Specialist dementia nursing models and impacts: A systematic review

Brown, Pat, Burton, Alexandra, Ayden, Jordan, Harrison Denning, Karen, Hoe, Juanita and Cooper, Claudia (2023) Specialist dementia nursing models and impacts: A systematic review. Current Opinion in Psychiatry, 36 (5). pp. 376-390. ISSN 0951-7367

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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.

Item Type: Article
Additional Information: Funding Information: Pat Brown is supported by an Economic and Social Research Council (ESRC) fellowship that is co-funded by Dementia UK.
Uncontrolled Keywords: dementia,interventions,skills,specialist nursing,systematic review,psychiatry and mental health ,/dk/atira/pure/subjectarea/asjc/2700/2738
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 07 Oct 2023 01:25
Last Modified: 11 Oct 2023 01:16
URI: https://ueaeprints.uea.ac.uk/id/eprint/93170
DOI: 10.1097/YCO.0000000000000874

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