OP27 Dissemination and implementation in dementia care practice: a systematic scoping review

Abstract Implementing evidence-based innovations into care practice is a complex, slow and haphazard process. Dissemination and implementation (DI) research seeks to understand and optimize that process, to close gaps between research and practice and to improve quality of care. While there is a growing body of international DI research, little is known about the number and types of DI research studies and the DI topics studied in German-speaking nursing settings. This scoping review therefore evaluates the state of nursing-related DI research in German-speaking countries, discusses these results in light of the international state of DI research and provides directions for future research. We searched international databases (Web of Knowledge including Medline, CINAHL, PsycInfo, and GeroLit), German library meta-search engines, six German-language key trade journals, and reference lists of included articles. In total, 186 references representing 140 research projects were included in our review. Quality appraisal used five validated checklists. Methodological quality of the included studies was generally low. A total of 92 studies assessed the effects of DI strategies, 67 studied DI barriers and facilitators, 64 evaluated the impact or characteristics of DI processes, and 5 reported on the development or validation of DI research tools. None of the included studies focussed on methodological questions of DI research or on development and testing of DI theories and models. Future nursing-related DI research in German-speaking countries should particularly focus on these latter topics. Taking into account the international state of DI research will be especially crucial for those research activities.

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Applications of 3D printing in critical care medicine: A scoping review

Anaesthesia and Intensive Care ◽

10.1177/0310057x20976655 ◽

2021 ◽

pp. 0310057X2097665

Author(s):

Natasha Abeysekera ◽

Kirsty A Whitmore ◽

Ashvini Abeysekera ◽

George Pang ◽

Kevin B Laupland

Keyword(s):

Critical Care ◽

Scoping Review ◽

A Priori ◽

Three Dimensional ◽

Critical Care Medicine ◽

Future Research ◽

Care Practice ◽

Three Dimensional Printing ◽

Wide Range ◽

Dimensional Printing

Although a wide range of medical applications for three-dimensional printing technology have been recognised, little has been described about its utility in critical care medicine. The aim of this review was to identify three-dimensional printing applications related to critical care practice. A scoping review of the literature was conducted via a systematic search of three databases. A priori specified themes included airway management, procedural support, and simulation and medical education. The search identified 1544 articles, of which 65 were included. Ranging across many applications, most were published since 2016 in non – critical care discipline-specific journals. Most studies related to the application of three-dimensional printed models of simulation and reported good fidelity; however, several studies reported that the models poorly represented human tissue characteristics. Randomised controlled trials found some models were equivalent to commercial airway-related skills trainers. Several studies relating to the use of three-dimensional printing model simulations for spinal and neuraxial procedures reported a high degree of realism, including ultrasonography applications three-dimensional printing technologies. This scoping review identified several novel applications for three-dimensional printing in critical care medicine. Three-dimensional printing technologies have been under-utilised in critical care and provide opportunities for future research.

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The Current Landscape of Transitions of Care Practice Models: A Scoping Review

Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy ◽

10.1002/phar.1685 ◽

2016 ◽

Vol 36 (1) ◽

pp. 117-133 ◽

Cited By ~ 27

Author(s):

Charmaine D. Rochester-Eyeguokan ◽

Kathleen J. Pincus ◽

Roshni S. Patel ◽

Shirley J. Reitz

Keyword(s):

Scoping Review ◽

Transitions Of Care ◽

Care Practice ◽

Practice Models

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Humanising health and social care support for people with intellectual and developmental disabilities: Protocol for a scoping review (Preprint)

10.2196/preprints.31720 ◽

2021 ◽

Author(s):

Madison Milne-Ives ◽

Rohit Shankar ◽

Daniel Goodley ◽

Kristen Lamb ◽

Richard Laugharne ◽

...

Keyword(s):

Developmental Disabilities ◽

Scoping Review ◽

Social Care ◽

Care Practice ◽

Intellectual And Developmental Disabilities ◽

Eligibility Criteria ◽

Health And Social Care ◽

Scoping Reviews ◽

Care Practices ◽

Improve Health

BACKGROUND Healthcare is shifting towards a more person-centred model, however, people with intellectual and developmental disabilities can still experience difficulties in accessing equitable healthcare. Given these difficulties, it is important to consider how principles such as empathy and respect can be best incorporated into health and social care practices for people with intellectual and developmental disabilities, to ensure they are receiving humanising and equitable treatment and support. OBJECTIVE The purpose of this scoping review is to provide an overview of the current research landscape and knowledge gaps regarding the development and implementation of interventions based on humanising principles that aim to improve health and social care practices for people with intellectual and developmental disabilities. METHODS The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and Population, Intervention, Comparator, Outcome, and Study (PICOS) frameworks will be used to structure the review. Six databases (PubMed, MEDLINE, Embase, CINAHL, PsycInfo, and Web of Science) will be searched for articles published in English in the previous 10 years that describe or evaluate health and social care practice interventions under-pinned by humanising principles of empathy, compassion, dignity, and respect. Two reviewers will collaboratively screen and select references based on the eligibility criteria and extract the data into a predetermined form. A descriptive analysis will be conducted to summarise the results and provide an overview of interventions in three main care areas: health care, social care, and informal social support. RESULTS Results will be included in the scoping review, which will be submitted for publication by December 2021. CONCLUSIONS This scoping review will summarize the state of the field of interventions that are using humanising principles to improve health and social care for adults with intellectual and developmental disabilities.

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Attitudes to dementia and dementia care held by nursing staff in U.K. “non-EMI” care homes: what difference do they make?

International Psychogeriatrics ◽

10.1017/s104161020500150x ◽

2005 ◽

Vol 17 (3) ◽

pp. 383-391 ◽

Cited By ~ 33

Author(s):

A. J. D. Macdonald ◽

R. T. Woods

Keyword(s):

Cognitive Impairment ◽

Nursing Homes ◽

Medication Use ◽

Dementia Care ◽

Care Homes ◽

Care Practice ◽

Senior Nurse ◽

South East England ◽

Training And Support ◽

State Examination

Background: There is doubt about the value of training in dementia care in U.K. nursing homes. We decided to estimate the association between nursing staff's attitudes to dementia and dementia care and their recognition of cognitive impairment in residents and other indicators of care practice in nonspecialist nursing homes derived from a probability sample of 445 residents in South-East England, and to relate this to previous training.Methods: Prospective survey. The most senior nurse on duty was interviewed about each resident sampled, about their own training and experience, their attitude to restriction of egress and covert medication use, and asked to complete the Attitudes to Dementia Questionnaire (ADQ) and the dementia Care Styles Questionnaire (CSQ). Nurses were also asked about care practices in relation to restriction of egress and covert medication use in the home. Residents were interviewed using the Mini-mental State Examination (MMSE).Results: One hundred and fifty-eight nurses were interviewed. Increased person-centered attitudes seem to be associated with better recognition of cognitive impairment independent of training and experience. The espousal of restrictive practices was also associated with better recognition, but only when analysis included nurses reporting on only one impaired resident.Conclusions: More person-centered attitudes are associated with better recognition of cognitive impairment, despite perverse U.K. regulatory incentives; the need for training and support in developing person-centered dementia care for staff in “non-Elderly Mentally Infirm” (“non-EMI”) care homes is supported by these results.

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