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            "version": 1102,
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            "title": "The Impact of Hospitalization on Readmission, Institutionalization, and Mortality of People with Dementia: A Systematic Review and Meta-Analysis",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Jana",
                    "lastName": "Lehmann"
                },
                {
                    "creatorType": "author",
                    "firstName": "Bernhard",
                    "lastName": "Michalowsky"
                },
                {
                    "creatorType": "author",
                    "firstName": "Anika",
                    "lastName": "Kaczynski"
                },
                {
                    "creatorType": "author",
                    "firstName": "Jochen René",
                    "lastName": "Thyrian"
                },
                {
                    "creatorType": "author",
                    "firstName": "Nele Sophie",
                    "lastName": "Schenk"
                },
                {
                    "creatorType": "author",
                    "firstName": "Alexander",
                    "lastName": "Esser"
                },
                {
                    "creatorType": "author",
                    "firstName": "Ina",
                    "lastName": "Zwingmann"
                },
                {
                    "creatorType": "author",
                    "firstName": "Wolfgang",
                    "lastName": "Hoffmann"
                }
            ],
            "abstractNote": "Background: People with dementia (PwD) are at a high risk of hospitalization. Hospitals are often not adequately equipped for PwD and discharges often come unexpected. Therefore, PwD are at a risk of adverse outcomes. However, information about those outcomes is rare but crucial for the development of preventive strategies.\nObjectives: To conduct a quantitative systematic review and meta-analyses on the impact of a hospitalization on readmission, institutionalization, and mortality in PwD. To identify factors associated with these outcomes.\nMethods: PubMed, CENTRAL, and ScienceDirect were searched for studies including terms for dementia, hospital, readmission, institutionalization, and mortality. Relevant studies were assessed by a quality criteria sheet. Results were summarized in a table. Meta-analysis was conducted with Review Manager 5.3.\nResults: The search yielded 1,108 studies; 20 fulﬁlled the inclusion criteria and 10 studies were eligible for meta-analyses. The incidence and relative risk (RR) of mortality (RR 1.74 CI95% 1.50, 2.05) and institutionalization (RR: 2.16 CI95% 1.31, 3.56) of PwD was signiﬁcantly higher when compared to people without dementia. Results according to readmission rate were inconsistent. Factors signiﬁcantly associated with the examined adverse outcomes were severity of dementia, number of medications, and deﬁcits in daily living activities.\nConclusion: Hospitalization of PwD lead to adverse outcomes. An improvement in the identiﬁcation of and care for PwD in the acute setting as well as in after care in the community setting, especially in the interface between both settings, is required to prevent adverse outcomes in hospitalized PwD.",
            "publicationTitle": "Journal of Alzheimer's Disease",
            "publisher": "SAGE Publications",
            "place": "",
            "date": "2018-07-03",
            "volume": "64",
            "issue": "3",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "735-749",
            "series": "",
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            "ISSN": "1387-2877, 1875-8908",
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            "shortTitle": "The Impact of Hospitalization on Readmission, Institutionalization, and Mortality of People with Dementia",
            "language": "en",
            "libraryCatalog": "Crossref",
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            "version": 1102,
            "itemType": "journalArticle",
            "title": "Dementia care in acute hospitals: A framework for practice development and theory‐based evaluation",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Melanie",
                    "lastName": "Karrer"
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                {
                    "creatorType": "author",
                    "firstName": "Adelheid",
                    "lastName": "Zeller"
                },
                {
                    "creatorType": "author",
                    "firstName": "Hanna",
                    "lastName": "Mayer"
                }
            ],
            "abstractNote": "Aim: The aim was to generate a framework for dementia care in acute hospitals. Design: Framework development with logic modelling. Methods: In phase one, we identified relevant elements of the framework by analysing several sources and by critically discussing them within the research team. We created the framework with logic modelling. In phase two, we adapted the framework in expert workshops and by reanalysing the included sources. We used the first stage of CReDECI 2 checklist for reporting.",
            "publicationTitle": "Nursing Open",
            "publisher": "Wiley",
            "place": "",
            "date": "03/2023",
            "volume": "10",
            "issue": "3",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "1393-1403",
            "series": "",
            "seriesTitle": "",
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            "DOI": "10.1002/nop2.1389",
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            "PMCID": "",
            "ISSN": "2054-1058, 2054-1058",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "Dementia care in acute hospitals",
            "language": "en",
            "libraryCatalog": "Crossref",
            "callNumber": "",
            "rights": "http://creativecommons.org/licenses/by-nc-nd/4.0/",
            "extra": "",
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            ],
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            "dateAdded": "2025-07-09T16:21:38Z",
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            "creatorSummary": "Reilly and Houghton",
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            "version": 1094,
            "itemType": "journalArticle",
            "title": "The experiences and perceptions of care in acute settings for patients living with dementia: A qualitative evidence synthesis",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Judith C.",
                    "lastName": "Reilly"
                },
                {
                    "creatorType": "author",
                    "firstName": "Catherine",
                    "lastName": "Houghton"
                }
            ],
            "abstractNote": "Background\nIncreasing numbers of people with dementia are presenting to acute care facilities for management of medical conditions and co-morbidities. They require an individual approach to care due to the confusion and disorientation which may accompany their illness. Current evidence syntheses on this topic explore how staff, family and carers view their care. This review aims to complement previous work in the area by exploring care from the perspective of the patient living with dementia.\nObjectives\nThe aim of this qualitative evidence synthesis was to explore the experiences and perceptions of patients living with dementia on the care they receive in acute settings.\nDesign\nQualitative evidence synthesis systematically draws the findings from individual studies together to create valid, reliable and meaningful evidence for healthcare policy development. Framework synthesis was utilised and guided by the VIPS framework; Values, Individualised, Perspective, and Social and psychological. The VIPS framework has previously been used for exploring staffs' views of care in the acute setting and provides guidance to caring for people with dementia.\nReview methods\nFollowing screening, data were extracted and appraised using Critical Appraisal Skills Programme. Framework synthesis, incorporating thematic synthesis, was conducted and the confidence in findings was assessed using GRADE CERQual.\nData sources\nSeven qualitative studies that explored care in acute hospitals as experienced or perceived by the person living with dementia.\nResults\nThe VIPS framework helped to capture views of care. Patients often experienced rushed and task- based approaches, poor communication, and exclusion in some cases. The environments were clearly unsuitable, sometimes exacerbating behaviours of concern, thus leading to unnecessary restraint due to an inability to protect this group.\nConclusions\nFurther research needs to be conducted in testing existing or developing new interventions to improve the physical environment, the systems of care and to provide more person-centred approaches to care. Organisational structures must ensure patients are cared for in a dementia friendly environment by a dementia trained workforce. At local level, involving support workers, eliminating unnecessary care practices, and facilitating individual choices of patients are recommended.",
            "publicationTitle": "International Journal of Nursing Studies",
            "publisher": "",
            "place": "",
            "date": "2019-08-01",
            "volume": "96",
            "issue": "",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "82-90",
            "series": "Dementia: nursing interventions and health systems for high quality care",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "International Journal of Nursing Studies",
            "DOI": "10.1016/j.ijnurstu.2019.04.018",
            "citationKey": "",
            "url": "https://www.sciencedirect.com/science/article/pii/S0020748919301245",
            "accessDate": "2025-07-09T16:16:15Z",
            "PMID": "",
            "PMCID": "",
            "ISSN": "0020-7489",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "The experiences and perceptions of care in acute settings for patients living with dementia",
            "language": "",
            "libraryCatalog": "ScienceDirect",
            "callNumber": "",
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            "dateAdded": "2025-07-09T16:16:15Z",
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            "creatorSummary": "Featherstone et al.",
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            "version": 1094,
            "itemType": "journalArticle",
            "title": "Routines of resistance: An ethnography of the care of people living with dementia in acute hospital wards and its consequences",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Katie",
                    "lastName": "Featherstone"
                },
                {
                    "creatorType": "author",
                    "firstName": "Andy",
                    "lastName": "Northcott"
                },
                {
                    "creatorType": "author",
                    "firstName": "Jackie",
                    "lastName": "Bridges"
                }
            ],
            "abstractNote": "Background\nThere is little research examining resistance, refusal or rejection of care by people living with dementia within acute hospital wards despite the prevalence of dementia in adult hospital populations.\nObjectives\nTo explore the ways in which resistance to care manifests within the acute setting and is understood, classified and subsequently managed by ward staff.\nDesign\nEthnography\nSetting\nAcute medical units and trauma and orthopaedic wards in five NHS hospitals in England and Wales.\nParticipants\nPeople living with dementia and nursing team members (registered nurses and healthcare assistants) on participating wards.\nMethods\nObservational fieldwork and ethnographic interviews collected over a period of 20 months (155 days of non-participant observation (minimum 2 h, maximum 12 h, total hours: 680) focusing on staff delivering care to patients with dementia. Interviewees included patients, visitors, and staff working on and visiting the ward. Data collection and analysis drew on the theoretical sampling and constant comparison techniques of grounded theory.\nResults\nWe found that resistance to care by people living with dementia was a routine and expected part of everyday care in the participating acute hospital settings. The timetabled rounds of the ward (mealtimes, medication rounds, planned personal care) significantly shaped patient and staff experiences and behaviours. These routinized ward cultures typically triggered further patient resistance to bedside care. Institutional timetables, and the high value placed on achieving efficiency and reducing perceived risks to patients, dictated staff priorities, ensuring a focus on the delivery of essential everyday planned care over individual patient need or mood in that moment. Staff were thus trapped into delivering routines of care that triggered patterns of resistance.\nConclusions\nNursing staff struggle to respond to the needs of people living with dementia in acute care settings where the institutional drivers of routines, efficiency and risk reduction are not mediated by clinical leadership within the ward. Cycles of resistance in response to organisationally mandated timetables of care can result in poor care experiences for patients, and emotional and physical burnout for staff. More research is needed into how institutional goals can be better aligned to recognise the needs of a key hospital population: people living with dementia.",
            "publicationTitle": "International Journal of Nursing Studies",
            "publisher": "",
            "place": "",
            "date": "2019-08-01",
            "volume": "96",
            "issue": "",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "53-60",
            "series": "Dementia: nursing interventions and health systems for high quality care",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "International Journal of Nursing Studies",
            "DOI": "10.1016/j.ijnurstu.2018.12.009",
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            "accessDate": "2025-07-09T16:15:26Z",
            "PMID": "",
            "PMCID": "",
            "ISSN": "0020-7489",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "Routines of resistance",
            "language": "",
            "libraryCatalog": "ScienceDirect",
            "callNumber": "",
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            "creatorSummary": "Sheppard et al.",
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            "title": "A Systematic Review of Montessori-Based Activities for Persons With Dementia",
            "creators": [
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                    "firstName": "Christine L.",
                    "lastName": "Sheppard"
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                {
                    "creatorType": "author",
                    "firstName": "Caitlin",
                    "lastName": "McArthur"
                },
                {
                    "creatorType": "author",
                    "firstName": "Sander L.",
                    "lastName": "Hitzig"
                }
            ],
            "abstractNote": "Objectives: Montessori-based activities are becoming a popular approach for the care of older adults living with dementia. The aim of this study was to systematically assess the quality of the research examining the beneﬁts of Montessori-based activities for persons with dementia.",
            "publicationTitle": "Journal of the American Medical Directors Association",
            "publisher": "",
            "place": "",
            "date": "02/2016",
            "volume": "17",
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            "partNumber": "",
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            "pages": "117-122",
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            "seriesTitle": "",
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            "journalAbbreviation": "Journal of the American Medical Directors Association",
            "DOI": "10.1016/j.jamda.2015.10.006",
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            "url": "https://linkinghub.elsevier.com/retrieve/pii/S152586101500643X",
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            "language": "en",
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            ],
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            "dateAdded": "2025-06-23T06:54:45Z",
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            "creatorSummary": "Carvalho et al.",
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            "itemType": "journalArticle",
            "title": "Effectiveness of Snoezelen in older adults with neurocognitive and other pathologies: A systematic review of the literature",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Sónia C.",
                    "lastName": "Carvalho"
                },
                {
                    "creatorType": "author",
                    "firstName": "Fátima S.",
                    "lastName": "Martins"
                },
                {
                    "creatorType": "author",
                    "firstName": "Amélia N.",
                    "lastName": "Martins"
                },
                {
                    "creatorType": "author",
                    "firstName": "Raquel C.",
                    "lastName": "Barbosa"
                },
                {
                    "creatorType": "author",
                    "firstName": "Selene G.",
                    "lastName": "Vicente"
                }
            ],
            "abstractNote": "Snoezelen Multisensory Stimulation (SMSS) is a non-pharmacological intervention that provides controlled multisensorial environments to stimulate the primary senses: sight, hearing, smell, touch, taste, proprioceptive and vestibular. Even though the use and potential of SMSS have been widespread in the literature regarding certain target populations (autism, developmental disabilities) and settings (e.g. leisure, therapeutic), its effectiveness in older adults with neurocognitive disorders (e.g. dementia, mild cognitive impairment) and other pathologies (e.g. psychiatric disorders, oncological diseases) is still unclear. Therefore, a systematic review of the literature was conducted to address this issue. The recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and of the Cochrane Collaboration were followed. An initial search on PubMed and Scopus databases resulted in 86 articles of which 14 met inclusion criteria and were reviewed in detail. The outcomes showed that most of the studies (n = 13) focused on the effects of SMSS on behaviour and mood in older adults with major cognitive disorders (i.e. dementia). Although there is scarce literature on its impact on cognition, psychophysiological measures (e.g. heart rate, oxygen saturation), daily living functionality and quality of life, this type of intervention seems to contribute to delaying the worsening in severity of the neurocognitive disorders from the mildest to the most severe stages. Likewise, it is legitimate to consider the possibility of potential benefits to older adults with less severe neurocognitive disorders or other pathologies, but more research is needed.",
            "publicationTitle": "Journal of Neuropsychology",
            "publisher": "",
            "place": "",
            "date": "2024",
            "volume": "18",
            "issue": "2",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "312-331",
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            "DOI": "10.1111/jnp.12346",
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            "PMCID": "",
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            "archive": "",
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            "shortTitle": "Effectiveness of Snoezelen in older adults with neurocognitive and other pathologies",
            "language": "en",
            "libraryCatalog": "Wiley Online Library",
            "callNumber": "",
            "rights": "© 2023 The British Psychological Society.",
            "extra": "_eprint: https://onlinelibrary.wiley.com/doi/pdf/10.1111/jnp.12346",
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