ReviewNursing open2026
From Nursing Homes to Geriatric Psychiatry: Contextual Factors Associated With the Admission of People With Dementia and Behaviour That Challenges-An Integrative Review.
Review in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
aimTo systematically identify the contextual factors leading to (re)admission to psychiatry of people with dementia and behaviour that challenges living in nursing homes. Behaviour that challenges is understood as a social construct that reflects individual and environmental factors and their interaction.
designThe 5-step Whittemore & Knafl method was followed for this integrative review. DATA SOURCES: The databases MEDLINE, CINAHL, Cochrane Library, GeroLit and PsychINFO and the study registers ISRCTN, PROSPERO and DRKS were searched. Hand search and citation tracking were used.
methodsInclusion and exclusion criteria were applied. Two independent reviewers assessed the quality of the studies via the Mixed Method Appraisal Tool and Joanna Briggs Institute's instruments. Data synthesis and integration were based on The Convergent Integrated Approach for Mixed Methods Systematic Reviews and the thematic analysis of Braun and Clarke.
results1161 articles were identified, 8 articles/studies were retained. The contextual factors could be specified as 'crisis determining factors' (main theme). Three sub-themes were identified: multifactoriality and -dimensionality of dementia and behaviour that challenges; structural and systemic barriers and lack of effective interprofessional and patient-centred collaboration.
conclusionDementia crises often lead to hospitalisation. A key crisis-determining factor is interprofessional collaboration. High-quality studies on this topic are lacking. The existing results originate mainly from Europe and should be interpreted with caution in view of contextual and methodological limitations. Policymakers should promote cross-sector care models, the deployment of psychiatric crisis teams, Advance Care Planning and digital communication tools. REPORTING
methodWe based our reporting on the PRISMA 2020 statement. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
trial registrationPROSPERO 2022 CRD42022367169; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022367169.
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.