ArticleBMC nursing2025
Healthcare professionals' perspectives on contextual factors related to (re)referral and (re)admission to geriatric psychiatry of people with dementia and behaviour that challenges living in nursing homes in Germany: a qualitative study.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled 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.
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.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Prevalence and Incidence of Dementia for Schizophrenia and Other Primary Psychotic Disorders: A Systematic Review and Meta-Analysis.Asia-Pacific psychiatry : official journal of the Pacific Rim College of Psychiatrists · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEscalation or crisis and the related referral and admission of people with dementia from nursing homes to geriatric psychiatry often results from a complex interplay of disease-related, structural and interprofessional factors. In particular, few contextual links have been identified at the interface between nursing homes and geriatric psychiatry.
methodsThe study followed an exploratory qualitative design. Between May and July 2024, 17 semi-structured interviews were conducted with six nursing home directors/nursing service managers, six nurses, and five general practitioners/specialists. Data were analysed using qualitative content analysis according to Kuckartz and Rädiker. Reporting was based on the COREQ checklist for qualitative studies.
resultsBuilding on six deductive main categories, we developed 14 subcategories. (1) Multifactoriality and multidimensionality of dementia and behaviour that challenges: 1.1 Characterisation and complexity; 1.2 Impacts. (2) Interventions in behaviour that challenges: 2.1 Trigger identification; 2.2 Non-pharmacological measures; 2.3 Use of psychotropic drugs. (3) Structure-based ability to act: 3.1 Treatment barriers; 3.2 Care conditions. (4) Interprofessional cooperation: 4.1 Information exchange and decision-making; 4.2 Roles and collaboration; 4.3 Transitions. (5) Resources of the setting: 5.1 Professional factors; 5.2 Environmental factors. (6) Coping with the crisis situation: 6.1 Procedures in the crisis development process; 6.2 Individual and psychosocial factors.
conclusionOur findings reveal contextual factors in the care of people with dementia and behaviour that challenges that are linked to the escalation of care situations, the development of dementia crises, and to the referral and admission of people with dementia to geriatric psychiatry. These results indicate that structural, personnel and interprofessional changes are necessary at both the personal and professional levels throughout the entire care pathway in order to enable person-centred care for people with dementia. To this end, we recommend the expansion of outpatient geriatric psychiatric care services to improve accessibility and support for nursing staff in crisis situations, clearly defined responsibilities in interprofessional collaboration, dementia-specific training for nursing staff in nursing homes and resilience-building team programmes to improve crisis management are also necessary.
trial registrationFollowing positive ethical approval, we prospectively registered the study in the German Clinical Trials Register on 2 May 2024, prior to the inclusion of the first participant (DRKS-ID DRKS00034176).
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.