ReviewInterventions to improve communication between people with dementia and nursing staff during daily nursing care: A systematic review
Section snippets
What is already known about the topic?
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Communication between people with dementia and nursing staff is important in daily nursing care to provide adequate care.
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Communication with people with dementia may be challenging due to their limited communication skills. Earlier literature reviews aimed to identify communication interventions, however, did not focus solely on interventions which are applicable during daily nursing care.
What this paper adds
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Few communication interventions were identified that are applicable during daily nursing care. All identified interventions incorporated a communication skills training component.
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Existing interventions show much variation in (1) frequency, duration and content, and (2) outcome measures and reported results. In addition, the identified studies showed methodological shortcomings.
Methods
A systematic literature review was performed based on the principles of the Cochrane Handbook for reviews (Higgins and Green, 2011). This type of design is used to provide a description of the content and effects of existing communication interventions which are empirically tested.
Search results
The search strategy resulted in 3815 hits. After removing duplicates (n = 1537), 2278 potentially relevant titles were identified. The title screening resulted in 539 potentially relevant abstracts. The abstract screening resulted in potentially relevant 37 full-text articles. From the 37 full-text articles, six articles were included for data extraction. Most articles were excluded during the search due to the intervention not being focused on communication (n = 1469). Detailed information on the
Discussion
This systematic review aimed to provide an up-to-date description of communication interventions which are applicable during daily nursing care irrespective of the care setting, and to describe their effects on communication outcomes. The focus on communication during nursing care activities is highly relevant as a fundamental of care (Kitson et al., 2010). In addition, communication is an important component in the establishment of the nurse-patient relationship which contributes to meaningful
Conflict of interests
There are no conflicts of interest.
Acknowledgements
We would like to thank Fabian Groven> (FG) who was involved as reviewer. Furthermore, this study is conducted with financial support from ZonMw (grant #80-80705-98-025).
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