Scoping review of outpatient dementia care programs in the U.S. from 2011-2023

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-02-26 DOI:10.1016/j.gerinurse.2025.02.007

Mariya A. Kovaleva RN, PhD, AGPCNP-BC , Fayron Epps PhD, RN, FGSA, FAAN , Bonnie Mowinski Jennings PhD, RN, FAAN , Mi-Kyung Song PhD, RN, FAAN , Carolyn Clevenger RN, DNP, AGPCNP-BC, GNP-BC, FAANP, FGSA, FAAN , Patricia C. Griffiths PhD, MS, FGSA , Michele Balas PhD, RN, CCRN-K, FCCM, FAAN , Sloan Oliver MPH, BS , Krystyna Simon DNP, APRN, FNP-C , Amber Golden DNP, APRN, AGPCNP-BC , Kenneth Hepburn PhD, FGSA

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引用次数: 0

Abstract

Objective

Mainstream primary care settings are suboptimal for providing high quality, accessible outpatient care for persons living with dementia (PLWD). To enhance dementia care quality and access, interprofessional dementia care programs have been implemented. We sought to review the characteristics of these programs.

Methods

Guideline-directed (Arksey & O'Malley, 2005) scoping review of the U.S. dementia care programs (2011–2023).

Results

Twenty-three dementia care programs, described in 72 articles, were identified. All programs were focused on improving dementia care. The programs featured interprofessional approach, PLWD and caregiver involvement, and care access and continuity. Programs varied in scope, specifics of the populations served, duration and types of services, affiliation, linkage with primary care, staff’ credentials, delivery mode, assessments, outcomes, and challenges. Financial and implementation barriers were commonly reported.

Conclusion

Dementia care programs remain few and highly variable. Addressing financial and implementation barriers is essential for the viability and wider adoption of these programs.

查看原文本刊更多论文

目标主流初级医疗机构无法为痴呆症患者（PLWD）提供优质、便捷的门诊护理。为了提高痴呆症护理的质量和可及性，已经实施了跨专业痴呆症护理计划。我们试图回顾这些项目的特点。方法以指南为指导（Arksey & O'Malley, 2005），对美国痴呆症护理项目（2011-2023 年）进行范围界定回顾。所有项目都致力于改善痴呆症护理。这些计划的特点是采用跨专业方法、让 PLWD 和护理人员参与其中，以及提供护理服务和保持护理服务的连续性。计划的范围、服务人群的具体情况、服务期限和类型、附属机构、与初级保健的联系、工作人员的资质、提供模式、评估、结果和挑战各不相同。结论痴呆症护理项目仍然很少，而且差异很大。解决财务和实施方面的障碍对于这些项目的可行性和广泛采用至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.