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Specialist dementia nursing models and impacts: a systematic review

Brown, Pat; Burton, Alexandra; Ayden, Jordan; Harrison Dening, Karen; Hoe, Juanita; Cooper, Claudia; (2023) Specialist dementia nursing models and impacts: a systematic review. Current Opinion in Psychiatry , 36 (5) pp. 376-930. 10.1097/YCO.0000000000000874. Green open access

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Abstract

PURPOSE OF REVIEW: Dementia policy priorities recommend that people who are living with dementia and their family should have access to support and interventions delivered by dementia specialists, including specialist nurses. However, specialist dementia nursing models and role-related competencies are not clearly defined. We systematically review the current evidence regarding specialist dementia nursing models and their impacts. RECENT FINDINGS: Thirty-one studies from across three databases, and grey literature were included in the review. One framework defining specific specialist dementia nursing competencies was found. We did not find convincing evidence of the effectiveness of specialist nursing dementia services, relative to standard models of care from the current, limited evidence base, although families living with dementia valued it. No Randomised Controlled Trial (RCT) has compared the impact of specialist nursing on client and carer outcomes relative to less specialist care, although one nonrandomised study reported that specialist dementia nursing reduces emergency and inpatient service use compared with a usual care group. SUMMARY: Current models of specialist dementia nursing are numerous and heterogeneous. Further exploration of the specialist nursing skills and the impact of specialist nursing interventions is needed to usefully inform workforce development strategies and clinical practice.

Type: Article
Title: Specialist dementia nursing models and impacts: a systematic review
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1097/YCO.0000000000000874
Publisher version: http://dx.doi.org/10.1097/YCO.0000000000000874
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10171159
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