Evidence map›Paper›PMID 35638502›Full record

SynthesisAustralasian journal on ageing2022

Development of a clinical pathway for behavioural and psychological symptoms of dementia care: A tool to improve resident outcomes.

Kate J Kennedy, Marion Eckert, Deborah Forsythe, Joanne Wagner, Greg Sharplin

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Australasian journal on ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 37% 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, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. 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

5 authors at 1 institution in 1 country.

Kate J KennedyRosemary Bryant AO Research Centre, University of South Australia, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-9246-3533
Marion EckertRosemary Bryant AO Research Centre, University of South Australia, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-7232-6208
Deborah ForsytheRosemary Bryant AO Research Centre, University of South Australia, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-4923-2112
Joanne WagnerEldercare Inc., Payneham, South Australia, Australia.
Greg SharplinRosemary Bryant AO Research Centre, University of South Australia, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0001-6294-1146
University of South Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesClinical pathways are used to improve the quality of care, reduce variation and maximise health or treatment outcomes in selected populations. The aim of this study was to develop a draft clinical pathway based on the best practice evidence for use in the management of behavioural and psychological symptoms of dementia (BPSD) in residential aged care facilities (RACFs).

methodsThe pathway was developed using the best practice evidence from clinical practice guidelines, operational guides and a systematic literature review. A multidisciplinary team of health professionals and researchers worked in an iterative process to contextualise the proposed pathway to local needs and context, and improve its clarity and user-friendliness. The pathway was then re-assessed for accuracy and adherence to the evidence.

resultsThe draft pathway outlines processes for BPSD prevention, watchful waiting for mild-to-moderate BPSD, and specific interventions for severe BPSD. Ongoing risk assessment is required throughout, and non-pharmacological options are first-line interventions. Person-centred care was found to be an important care component across all three phases. An instruction guide with colour-coded flow charts was developed to assist staff with determining the best care and treatment for each person living with dementia. Feasibility testing is underway.

conclusionsA draft clinical pathway based on clinical practice guidelines was developed to enhance the translation of evidence into practice for the management of BPSD, by nursing and clinical leaders in RACFs.

Indexed as

DementiaAgedBehavioral SymptomsCritical PathwaysHealth PersonnelHumansTreatment Outcomeagedcritical Pathwaysdementiaevidence-based practicepatient-centred care

Identifiers

PMID35638502
PMCPMC9545625
OpenAlexW4281988132

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.