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Interventions that support the creation of dementia friendly environments in health care: protocol for a realist review

Overview of attention for article published in Systematic Reviews, December 2015
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Title
Interventions that support the creation of dementia friendly environments in health care: protocol for a realist review
Published in
Systematic Reviews, December 2015
DOI 10.1186/s13643-015-0168-2
Pubmed ID
Authors

Melanie Handley, Frances Bunn, Claire Goodman

Abstract

Improving health-care outcomes for people living with dementia when they are admitted to hospital is a policy priority. Dementia friendly interventions in health care promote inclusion of patients and carers in decision-making and adapt practices and environments to be appropriate to the needs of people with cognitive impairment. While there has been a wealth of activity, the number of studies evaluating interventions is limited, and the majority focuses on reporting staff and organisational outcomes. By focusing on patient and carer outcomes, this review will aim to develop an explanatory account of how and in what circumstances dementia friendly environments in health care work for people living with dementia and with what outcomes. Realist review is a theory-driven method which seeks to produce explanatory accounts of why interventions work and specifically, what combination of components are most effective in producing particular outcomes. Stakeholder interviews, a review of the literature, and an expert steering group workshop will be used to explore the assumptions behind interventions that are designed to enhance health care for people living with dementia to understand the underlying programme theories. The review will focus on studies that report patient and carer outcomes, including involvement in decision-making, length of stay and referral to long-term care, adverse incidents (e.g. patient distress, delirium falls, nutrition and hydration and infection), antipsychotic medication prescribing, evidence of patient-centred care and patient and carer satisfaction. The review will provide an explanatory model about how dementia friendly interventions in hospital settings improve outcomes for people living with dementia and their family carers and in what circumstances for future testing and evaluation of future dementia friendly initiatives. PROSPERO CRD42015017562.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 184 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 2 1%
United States 1 <1%
Unknown 181 98%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 34 18%
Researcher 30 16%
Student > Master 26 14%
Student > Postgraduate 12 7%
Student > Bachelor 12 7%
Other 33 18%
Unknown 37 20%
Readers by discipline Count As %
Nursing and Health Professions 46 25%
Medicine and Dentistry 30 16%
Social Sciences 25 14%
Psychology 12 7%
Engineering 4 2%
Other 30 16%
Unknown 37 20%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 April 2017.
All research outputs
#13,451,930
of 22,835,198 outputs
Outputs from Systematic Reviews
#1,421
of 1,999 outputs
Outputs of similar age
#187,807
of 389,737 outputs
Outputs of similar age from Systematic Reviews
#48
of 81 outputs
Altmetric has tracked 22,835,198 research outputs across all sources so far. This one is in the 39th percentile – i.e., 39% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,999 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.7. This one is in the 26th percentile – i.e., 26% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 389,737 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 50% of its contemporaries.
We're also able to compare this research output to 81 others from the same source and published within six weeks on either side of this one. This one is in the 40th percentile – i.e., 40% of its contemporaries scored the same or lower than it.