Shadow Health Papers
Understanding Communication in Persons with Dementia
Literature Evaluation Table
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| Criteria | Article 1 | Article 2 | Article 3 | Article 4 |
| Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Carpenter, C. R., Leggett, J., Bellolio, F., Betz, M., Carnahan, R. M., Carr, D., … & Weintraub, s. Journal of the American Medical Directors Association, https://doi.org/10.1016/j.jamda.2022.02.024
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Harwood, R. H., O’Brien, R., Goldberg, S. E., Allwood, R., Pilnick, A., Beeke, S., … & Schneider, J. Health Services and Delivery Research, http://hdl.handle.net/20.500.12904/7990 | Collins, R., Hunt, A., Quinn, C., Martyr, A., Pentecost, C., & Clare, L. Dementia (London, England), https://doi.org/10.1177/14713012211069449 | Leavey, G., Corry, D. S., Waterhouse-Bradley, B., Curran, E., Todd, S., McIlfatrick, S., Coates, V., Watson, M., Abbott, A., McCrory, B., & McCormack, B. BMJ open, https://doi.org/10.1136/bmjopen-2019-036249 |
| Article Title and Year Published
|
Emergency department (ED) communication in persons living with dementia and care partners, 2022. | A staff training intervention to improve communication between people living with dementia and health-care professionals in hospital: The VOICE mixed-methods development and evaluation study, 2018. | Methods and approaches for enhancing communication with people with moderate-to-severe dementia that can facilitate their inclusion in research and service evaluation: Findings from the IDEAL programme, 2022.
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Acceptability and use of a patient-held communication tool for people living with dementia: a longitudinal qualitative study, 2020. |
| Research Questions (Qualitative)/Hypothesis (Quantitative)
|
What are the ED communication strategies for persons living with dementia? | What are the effective strategies for communication between healthcare providers and PLWD? | What are the effective methods, tools, and approaches that can be used to facilitate communication in dementia patients? | What is the acceptability and use of healthcare passports for people with dementia and their families? |
| Purposes/Aim of Study | The study aimed at synthesizing literature on emergency department communication strategies with persons living with dementia (PLWD) and their care partners. | The study aimed at identifying the teachable, effective communication strategies between PLWD and healthcare professionals. | The study aimed at identifying the methods, tools, and approaches to facilitate meaningful communication with PLWD. | The study aimed at determining the acceptability and use of low-cost patient-held communication tool in facilitating communication and decision-making for service users. |
| Design (Type of Quantitative, or Type of Qualitative)
|
Systematic scoping review | Mixed methods: Systematic literature review and evaluation study | Exploratory study | Longitudinal qualitative research |
| Setting/Sample
|
The study focused on patients living with dementia in the emergency department setting. | Geriatric hospital and two clinical skill centers. | Professionals from healthcare and educational settings with knowledge about dementia. | Primary and community services dealing with PLWD in Northern Ireland. |
| Methods: Intervention/Instruments
|
An electronic search of literature from medical research databases. | The researchers video-recorded encounters between staff and dementia patients. | A purposive sampling approach was used to recruit participants. Semi-structured interviews were conducted to elicit responses regarding communication with PLWD. | The longitudinal study recruited people with mild-to-moderate dementia living in the community. In-depth interviews were also conducted in this population. |
| Analysis
|
The researchers synthesized common themes emerging from the literature search. | Analysis of literature review from 26 studies that described 10 communication strategies. | Transcripts of the interviews were imported into NVivo 12 and the seven-stage framework analysis was used. | Information from the interviews was transcribed and then entered into a qualitative software program (N-Vivo V.11) for data coding and management. |
| Key Findings
|
There were inconsistencies in passing messages to persons living with dementia. | 10 evidence-based strategies for communication were identified.
Knowledge and confidence levels of professionals regarding communication with PLWD increased after training. |
17 interviewees from academic and educational backgrounds provided information about communication. The main themes from the research included using the right communication approach and personalization of care. | Most people considered the use of the passport tool to be effective during the advanced stages of dementia. Privacy issues were raised among those that used the passport communication tool. |
| Recommendations
|
Specific communication strategies should be used when handling PLWD. | Communication skills training should be done to improve the care of PLWD. | Professionals should consider building on approaches that use pictures, objects, and photographs to improve communication. | Ownership of communication tools is an area that required more research when caring for PLWD.
Consultation is necessary if tools for communication are to be used in PLWD. |
| Explanation of How the Article Supports EBP/Capstone Project
|
The article demonstrates that problems in communication exist when dealing with PLWD. Addressing observed barriers can help to improve outcomes for this population. | This study highlights evidence-based communication strategies to use when caring for PLWD. It demonstrates that communication is important and training is required to ensure staff communicates well with dementia patients. | This research identifies effective communication strategies that can be used to improve the care of dementia patients. The study provides understanding of the tools and techniques for improving communication with PLWD. | This research identifies communication tools like passports that can be used to enhance the care of PLWD in communities. The research supports my project by highlighting different approaches to communication improvement when caring for PLWD in communities. |
| Criteria | Article 5 | Article 6 | Article 7 | Article 8 |
| Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Dresden, S. M., Taylor, Z., Serina, P., Kennedy, M., Wescott, A. B., Hogan, T., Shah, M. N., Hwang, U, Journal of the American Medical Directors Association, https://doi.org/10.1016/j.jamda.2022.05.024 |
Livingston, G., Huntley, J., Sommerlad, A., Ames, D., Ballard, C., Banerjee, S., Brayne, C., Burns, A., Cohen-Mansfield, J., Cooper, C., Costafreda, S. G., Dias, A., Fox, N., Gitlin, L. N., Howard, R., Kales, H. C., Kivimäki, M., Larson, E. B., Ogunniyi, A., Orgeta, V., … Mukadam, N. Lancet (London, England), https://doi.org/10.1016/S0140-6736(20)30367-6 | Nguyen, H., Terry, D., Phan, H., Vickers, J., & McInerney, F. Journal of Clinical Nursing, https://doi.org/10.1111/jocn.14697 | van Manen, A. S., Aarts, S., Metzelthin, S. F., Verbeek, H., Hamers, J. P. H., & Zwakhalen, S. M. G. International Journal of Nursing Studies, https://doi.org/10.1016/j.ijnurstu.2020.103776 |
| Article Title and Year Published
|
Optimal Emergency Department Care Practices for Persons Living With Dementia, 2022 | Dementia prevention, intervention, and care: 2020 report of the Lancet Commission, 2020. | Communication training and its effects on carer and care‐receiver outcomes in dementia settings: A systematic review, 2019. | A communication model for nursing staff working in dementia care: Results of a scoping review, 2021 |
| Research Questions (Qualitative)/Hypothesis (Quantitative)
|
What are the optimal ED care practices for PLWD? | What are the key preventive measures and interventions for PLWD? | What factors are associated with communication between nursing staff and dementia patients? | |
| Purposes/Aim of Study | The aim of the study was to determine optimal ED practices for PLWD and develop research priorities. | The study aimed at describing dementia prevention, intervention, and care based on the 2020 report from the Lancet commission. | The study aimed at reviewing communication interventions that improve regular care of PLWD. | The aimed to identify factors associated with the communication process between nursing staff and people with dementia. |
| Design (Type of Quantitative, or Type of Qualitative)
|
Systematic scoping review | Meta-analysis | Systematic review and meta-analysis | Scoping review |
| Setting/Sample
|
Patients living with dementia in the ED | Patients living with dementia across care settings | Patients living with dementia from different care settings. | Nursing staff and people living with dementia. |
| Methods: Intervention/Instruments
|
PICO questions were used to guide the literature search process. | The researchers gathered evidence from the 2020 report on dementia patients by the Lancet commission. | Articles from Medline, Embase, CINAHL, ProQuest and PsycINFO databases were searched. | A literature search from the bibliographic databases of PubMed, CINAHL, and PsycINFO was done. |
| Analysis
|
Thematic analysis was used to group common findings from the literature. | Thematic analysis of key areas including dementia prevention, intervention, and care. | Pooled data from the identified studies were analyzed in Stata 12.1 with p-values less than 0.5 considered statistically significant. | A thematic synthesis that utilized the content analysis method was used. |
| Key Findings
|
There were concerns raised on ED care processes including management of symptoms, communication with patients, and pain management. | Communication was among the stressed areas of care for PLWD. Addressing issues with communication may include the use of effective communication strategies and hearing aids for those with hearing problems. | Communication training was one of the strategies to improve the care of PLWD. | Verbal communication skills like active listening and non-verbal communication like eye contact were effective in improving communication with PLWD. |
| Recommendations
|
Training of ED providers on dementia care practices. | Intervention son multiple aspects of care for PLWD is required to achieve optimal outcomes. Individual changes and policies can aid in addressing cognitive impairment in PLWD. | More research is needed to ascertain the relevance of educational approaches to improve communication in PLWD. | More research should be conducted to analyze which factors in communication are relevant in which care situation.
Secondly, respect, a flexible and adapted communication approach, matching language, and music should be used to improve communication when caring for PLWD. |
| Explanation of How the Article Supports EBP/Capstone
|
This study determines the need to train ED staff on various care practices for PLWD. The capstone project deals with addressing communication as one of the care practices for PLWD. | This study determines that PLWD are faced with different issues including communication. Interventions to address these issues are provided and they can be used to guide my capstone project. | The article outlines enhanced health worker skills that can be used to improve communication to meet the needs of dementia patients. My project deals with the identification of these strategies and interventions to understand the care of PLWD. | This article highlights communication strategies that can be used to improve the care of PLWD. The study supports my project by highlighting effective provider and patient communication strategies that can be used to improve the care of dementia patients. |
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