwich Research Park, Norwich NR4 7TJ, UK. E.Reed@uea.ac.uk.
David J WrightSchool of Pharmacy, University of East Anglia, Norwich Research Park, Norwich NR4 7TJ, UK. D.j.wright@uea.ac.uk.ORCID 0000-0003-3690-9593
The Patients Association · GBUniversity of East Anglia · GBQueen Elizabeth Hospital · GBRoyal College of Speech and Language Therapists · GBSwansea University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Research in care homes has demonstrated that medication management practices in patients with dysphagia and those receiving medicines covertly may be inappropriate, illegal, and potentially cause harm. This paper presents the results of a feasibility study piloting a resident and healthcare professional best practice charter to improve such practices in care home residents with dysphagia. A charter was developed through a multi-professional expert panel, implemented in one care home, and then piloted in 22 homes in England, Wales, and Northern Ireland. A website was setup and developed iteratively to support the process. Care home staff and residents provided initial feedback on the implementation process and on perceived outcomes six months post implementation. A total of 16 (88.9%) out of 18 respondents from nine homes for six months reported a positive response to the charter. More than 80% of responses regarding the implementation process, impact on staff confidence, and perceived usefulness of the charter were positive. Perceived effectiveness and usefulness could, however, be further improved especially the perceived effect on frequency of medication review, which is reliant on external stakeholder involvement. The charter and supporting website were well received with respondents believing that it was useful, staff showing more confidence, and residents having enhanced care. Approaches to enhancing the charter's effectiveness were identified.

Indexed as

care homechartercovert administrationdysphagia

Identifiers

PMID31011113
PMCPMC6371168
OpenAlexW2415293225

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.