Date of Conferral



Doctor of Nursing Practice (DNP)




Eileen Fowles


People with dementia, who experience cognitive decline, memory loss, and reasoning difficulties, often exhibit compromised behaviors such as agitation or aggressive behavior that impact negatively upon the person’s quality of life and increase safety risks. The purpose of this project was to develop an evidence-based clinical practice guideline (CPG) to improve the use of effective evidence-based interventions by staff in a skilled long-term care nursing facility to manage the compromised behavior of residents with dementia. The Need-Driven Behavioral Model, which suggests that compromised behaviors occur when patient attempts to accomplish a goal or express a need, provided the framework CPG development. To assess what evidence would support the CPG development, an exhaustive review of the literature was completed. Of the 386 articles evaluated according to GRADE II tool, 36 articles were used to support the guidelines. Findings based on responses to the AGREE II tool by a 5-member expert panel and 7 key stakeholders suggest a high level of agreement to supports the accuracy of the guidelines and a recommendation for implementation in practice in this long-term care setting. Implementing these practice guidelines has the potential for positive social change by providing staff with effective intervention to manage disruptive behaviors and improve the quality of life for people with dementia.

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Nursing Commons