Evidence map›Paper›PMID 37431711›Full record

ArticleInternational journal of older people nursing2023

Structural capabilities in primary care practices where nurse practitioners care for persons living with dementia.

Vaneh E Hovsepian, Jianfang Liu, Amelia E Schlak, Tatiana Sadak, Grant Martsolf, Ani Bilazarian, Matthew D McHugh, Lusine Poghosyan

Abstract read
In one paragraph

Article in International journal of older people nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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.

Vaneh E HovsepianSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-0116-0132
Jianfang LiuSchool of Nursing, Columbia University, New York, New York, USA.
Amelia E SchlakDepartment of Veterans Affairs, Washington, DC, USA.
Tatiana SadakSchool of Nursing, University of Washington, Seattle, Washington, USA.
Grant MartsolfSchool of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Ani BilazarianSchool of Nursing, Columbia University, New York, New York, USA.
Matthew D McHughSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Lusine PoghosyanSchool of Nursing, Columbia University, New York, New York, USA.

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI JACQUELINE MARGO BROOKS CARTHON, EILEEN T LAKE · 1999 to 2026
$11.6M
Systems Science and Comparative and Cost-Effectiveness Research Training for Nurse Scientists (S2CER2)T32NR014205 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Lusine Poghosyan, Jingjing Shang · 2013 to 2026
$4.2M
Racial and Ethnic Disparities in Chronic Disease Outcomes and Nurse Practitioner PracticeR01MD011514 · NIMHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI POGHOSYAN, LUSINE · 2017 to 2020
$3.0M
The Influence of Primary Care Structural Capabilities on Hospitalizations among Older Adults with DementiaR36AG071946 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HOVSEPIAN, VANEH ELENA · 2021 to 2021
$48k
NIA NIH HHS R36 AG071946NIA NIH HHS R36AG071946-01NIMHD NIH HHS R01 MD011514NINR NIH HHS T32 NR007104NINR NIH HHS T32 NR014205
6 · The paper itself

Abstract

backgroundPrimary care structural capabilities (i.e., electronic health records, care coordination, community integration, and reminder systems) can address the multiple needs of persons living with dementia (PLWD).

objectivesThis study describes structural capabilities in primary care practices where nurse practitioners (NPs) provide care to PLWD and compares the presence of structural capabilities in practices with a high and low volume of PLWD.

methodsWe conducted a secondary analysis of cross-sectional data from 293 NPs in 259 practices in California. Logistic regression models were used to determine the association between the volume of PLWD and the presence of structural capabilities.

resultsNPs reported that 96% of practices had electronic health records, 61% had community integration, 55% had reminder systems and 35% had care coordination capabilities. Practices with a high volume of PLWD were less likely to have community integration compared to practices with a low volume of PLWD.

conclusionMany PLWD-serving practices do not have the essential infrastructure for providing optimal dementia care. Practice managers should focus on implementing the essential structural capabilities to address the complex needs of PLWD. IMPLICATIONS FOR PRACTICE: Clinicians and practice administrations can use the findings of this study to improve the delivery of care in practices that provide care to PLWD.

Indexed as

DementiaNurse PractitionersCaregiversCross-Sectional StudiesHumansPrimary Health Carenurse practitionerspersons living with dementiaprimary carestructural capabilities

Identifiers

PMID37431711
PMCPMC10569265

What OpenQuestion holds

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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.