Evidence map›Paper›PMID 33222528›Full record

ArticleDementia (London, England)2021

Healthcare professionals' perspectives on rehabilitating persons with cognitive impairment.

Katherine S McGilton, Shirin Vellani, Nancy Zheng, Daniel Wang, Lydia Yeung, Astrid Escrig-Pinol

Open access · hybridAbstract read
In one paragraph

Article in Dementia (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

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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

6 authors at 1 institution in 2 countries.

Katherine S McGilton7961KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Shirin Vellani7961KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-6032-0266
Nancy ZhengLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada; KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario.
Daniel WangKITE-Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario.
Lydia YeungKITE-Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario.
Astrid Escrig-Pinol7961KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Mar Nursing School (ESIMar), Pompeu Fabra University, Barcelona, Spain.
University Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesDespite emerging evidence that persons with cognitive impairment (CI) (including dementia and/or delirium) can be rehabilitated post-hip fracture surgery, there still remains a paucity of research on best practice rehabilitation strategies that help healthcare providers effectively rehabilitate persons with CI. Therefore, this qualitative study explores healthcare professionals' (HCPs) perspectives who have been successfully providing rehabilitation for people with CI. RESEARCH DESIGN AND

methodsSixteen HCPs with a specialty in rehabilitating persons with CI from one inpatient rehabilitation facility with various professional backgrounds were purposively sampled using a maximum diversity sampling strategy. Three focus group discussions were conducted to explore their experiences of providing rehabilitation to persons with CI. A hybrid inductive-deductive approach was used to analyze the data.

findingsHCPs acknowledged that older adults with CI deserved the opportunity for inpatient rehabilitation and that good outcomes were achievable; however, their knowledge, skills, and attitudes required reframing. The analysis identified three essential components to rehabilitation: (1) staff education and support, (2) tailored rehabilitation approaches, and (3) care partner involvement and support. DISCUSSION AND IMPLICATIONS: Rehabilitation of persons with CI post-hip fracture surgery is achievable, and HCPs can learn to modify their practices to achieve positive patient outcomes. The attitudes of the healthcare team members had to be shifted to embrace the belief that persons with CI can be rehabilitated. However, it takes a steep learning curve, creativity, ingenuity, and tailored approaches to rehabilitate persons with CI successfully. This involves knowing the individual, maintaining routines, and learning the best ways to engage and motivate the person. As well, care partners' knowledge and understanding of the individual improved the chances of a successful rehabilitation stay and discharge. Essential to the success of rehabilitation of persons with CI includes a supportive management team to help create the processes to enable their staff to succeed.

Indexed as

Cognitive DysfunctionDementiaRehabilitationAgedDelivery of Health CareFemaleFocus GroupsHealth PersonnelHumansMaleagedcognitive impairmentdementiahip fracturepatient-centered carerehabilitation

Identifiers

PMID33222528
PMCPMC8216319
OpenAlexW3106798942

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.