Evidence map›Paper›PMID 37032597›Full record

ArticleDementia (London, England)2023

Patient safety for people experiencing advanced dementia in hospital: A video reflexive ethnography.

Ann Dadich, Jade Rodrigues, Anita De Bellis, Annmarie Hosie, Tamsin Symonds, Justin Prendergast, Alan Bevan, Aileen Collier

Open access · hybridAbstract read
In one paragraph

Article in Dementia (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 5% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

8 authors at 5 institutions in 2 countries.

Ann DadichSchool of Business, Western Sydney University, Parramatta, NSW, Australia.ORCID 0000-0001-5767-1794
Jade RodriguesSchool of Business, Western Sydney University, Parramatta, NSW, Australia.
Anita De BellisCollege of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.
Annmarie HosieSchool of Nursing and Midwifery, University of Notre Dame Australia, Darlinghurst, NSW, Australia.ORCID 0000-0003-1674-2124
Tamsin SymondsSouthern Adelaide Local Health Network, Bedford Park, SA, Australia.
Justin PrendergastSouthern Adelaide Local Health Network, Bedford Park, SA, Australia.
Alan BevanUniversity of Adelaide, Adelaide, SA, Australia.
Aileen CollierResearch Centre for Palliative Care, Death, and Dying (RePadd), Flinders University, Adelaide, SA, Australia.
Flinders University · AUHealth Net · USWestern Sydney University · AUThe University of Adelaide · AUThe University of Notre Dame Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient safety for people experiencing dementia in acute hospitals is a global priority. Despite national strategies as well as safety and quality guidelines, how safety practices are enacted within the complexities of everyday work are poorly understood and articulated.

methodsUsing video reflexive ethnography, this 18-month study was conducted within an inpatient geriatric evaluation and management unit for people experiencing dementia and/or delirium in Australia. Patients, family members, and staff members participated by: allowing researchers to document fieldwork notes and video-record their practices and/or accounts thereof; and/or interpreting video-recordings with researchers to co-analyse and make sense of the data.

resultsSafe care for people experiencing advanced dementia involved: negotiating risk via leadership, teamwork, and transparency; practice-based learning through situated adaptation; managing personhood versus protocols by doing the 'right' thing; joyful and meaningful work; as well as incorporating patient and family voices to do safety together.

conclusionPatient safety for people experiencing dementia requires continuous responsiveness and prioritising in the context of multiple risks by a staff collective with a shared purpose. Ongoing research to better understand how the nuances of patient safety unfold in everyday complex clinical realities in diverse contexts and with key stakeholders is required.

Indexed as

DementiaPatient SafetyAgedAnthropology, CulturalAustraliaHospitalsHumansDementiageriatric evaluation and management unithospitalpatient safetyvideo-reflexive ethnography

Identifiers

PMID37032597
PMCPMC10262326
OpenAlexW4362734941

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.