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Case conferences as interventions dealing with the challenging behavior of people with dementia in nursing homes
 — a systematic review
Author(s)Sven Reuther, Martin Nikolaus Dichter, Ines Buscher
Journal titleInternational Psychogeriatrics, vol 24, no 12, December 2012
Pagespp 1891-1903
Sourcejournals.cambridge.org/ipg
KeywordsDementia ; Behaviour disorders ; Case work ; Nursing homes ; Literature reviews.
AnnotationChallenging behaviours such as aggression, screaming and apathy are often encountered when caring for people with dementia in nursing homes. In this context, a case conference is often recommended for healthcare professionals as an effective instrument to improve the quality of care. However, the subject case conference has not had great consideration in scientific literature. The aim of this review is to describe the effects of case conferences on people with dementia and challenging behaviour and the staff in nursing homes. A search of intervention studies in nursing homes in the German or English language was performed in the following databases: Medline, Cinahl, PsycINFO, Cochrane library, Embase and Google Scholar. The selection and the methodological quality of the studies were assessed independently by two authors. The results were summarised and compared based on categories such as study quality or outcomes. Seven of 432 studies were included in the review. Four of the seven studies showed a reduction in the challenging behaviour of people with dementia; and five showed an influence on the competence, attitudes, and job satisfaction of the staff. However, due to the middle-range quality of several studies, the methodological heterogeneity and differences in the interventions, the results must be interpreted with caution. Thus, little evidence exists for the positive effects of case conferences in the care of people with dementia. This review highlights the need for methodologically well-designed intervention studies to provide conclusive evidence of the effects of case conferences. (RH).
Accession NumberCPA-121116206 A
ClassmarkEA: EP: IGA: LHB: 64A

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