Date of Conferral
2023
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Diane K. Whitehead
Abstract
AbstractAs the baby boom generation ages, the demand for effective nursing care for patients diagnosed with dementia has greatly increased. The challenges associated with dementia include a patient’s inability to focus, pay attention, and follow conversations. Patients often become forgetful, angry, frustrated, and aggressive with family members and caregivers. The medical providers and administrators at a long-term care facility needed assistance in developing a clinical practice guideline for managing behaviors demonstrated by patients with dementia. The project question centered on the identification of current evidence supporting a clinical practice guideline for nursing practice for unpredictable behaviors demonstrated by residents diagnosed with dementia. The project entailed the development of a suggested guideline based on the evidence. The guideline was found to be acceptable and was approved using the Appraisal of Guidelines for Research and Evaluation (AGREE) II tool. Using a scale of 1 to 7 (strongly disagree to strongly agree), a panel of experts selected a score of 2 or higher for each criterion within the six domains of the AGREE II tool with an average final guideline assessment score of 5. The panelists recommended the addition of caregiver safety components and levels of evidence to the guideline and a plan for the ongoing updating of the guideline. Use of the guideline may bolster safety and reduce job dissatisfaction and turnover among nursing staff at the project facility.
Recommended Citation
Brinker, Ken J., "A Clinical Practice Guideline for Managing Behavioral Problems in Persons with Dementia" (2023). Walden Dissertations and Doctoral Studies. 12929.
https://scholarworks.waldenu.edu/dissertations/12929
