City Research Online

Abstract

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.

Publication Type:	Article
Additional Information:	This is a non-final version of an article published in final form in Brown, P., Burton, A., Ayden, J. , Harrison Dening, K., Hoe, J. & Cooper, C. (2023). Specialist dementia nursing models and impacts: a systematic review. Current Opinion in Psychiatry, 36(5), pp. 376-390. doi: 10.1097/yco.0000000000000874.
Publisher Keywords:	dementia, interventions, skills, specialist nursing, systematic review, Humans, Dementia, Models, Nursing, Caregivers, Humans, Dementia, Caregivers, Models, Nursing, 1103 Clinical Sciences, 1702 Cognitive Sciences, Psychiatry
Subjects:	R Medicine > RC Internal medicine R Medicine > RT Nursing
Departments:	School of Health & Psychological Sciences School of Health & Psychological Sciences > Nursing
SWORD Depositor:	Symplectic Administrator

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