Topic of Interest: Continuity of care for dementia patients during hospitalizations. Searchable ...

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Topic of Interest: Continuity of care for dementia patients during hospitalizations. Searchable Question: In patients with dementia that live in long-term care facilities would a patient specific plan of care that relates to the nursing home care plan reduce agitation and restlessness by providing improved continuity of care during hospitalizations versus a generalized care plan? by Mind Map: Topic of Interest: Continuity of care for dementia patients during hospitalizations.  Searchable Question: In patients with dementia that live in long-term care facilities would a patient specific plan of care that relates to the nursing home care plan reduce agitation and restlessness by providing improved continuity of care during hospitalizations versus a generalized care plan?

1. Methods

1.1. Data Collection

1.1.1. NHIS Database

1.1.1.1. Lee, Jung, Choi, Shin, & Lee, (2018).

1.1.2. Questionnaires

1.1.2.1. O’Brien, Goldberg, Pilnick, Beeke, Schneider, Sartain, Harwood, (2018).

1.1.2.2. Lin, Hsieh, & Lin, (2012).

1.1.3. Retrospective Chart Review

1.1.3.1. Timmons, O’Shea, O’Neill, Gallagher, Siún, Mcardle, Kennelly, (2016).

1.1.4. Admission Crtieria

1.1.4.1. Lin, Chen, & Wang, (2015).

1.1.5. Observational

1.1.5.1. Lin, Weng, Wu, Tsai, & Yeh, (2018).

1.2. Design

1.2.1. Quantitative

1.2.1.1. Lin, Weng, Wu, Tsai, & Yeh, (2018).

1.2.1.2. Timmons, O’Shea, O’Neill, Gallagher, Siún, Mcardle, Kennelly, (2016).

1.2.1.3. Lin, Hsieh, & Lin, (2012).

1.2.1.4. Lee, Jung, Choi, Shin & Lee, (2018).

1.2.2. Mixed-Method

1.2.2.1. O’Brien, Goldberg, Pilnick, Beeke, Schneider, Sartain, Harwood, (2018).

1.2.3. Qualitative

1.2.3.1. Lin, Chen, & Wang, (2015).

1.3. Data Analysis

1.3.1. Sensitivity Analysis

1.3.1.1. Lee, Jung, Choi, Shin & Lee, (2018).

1.3.2. Descriptive Statistics

1.3.2.1. Timmons, O’Shea, O’Neill, Gallagher, Siún, Mcardle, Kennelly, (2016).

1.3.2.2. Lin, Hsieh, & Lin, (2012).

1.3.2.3. Lin, Chen, & Wang, (2015).

1.3.2.4. Lin, Weng, Wu, Tsai, & Yeh, (2018).

1.3.2.5. O’Brien, Goldberg, Pilnick, Beeke, Schneider, Sartain, Harwood, (2018).

2. Purpose: why was the study conducted

2.1. To Improve Patient Care for Dementia Patients

2.1.1. Lee, Jung, Choi, Shin, & Lee, (2018).

2.1.2. Lin, Weng, Wu, Tsai, & Yeh, (2018).

2.1.3. Lin, Hsieh, & Lin, (2012).

2.1.4. Lin, Chen, & Wang, (2015).

2.1.5. O’Brien, Goldberg, Pilnick, Beeke, Schneider, Sartain, Harwood, (2018).

2.1.6. Timmons, O’Shea, O’Neill, Gallagher, Siún, Mcardle, Kennelly, (2016).

3. Journal

3.1. BMC Geriatrics

3.1.1. Timmons, O’Shea, O’Neill, Gallagher, Siún, Mcardle, Kennelly, (2016).

3.2. Nursing Journal

3.2.1. The Journal of Nursing Research

3.2.1.1. Lin, Weng, Wu, Tsai, & Yeh, (2018).

3.2.1.2. Lin, Hsieh, & Lin, (2012).

3.2.1.3. Lin, Chen, & Wang, (2015).

3.2.2. Plos One

3.2.2.1. Lin, Weng, Wu, Tsai, & Yeh, (2018).

3.2.2.2. O’Brien, Goldberg, Pilnick, Beeke, Schneider, Sartain, Harwood, (2018).

4. Results

4.1. Conclusive, study results were as expected

4.1.1. Lee, Jung, Choi, Shin, & Lee, (2018).

4.1.2. Timmons, O’Shea, O’Neill, Gallagher, Siún, Mcardle, Kennelly, (2016).

4.1.3. Lin, Weng, Wu, Tsai, & Yeh, (2018).

4.1.4. Lin, Hsieh, & Lin, (2012).

4.1.5. Lin, Chen, & Wang, (2015).

4.1.6. O’Brien, Goldberg, Pilnick, Beeke, Schneider, Sartain, Harwood, (2018).

5. Limitations

5.1. Studies time frame needed to be longer

5.1.1. Lee, Jung, Choi, Shin & Lee, (2018).

5.2. Patient outcomes were not measured

5.2.1. O’Brien, Goldberg, Pilnick, Beeke, Schneider, Sartain, Harwood, (2018).

5.3. Data was collected retrospectivley

5.3.1. Timmons, O’Shea, O’Neill, Gallagher, Siún, Mcardle, Kennelly, (2016).

5.4. The study was small

5.4.1. Lin, Hsieh, & Lin, (2012).

5.4.1.1. Lin, Chen, & Wang, (2015).

5.5. Financial restrictions

5.5.1. Lin, Weng, Wu, Tsai, & Yeh, (2018).

6. Gaps

6.1. Future studies need more diverse data

6.1.1. Lee, Jung, Choi, Shin & Lee, (2018).

6.1.2. Timmons, O’Shea, O’Neill, Gallagher, Siún, Mcardle, Kennelly, (2016).

6.1.3. Lin, Weng, Wu, Tsai, & Yeh, (2018).

6.1.4. Lin, Hsieh, & Lin, (2012).

6.2. Future sample sizes should be larger

6.2.1. Lin, Chen, & Wang, (2015).

6.3. Patient outcomes need to be considered

6.3.1. O’Brien, Goldberg, Pilnick, Beeke, Schneider, Sartain, Harwood, (2018).

7. Levels of Evidence

7.1. Level IV

7.1.1. Lee, Jung, Choi, Shin & Lee, (2018).

7.1.2. Timmons, O’Shea, O’Neill, Gallagher, Siún, Mcardle, Kennelly, (2016).

7.1.3. Lin, Chen, & Wang, (2015).

7.2. Level V

7.2.1. O’Brien, Goldberg, Pilnick, Beeke, Schneider, Sartain, Harwood, (2018).

7.2.2. Lin, Hsieh, & Lin, (2012).

7.3. Level III

7.3.1. Lin, Weng, Wu, Tsai, & Yeh, (2018).

8. Sample

8.1. Randomly Selected

8.1.1. Lee, Jung, Choi, Shin, &Lee, (2018).

8.2. Convenience Sampling

8.2.1. O’Brien, Goldberg, Pilnick, Beeke, Schneider, Sartain, Harwood, (2018).

8.2.2. Timmons, O’Shea, O’Neill, Gallagher, Siún, Mcardle, Kennelly, (2016).

8.2.3. Lin, Hsieh, & Lin, (2012).

8.2.4. Lin, Chen, & Wang, (2015).

8.2.5. Lin, Weng, Wu, Tsai, & Yeh, (2018).

9. Study Ethics

9.1. Health Service Executives National Quality and Patient Safety Directorate approved

9.1.1. Signed Consents

9.1.1.1. Approved by an Institutional Board

9.1.1.1.1. Lee, Jung, Choi, Shin & Lee, (2018).

9.1.1.1.2. Lin, Hsieh, & Lin, (2012).

9.1.1.1.3. Lin, Chen, & Wang, (2015).

9.1.1.1.4. Lin, Weng, Wu, Tsai, & Yeh, (2018).

9.2. Ethical considerations not listed

9.2.1. O’Brien, Goldberg, Pilnick, Beeke, Schneider, Sartain, Harwood, (2018).

9.2.1.1. Timmons, O’Shea, O’Neill, Gallagher, Siún, Mcardle, Kennelly, (2016).

10. References

10.1. Lee J, Jung SJ, Choi J-w, Shin A, Lee YJ (2018) Use of sedative-hypnotics and the risk of Alzheimer’s dementia: A retrospective cohort study. PLoS ONE 13(9): e0204413. https://doi.org/10.1371/journal.pone.0204413 Lin, L. W., Weng, S. C., Wu, H. S., Tsai, L. J., Lin, Y. L., & Yeh, S.H. (2018). The effects of white noise on agitated behaviors, mental status, and activities of daily living in older adults with dementia. The Journal of Nursing Research, 26(1), 2-9. doi:10.1097/jnr.0000000000000211 Lin, P. C., Hsieh, M. H., & Lin, L. C. (2012). Hospital nurse knowledge of and approach to dementia care. The Journal of Nursing Research, 20(3), 197-207. doi:10.1097/jnr.0b013e318263d82e Lin, W. L., Chen, Y. F., & Wang, J. (2015). Factors associated with the development of delirium in elderly patients in intensive care units. The Journal of Nursing Research, 23(4), 322-328. doi:10.1097/jnr.0000000000000082 O’Brien, R., Goldberg, S. E., Pilnick, A., Beeke, S., Schneider, J., Sartain, K., . . . Harwood, R. H. (2018). The VOICE study – A before and after study of a dementia communication skills training course. Plos One, 13(6). doi:10.1371/journal.pone.0198567 Timmons, S., O’Shea, E., O’Neill, D., Gallagher, P., Siún, A. D., Mcardle, D., . . . Kennelly, S. (2016). Acute hospital dementia care: Results from a national audit. BMC Geriatrics, 16(1). doi:10.1186/s12877-016-0293-3