Identification and information management of cognitive impairment of patients in acute care hospitals: An integrative review

Beibei Xiong; Daniel X Bailey; Paul Prudon; Elaine M Pascoe; Leonard C Gray; Frederick Graham; Amanda Henderson; Melinda Martin-Khan

doi:10.1016/j.ijnss.2023.11.001

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Identification and information management of cognitive impairment of patients in acute care hospitals: An integrative review

Journal article

Open access

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Identification and information management of cognitive impairment of patients in acute care hospitals: An integrative review

Beibei Xiong, Daniel X Bailey, Paul Prudon, Elaine M Pascoe, Leonard C Gray, Frederick Graham, Amanda Henderson and Melinda Martin-Khan

International Journal of Nursing Science, Vol.11(1), pp.120-132

2024

DOI: https://doi.org/10.1016/j.ijnss.2023.11.001

Appears in UniSC Diversity and Inclusion Research Collection

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Abstract

acute care

cognitive dysfunction

data transparency

delirium

dementia

health information management

patient interaction

UniSC Diversity Area - Disability and Inclusion

UniSC Diversity Area - Life Stages

Objectives: Recognition of the cognitive status of hospitalised patients is important so that care can be tailored accordingly. The objective of this integrative review was to report on the current practices that acute care hospitals use to identify people with cognitive impairment and how information about cognition is managed within the healthcare record as well as the approaches required and recommended by policies. Methods: Following Whittemore & Knafl's five-step method, we systematically searched three databases on 24 May 2023 and various grey literature sources on 7 October 2022. Articles relevant to the programs that have been implemented in acute care hospitals regarding the identification of cognitive impairment and management of cognition information were included. The Mixed Methods Appraisal Tool and AACODS (Authority, Accuracy, Coverage, Objectivity, Date, Significance) Checklist were used to evaluate the quality of the studies. Thematic analysis was used to present and synthesise results. This review was pre-registered on PROSPERO (Registration number: CRD42022343577). Results: Twenty-two primary studies and ten government/industry publications were included in the analysis. Findings included gaps between practice and policy. Although identification of cognitive impairment, transparency of cognition information, and interaction with patients, families, and carers (if appropriate) about this condition were highly valued at a policy level, sometimes in practice, cognitive assessments were informal, patient cognition information was not recorded, and interactions with patients, families, and carers were lacking. Discussion: By incorporating cognitive assessment, developing an integrated information management system using information technology, establishing relevant laws and regulations, providing education and training, and adopting a national approach, significant improvements can be made in the care provided to individuals with cognitive impairment.

Details

Title: Identification and information management of cognitive impairment of patients in acute care hospitals: An integrative review
Authors: Beibei Xiong (Corresponding Author) - The University of Queensland
Daniel X Bailey (Author) - The University of Queensland
Paul Prudon (Author) - The University of Queensland
Elaine M Pascoe (Author) - The University of Queensland
Leonard C Gray (Author) - The University of Queensland
Frederick Graham (Author) - The University of Queensland
Amanda Henderson (Author) - University of the Sunshine Coast, Queensland, School of Health - Nursing
Melinda Martin-Khan (Author) - The University of Queensland
Publication details: International Journal of Nursing Science, Vol.11(1), pp.120-132
Publisher: Elsevier (Singapore) Pte Ltd
Date published: 2024
DOI: 10.1016/j.ijnss.2023.11.001
ISSN: 2352-0132
Copyright note: © 2023 The authors. Published by Elsevier B.V. on behalf of the Chinese Nursing Association. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Data Availability: Data sharing not applicable to this article as no datasets were generated or analyzed during the current study.
Grants: Improving Quality of Care for People with Dementia in the Acute Care Setting, 1140459, National Health and Medical Research Council (Australia, Canberra) - NHMRC
Organisation Unit: School of Health - Nursing
Language: English
Record Identifier: 99982894802621
Output Type: Journal article

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