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Table 1 Overview of the intervention

From: Staff experiences with implementing a case conferencing care model in nursing homes: a focus group study

Element of intervention

Content

Training and support

Comprehensive Geriatric Assessment (CGA)

Neuropsychiatric inventory-Questionnaire (NPI-Q)

Cornell scale for depression in dementia (CSD)

The quality of life in late-stage dementia (QUALID)

Clinical Dementia Rating (CDR) scale

The physical self-maintenance scale (PSMS)

A 30 min’ lecture on how to use assessments for case conferencing.

Written educational material.

Case conferences

Four structured steps:

1) Evaluate effects of previous nursing interventions based on updated patient assessment

2) Create a common understanding of the problem or area for improvement

3) Determination of concrete and realistic goal of care (SMART)a

4) Discuss, decide and define nursing interventions and appropriate method for evaluation

A 45 min’ lecture on symptoms, causes and explanations of neuropsychiatric symptoms

A 45 min’ lecture on why and how to perform a case conference.

A 30 min’ practical training session in performing a case conference (using a resident case from the actual nursing home as example).

Written educational material and a manual for structuring the case conference.

Documentation and reporting (using Electronic Patient Record)

Care plan should be updated after each case conference by updating the electronic patient record (nursing module)

A 45 min’ lecture on the nursing care process including demonstration of resident example

Additional assessments (when the resident’s symptoms/needs, or situation requires it)

The brief agitation rating scale (BARS)

24-h registration of behaviour form

A 30 min’ lecture on how to use assessments for case conferencing.

Written educational material.

  1. aSMART: the goal should be Specific, Measurable, Assignable, Realistic and Time-related