Evidence map›Paper›PMID 34235765›Full record

ArticleJournal of advanced nursing2021

Improving caring quality for people with dementia in nursing homes using IPOS-Dem: A stepped-wedge cluster randomized controlled trial protocol.

Frank Spichiger, Andrea L Koppitz, Susanne De Wolf-Linder, Fliss E M Murtagh, Thomas Volken, Philip Larkin

Open access · hybridAbstract readClinical Trial Protocol
In one paragraph

Article in Journal of advanced nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Primary care contacts, continuity, identification of palliative care needs, and hospital use: a population-based cohort study in people dying with dementia.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  5. 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

6 authors at 4 institutions in 2 countries.

Frank SpichigerHES-SO ▪ University of Applied, Science and Arts of Western Switzerland, School of Health Sciences Fribourg, Fribourg, Switzerland.ORCID https://orcid.org/0000-0003-1900-1938
Andrea L KoppitzHES-SO ▪ University of Applied, Science and Arts of Western Switzerland, School of Health Sciences Fribourg, Fribourg, Switzerland.ORCID https://orcid.org/0000-0002-7274-6691
Susanne De Wolf-LinderZHAW, Zurich University of Applied Science, School of Health Professions, Institute of Nursing, Winterthur, Switzerland.ORCID https://orcid.org/0000-0003-3421-2418
Fliss E M MurtaghUniversity of Hull, Hull York Medical School, Hull, UK.ORCID https://orcid.org/0000-0003-1289-3726
Thomas VolkenZHAW, Zurich University of Applied Science, School of Health Professions, Institute of Health Science, Winterthur, Switzerland.ORCID https://orcid.org/0000-0002-1490-011X
Philip LarkinFaculty of Biology and Medicine, Institute of Nursing, UNIL, University of Lausanne, Lausanne, Switzerland.ORCID https://orcid.org/0000-0001-8424-3920
HES-SO Fribourg · CHUniversity of Hull · GBUniversity of Lausanne · CHZHAW Zurich University of Applied Sciences · CH

Funding

Schweizerische Akademie der Medizinischen Wissenschaften PC 20/17
6 · The paper itself

Abstract

aimsWe aim to evaluate the effectiveness of the Integrated Palliative Care Outcome Scale for people with dementia-based case studies to improve the caring quality for people with dementia in nursing homes by frontline staff and family members.

backgroundSwiss nursing homes mostly care for people with dementia. This population is at high risk of receiving little to no palliation for their complex needs. The majority of Swiss frontline healthcare staff do not systematically report on the needs of their residents. Additionally, family members do not routinely participate in assessment processes.

designWe will conduct a stepped-wedge cluster randomized trial of repeated assessment using the Integrated Palliative Care Outcome Scale for people with dementia (IPOS-Dem) and subsequent case studies. Clusters will consist of Swiss nursing homes randomly assigned to one of three sequential intervention time points.

methodsThe study population will consist of people with dementia living in nursing homes with and without specialized dementia care facilities. Over 16 months, staff working at the frontline and family members will assess the needs and concerns of people with dementia using IPOS-Dem. Depending on sequence allocation, facilitated case studies will start after 3, 6 or 9 months. The primary outcome will be caring quality measured by QUALIDEM. The secondary outcome will be symptoms and concerns, as indicated by the IPOS-Dem sum-score. The Zürich Ethics Committee approved the study in 2019 (2019-01847). IMPACT: The results of this study will contribute to improving the effectiveness of person-centred care for people with dementia. Collaboration between healthcare staff and family members will be systematically developed and built upon thorough assessment using the IPOS-Dem and related case studies. The use of IPOS-Dem will offer all frontline staff a systematic approach to have an independent voice within the nursing process, regardless of their qualification or grade.

Indexed as

DementiaFamilyHumansNursing HomesPalliative CareQuality of Health CareRandomized Controlled Trials as Topiccaringdementiafamilyneedsnursingnursing homepalliative carequality of life

Identifiers

PMID34235765
PMCPMC8518061
OpenAlexW3182947919

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.