{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T04:06:27Z","timestamp":1792987587642,"version":"4.5.0"},"reference-count":95,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People living with dementia are common in hospitals and often experience poorer outcomes, yet dementia-friendly hospital care (DFHC) is not consistently embedded in routine practice. A theory-informed synthesis of healthcare professionals\u2019 reported barriers and facilitators is needed to guide implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To synthesise healthcare professionals\u2019 reported barriers and facilitators to DFHC using the Theoretical Domains Framework (TDF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a systematic review of peer-reviewed studies published between 2015 and 2025. MEDLINE, CINAHL, PsycINFO and EMBASE were searched, with citation tracking. Eligible studies reported staff-reported barriers and\/or facilitators relevant to DFHC in hospital settings. Two reviewers independently screened, extracted and appraised studies using the Mixed Methods Appraisal Tool. Determinants were classified as barriers or facilitators and mapped to TDF domains; recurrent cross-domain bundles were identified inductively. The review was registered in PROSPERO (CRD420251085854).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty-five studies were included. Methodological quality was generally high. We coded 856 determinants: 455 barriers and 401 facilitators. Barriers were most commonly mapped to Environmental Context and Resources (14.1%), Knowledge (12.5%) and Social Influences (11.0%). Facilitators clustered mainly in Social Influences (15.2%), Environmental Context and Resources (15.0%), and Knowledge (14.2%). Recurrent barrier bundles reflected system pressures, capability gaps and social and cultural barriers; recurrent facilitator bundles reflected leadership, experiential education, interprofessional teamwork and workflow conditions that support person-centred care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>DFHC is shaped by interacting structural, social, staff-capability and workflow conditions that do not operate in isolation. Progress will likely require multi-level, multi-component implementation strategies embedded across hospital systems, not stand-alone interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ageing\/afag285","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T11:39:49Z","timestamp":1788867589000},"source":"Crossref","is-referenced-by-count":1,"title":["Advancing dementia-friendly hospital care: a systematic review of healthcare professionals\u2019 reported barriers and facilitators using the theoretical domains framework"],"prefix":"10.1093","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9551-6896","authenticated-orcid":false,"given":"Michael","family":"Shimelash","sequence":"first","affiliation":[{"name":"University Medical Centre Groningen, Department of Internal Medicine, Alzheimer Centre Groningen , Groningen ,","place":["Netherlands"]},{"name":"University of Groningen, Faculty of Medical Sciences , Groningen, GR ,","place":["Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinjing","family":"Fu","sequence":"additional","affiliation":[{"name":"University of Groningen, Faculty of Medical Sciences , Groningen, GR ,","place":["Netherlands"]},{"name":"University Medical Centre Groningen, Department of Epidemiology , Groningen ,","place":["Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annette","family":"Plantinga","sequence":"additional","affiliation":[{"name":"University Medical Centre Groningen, Department of Internal Medicine, Alzheimer Centre Groningen , Groningen ,","place":["Netherlands"]},{"name":"NHL Stenden University of Applied Sciences, Health and Wellbeing research group , Leeuwarden ,","place":["Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven J G","family":"Geelen","sequence":"additional","affiliation":[{"name":"University of Groningen, Faculty of Medical Sciences , Groningen, GR ,","place":["Netherlands"]},{"name":"University Medical Centre Groningen, Department of Primary and Long-Term Care, Cure and Care in the Community Context (FOUR-C) Research Program , Groningen, GR ,","place":["Netherlands"]},{"name":"Hanze University of Applied Sciences, Research Group Healthy Ageing, Allied Health Care and Nursing , Groningen ,","place":["Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Hofman","sequence":"additional","affiliation":[{"name":"Vilans National Centre of Expertise in Long Term Care, Department of Research and Validation , Utrecht ,","place":["Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1778-8151","authenticated-orcid":false,"given":"Jurgen A H R","family":"Claassen","sequence":"additional","affiliation":[{"name":"Radboud University Medical Center, Department of Geriatrics , Nijmegen ,","place":["Netherlands"]},{"name":"University of Leicester, Department of Cardiovascular Sciences, Cerebral Haemodynamics in Ageing and Stroke Medicine (CHiASM) Research Group , Leicester, England ,","place":["United Kingdom of Great Britain and Northern Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara C","family":"van Munster","sequence":"additional","affiliation":[{"name":"University Medical Centre Groningen, Department of Internal Medicine, Alzheimer Centre Groningen , Groningen ,","place":["Netherlands"]},{"name":"University of Groningen, Faculty of Medical Sciences , Groningen, GR ,","place":["Netherlands"]},{"name":"Martini Hospital, Department of Geriatric Medicine , Groningen ,","place":["Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"2026092213405856600_ref1","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1007\/s40471-020-00231-8","article-title":"Trends in the public health significance, definitions of disease, and implications for prevention of Alzheimer's disease","volume":"7","author":"Derby","year":"2020","journal-title":"Curr Epidemiol Rep"},{"key":"2026092213405856600_ref2","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1186\/s13195-016-0188-8","article-title":"Recent global trends in the prevalence and incidence of dementia, and survival with dementia","volume":"8","author":"Prince","year":"2016","journal-title":"Alzheimer's Res Ther"},{"key":"2026092213405856600_ref3","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1017\/S1041610210001717","article-title":"A systematic review of the prevalence, associations and outcomes of dementia in older general hospital inpatients","volume":"23","author":"Mukadam","year":"2011","journal-title":"Int Psychogeriatr"},{"key":"2026092213405856600_ref4","volume-title":"Major Neurocognitive Disorder (Dementia)","author":"Emmady","year":"2022"},{"key":"2026092213405856600_ref5","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1186\/s12877-023-04588-5","article-title":"Recognition of cognitive dysfunction in hospitalised older patients: a flash mob study","volume":"24","author":"Visser","year":"2024","journal-title":"BMC Geriatr"},{"key":"2026092213405856600_ref6","doi-asserted-by":"publisher","first-page":"205","DOI":"10.4274\/ejgg.galenos.2022.2022-6-3","article-title":"Challenges of providing nursing care to patients with dementia: a qualitative study","volume":"4","author":"\u00c7evik","year":"2022","journal-title":"European Journal of Geriatrics and Gerontology"},{"key":"2026092213405856600_ref7","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1097\/01.NAJ.0000311828.13935.1e","article-title":"Communication difficulties in hospitalized older adults with dementia","volume":"108","author":"Miller","year":"2008","journal-title":"Am J Nurs"},{"key":"2026092213405856600_ref8","doi-asserted-by":"publisher","first-page":"1177","DOI":"10.1002\/gps.4919","article-title":"Hospital outcomes of older people with cognitive impairment: an integrative review","volume":"33","author":"Fogg","year":"2018","journal-title":"Int J Geriatr Psychiatry"},{"key":"2026092213405856600_ref9","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac190","article-title":"New horizons for caring for people with dementia in hospital: the DEMENTIA CARE pointers for service change","volume":"51","author":"Abbott","year":"2022","journal-title":"Age Ageing"},{"key":"2026092213405856600_ref10","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1177\/1471301213520172","article-title":"What is the current state of care for older people with dementia in general hospitals?","volume":"15","author":"Dewing","year":"2016","journal-title":"A literature review. Dementia (London)"},{"key":"2026092213405856600_ref11","doi-asserted-by":"publisher","first-page":"455","DOI":"10.2217\/nmt.14.47","article-title":"Collaborative transdisciplinary team approach for dementia care","volume":"4","author":"Galvin","year":"2014","journal-title":"Neurodegener Dis Manag"},{"key":"2026092213405856600_ref12","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1016\/j.cct.2016.06.006","article-title":"Reducing neuropsychiatric symptoms in persons with dementia and associated burden in family caregivers using tailored activities: design and methods of a randomized clinical trial","volume":"49","author":"Gitlin","year":"2016","journal-title":"Contemp Clin Trials"},{"key":"2026092213405856600_ref13","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1097\/YCO.0000000000000304","article-title":"'Dementia-friendly communities' and being dementia friendly in healthcare settings","volume":"30","author":"Lin","year":"2017","journal-title":"Curr Opin Psychiatry"},{"key":"2026092213405856600_ref14","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1186\/s12877-022-03103-6","article-title":"Characteristics of dementia-friendly hospitals: an integrative review","volume":"22","author":"Manietta","year":"2022","journal-title":"BMC Geriatr"},{"key":"2026092213405856600_ref15","doi-asserted-by":"publisher","first-page":"e015257","DOI":"10.1136\/bmjopen-2016-015257","article-title":"Dementia-friendly interventions to improve the care of people living with dementia admitted to hospitals: a realist review","volume":"7","author":"Handley","year":"2017","journal-title":"BMJ Open"},{"key":"2026092213405856600_ref16","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1186\/s13012-017-0605-9","article-title":"A guide to using the theoretical domains framework of behaviour change to investigate implementation problems","volume":"12","author":"Atkins","year":"2017","journal-title":"Implement Sci"},{"key":"2026092213405856600_ref17","doi-asserted-by":"publisher","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ."},{"key":"2026092213405856600_ref18","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1038\/s42256-020-00287-7","article-title":"An open source machine learning framework for efficient and transparent systematic reviews","volume":"3","author":"Schoot","year":"2021","journal-title":"Nat. Mach. Intell."},{"key":"2026092213405856600_ref19","doi-asserted-by":"publisher","first-page":"1049","DOI":"10.1080\/14737167.2023.2234639","article-title":"Can artificial intelligence separate the wheat from the chaff in systematic reviews of health economic articles?","volume":"23","author":"Oude Wolcherink","year":"2023","journal-title":"Expert Rev Pharmacoecon Outcomes Res"},{"key":"2026092213405856600_ref20","doi-asserted-by":"publisher","first-page":"g1687","DOI":"10.1136\/bmj.g1687","article-title":"Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide","volume":"348","author":"Hoffmann","year":"2014","journal-title":"BMJ."},{"key":"2026092213405856600_ref21","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1186\/1748-5908-8-139","article-title":"Implementation strategies: recommendations for specifying and reporting","volume":"8","author":"Proctor","year":"2013","journal-title":"Implementation Science"},{"key":"2026092213405856600_ref22","doi-asserted-by":"publisher","first-page":"285","DOI":"10.3233\/EFI-180221","article-title":"The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers","volume":"34","author":"Hong","year":"2018","journal-title":"Education for Information"},{"key":"2026092213405856600_ref23","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1186\/s12877-023-04612-8","article-title":"Facilitators and barriers to implementing a specialized care unit for persons with cognitive impairment in an acute geriatric hospital: a process evaluation","volume":"24","author":"Adlbrecht","year":"2024","journal-title":"BMC Geriatr"},{"key":"2026092213405856600_ref24","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1097\/XEB.0000000000000329","article-title":"Prevention and management of behavioural and psychological symptoms in patients with dementia in acute care: a best practice implementation project","volume":"20","author":"Akrour","year":"2022","journal-title":"JBI Evid Implement"},{"key":"2026092213405856600_ref25","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1093\/ageing\/afaa210","article-title":"Understanding and identifying ways to improve hospital-based cancer care and treatment for people with dementia: an ethnographic study","volume":"50","author":"Ashley","year":"2021","journal-title":"Age & Ageing"},{"key":"2026092213405856600_ref26","doi-asserted-by":"publisher","first-page":"e064482","DOI":"10.1136\/bmjopen-2022-064482","article-title":"Implementing an intervention to enhance care delivery and consistency for people with hip fracture and cognitive impairment in acute hospital wards: a mixed methods process evaluation of a randomised controlled feasibility trial (PERFECTED)","volume":"13","author":"Backhouse","year":"2023","journal-title":"BMJ Open"},{"key":"2026092213405856600_ref27","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/j.gerinurse.2024.02.031","article-title":"Implementation of STAR-VA for behavioral symptoms of dementia in acute care: lessons learned","volume":"57","author":"Bashian","year":"2024","journal-title":"Geriatr Nurs"},{"key":"2026092213405856600_ref28","doi-asserted-by":"publisher","first-page":"e020521","DOI":"10.1136\/bmjopen-2017-020521","article-title":"Dementia case-finding in hospitals: a qualitative study exploring the views of healthcare professionals in English primary care and secondary care","volume":"8","author":"Burn","year":"2018","journal-title":"BMJ Open"},{"key":"2026092213405856600_ref29","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1159\/000517536","article-title":"Person-centred dementia care in an acute hospital: experiences from nurses working in a specialized dementia unit","volume":"50","author":"Cheong","year":"2021","journal-title":"Dement Geriatr Cogn Disord"},{"key":"2026092213405856600_ref30","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1177\/07334648251345209","article-title":"An action research approach to implementing a program for sharing meaningful moments with hospitalized patients living with dementia","volume":"45","author":"Coker","year":"2025","journal-title":"J Appl Gerontol"},{"key":"2026092213405856600_ref31","doi-asserted-by":"publisher","first-page":"1727","DOI":"10.1017\/S0144686X22000927","article-title":"Disjunctures in practice: ethnographic observations of orthopaedic ward practices in the care of older adults with hip fracture and presumed cognitive impairment","volume":"44","author":"Cross","year":"2024","journal-title":"Ageing & Society"},{"key":"2026092213405856600_ref32","doi-asserted-by":"publisher","first-page":"1057","DOI":"10.1177\/14713012231168958","article-title":"Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography","volume":"22","author":"Dadich","year":"2023","journal-title":"Dementia (London)"},{"key":"2026092213405856600_ref33","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1016\/j.sapharm.2015.07.002","article-title":"Dementia, medication and transitions of care","volume":"12","author":"Deeks","year":"2016","journal-title":"Res Social Adm Pharm"},{"key":"2026092213405856600_ref34","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1016\/j.ijnurstu.2015.08.009","article-title":"Using sense-making theory to aid understanding of the recognition, assessment and management of pain in patients with dementia in acute hospital settings","volume":"53","author":"Dowding","year":"2016","journal-title":"Int J Nurs Stud"},{"key":"2026092213405856600_ref35","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1080\/00981389.2022.2076764","article-title":"Exploring dementia care in acute care settings: perspectives of nurses and social workers on caring for patients with behavioral and psychological symptoms","volume":"61","author":"Dunkle","year":"2022","journal-title":"Soc Work Health Care"},{"key":"2026092213405856600_ref36","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1353\/nib.2020.0026","article-title":"Using signs and symbols to label hospital patients with a dementia diagnosis: help or hindrance to care?","volume":"10","author":"Featherstone","year":"2020","journal-title":"Narrat Inq Bioeth"},{"key":"2026092213405856600_ref37","doi-asserted-by":"publisher","first-page":"e59306","DOI":"10.2196\/59306","article-title":"Developing a life story intervention for older adults with dementia or at risk of delirium who were hospitalized: multistage, stakeholder-engaged Co-design study","volume":"7","author":"Flessa","year":"2024","journal-title":"JMIR Aging"},{"key":"2026092213405856600_ref38","doi-asserted-by":"publisher","first-page":"25828","DOI":"10.3402\/qhw.v10.25828","article-title":"Issues experienced while administering care to patients with dementia in acute care hospitals: a study based on focus group interviews","volume":"10","author":"Fukuda","year":"2015","journal-title":"Int J Qual Stud Health Well-being"},{"key":"2026092213405856600_ref39","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/brainsci10120976","article-title":"Effects of a person Centered dementia training program in Greek hospital staff-implementation and evaluation","volume":"10","author":"Gkioka","year":"2020","journal-title":"Brain Sci"},{"key":"2026092213405856600_ref40","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3310\/hsdr06230","author":"Godfrey","year":"2018"},{"key":"2026092213405856600_ref41","doi-asserted-by":"publisher","first-page":"e075022","DOI":"10.1136\/bmjopen-2023-075022","article-title":"How do emergency department staff respond to behaviour that challenges displayed by people living with dementia? A mixed-methods study","volume":"13","author":"Goodwin","year":"2023","journal-title":"BMJ Open"},{"key":"2026092213405856600_ref42","doi-asserted-by":"publisher","first-page":"104006","DOI":"10.1016\/j.ijnurstu.2021.104006","article-title":"Balancing the needs of individuals and services in cancer treatment for people with dementia: a focused ethnographic study","volume":"121","author":"Griffiths","year":"2021","journal-title":"Int J Nurs Stud"},{"key":"2026092213405856600_ref43","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/j.ijnurstu.2018.10.004","article-title":"Supporting general hospital staff to provide dementia sensitive care: a realist evaluation","volume":"96","author":"Handley","year":"2019","journal-title":"Int J Nurs Stud"},{"key":"2026092213405856600_ref44","doi-asserted-by":"publisher","first-page":"e12487","DOI":"10.1111\/opn.12487","article-title":"Exploring ways to enhance pain management for older people with dementia in acute care settings using a participatory action research approach","volume":"17","author":"Harkin","year":"2022","journal-title":"Int J Older People Nurs"},{"key":"2026092213405856600_ref45","doi-asserted-by":"publisher","first-page":"946","DOI":"10.1186\/s12913-021-06977-1","article-title":"Barriers and enablers to implementing 'DEALTS2' simulation-based train-the-trainer dementia training programme in hospital settings across England: a qualitative study","volume":"21","author":"Heward","year":"2021","journal-title":"BMC Health Serv Res"},{"key":"2026092213405856600_ref46","doi-asserted-by":"publisher","first-page":"7467","DOI":"10.1111\/jocn.16807","article-title":"Person-centred oral hydration care for older people with dementia admitted to acute hospital wards: empirical research qualitative","volume":"32","author":"Higgins","year":"2023","journal-title":"J Clin Nurs"},{"key":"2026092213405856600_ref47","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1111\/jpm.12504","article-title":"The experience of hospital staff in applying the gentle persuasive approaches to dementia care","volume":"26","author":"Hung","year":"2019","journal-title":"Journal of Psychiatric & Mental Health Nursing (John Wiley & Sons, Inc)"},{"key":"2026092213405856600_ref48","doi-asserted-by":"publisher","first-page":"3224","DOI":"10.1111\/jocn.17164","article-title":"Nurses' knowledge and beliefs on pain management practices with hospitalised persons living with dementia: a qualitative descriptive study","volume":"33","author":"Ingelson","year":"2024","journal-title":"J Clin Nurs"},{"key":"2026092213405856600_ref49","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1111\/opn.12102","article-title":"Living with dementia in hospital wards: a comparative study of staff perceptions of practice and observed patient experience","volume":"11","author":"Innes","year":"2016","journal-title":"Int J Older People Nurs"},{"key":"2026092213405856600_ref50","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1007\/s43678-025-00862-0","article-title":"Barriers and facilitators to caring for patients living with dementia in the emergency department: a qualitative study","volume":"27","author":"Jelinski","year":"2025","journal-title":"Cjem."},{"key":"2026092213405856600_ref51","doi-asserted-by":"publisher","first-page":"e12271","DOI":"10.1111\/opn.12271","article-title":"Nurses\u2019 experiences of delivering acute orthopaedic care to patients with dementia","volume":"14","author":"Jensen","year":"2019","journal-title":"Int J Older People Nurs"},{"key":"2026092213405856600_ref52","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12913-015-1227-z","article-title":"Health professional perspectives on systems failures in transitional care for patients with dementia and their carers: a qualitative descriptive study","volume":"15","author":"Kable","year":"2015","journal-title":"BMC Health Serv Res"},{"key":"2026092213405856600_ref53","doi-asserted-by":"publisher","first-page":"1800","DOI":"10.1111\/jocn.15458","article-title":"Nurses' perceptions in caring for people with dementia in Dutch acute hospitals","volume":"31","author":"Keuning-Plantinga","year":"2022","journal-title":"J Clin Nurs"},{"key":"2026092213405856600_ref54","doi-asserted-by":"publisher","first-page":"938","DOI":"10.1016\/j.radi.2024.04.009","article-title":"Radiographers' experiences in working with patients living with dementia in Norway - a qualitative study","volume":"30","author":"Kjelle","year":"2024","journal-title":"Radiography (Lond)"},{"key":"2026092213405856600_ref55","doi-asserted-by":"publisher","first-page":"180","DOI":"10.3928\/19404921-20250331-02","article-title":"Perioperative nurses' experience of working with persons living with dementia","volume":"18","author":"Kovaleva","year":"2025","journal-title":"Res Gerontol Nurs"},{"key":"2026092213405856600_ref56","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1111\/ajag.12690","article-title":"Implementation of a model of care for hospitalised older persons with cognitive impairment (the confused hospitalised older persons program) in six new South Wales hospitals","volume":"38","author":"Kurrle","year":"2019","journal-title":"Australas J Ageing"},{"key":"2026092213405856600_ref57","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1177\/1471301214547089","article-title":"Redesigning acute care for cognitively impaired older adults: optimizing health care services","volume":"15","author":"LaMantia","year":"2016","journal-title":"Dementia (London) (14713012)"},{"key":"2026092213405856600_ref58","doi-asserted-by":"publisher","first-page":"1307","DOI":"10.1016\/j.jamda.2019.04.006","article-title":"Dementia care across a tertiary care health system: what exists now and what needs to change","volume":"20","author":"Leggett","year":"2019","journal-title":"J Am Med Dir Assoc"},{"key":"2026092213405856600_ref59","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1186\/s12877-025-05932-7","article-title":"Understanding and integrating the needs and preferences of people living with dementia in the inpatient setting: a qualitative study","volume":"25","author":"Lennox","year":"2025","journal-title":"BMC Geriatr"},{"key":"2026092213405856600_ref60","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12913-016-1690-1","article-title":"The assessment and management of pain in patients with dementia in hospital settings: a multi-case exploratory study from a decision making perspective","volume":"16","author":"Lichtner","year":"2016","journal-title":"BMC Health Serv Res"},{"key":"2026092213405856600_ref61","doi-asserted-by":"publisher","first-page":"1133","DOI":"10.1177\/0269215518766406","article-title":"What influences decisions about ongoing stroke rehabilitation for patients with pre-existing dementia or cognitive impairment: a qualitative study?","volume":"32","author":"Longley","year":"2018","journal-title":"Clin Rehabil"},{"key":"2026092213405856600_ref62","doi-asserted-by":"publisher","first-page":"44","DOI":"10.7748\/ns.2017.e10250","article-title":"Care of patients with dementia in an acute trauma and orthopaedics unit","volume":"31","author":"McCorkell","year":"2017","journal-title":"Nurs Stand"},{"key":"2026092213405856600_ref63","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1016\/j.pmn.2020.03.003","article-title":"Facilitators, barriers, and solutions in pain Management for Older Adults with dementia","volume":"21","author":"Minaya-Freire","year":"2020","journal-title":"Pain Manag Nurs"},{"key":"2026092213405856600_ref64","doi-asserted-by":"publisher","first-page":"e13869","DOI":"10.1111\/1467-9566.13869","article-title":"Privileges, and permissions: theorising intersectionality and cultures of control in the Care of People Living with dementia in acute hospital settings","volume":"47","author":"Mwale","year":"2025","journal-title":"Sociol Health Illn"},{"key":"2026092213405856600_ref65","doi-asserted-by":"publisher","first-page":"113188","DOI":"10.1016\/j.socscimed.2020.113188","article-title":"When people living with dementia say 'no': negotiating refusal in the acute hospital setting","volume":"263","author":"O'Brien","year":"2020","journal-title":"Soc Sci Med"},{"key":"2026092213405856600_ref66","doi-asserted-by":"publisher","first-page":"37","DOI":"10.3928\/00989134-20210408-01","article-title":"\"getting to know them\": person-Centered Care for Patients with dementia in acute care","volume":"47","author":"Osuoha","year":"2021","journal-title":"J Gerontol Nurs"},{"key":"2026092213405856600_ref67","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1108\/QAOA-05-2020-0019","article-title":"Improving emotional well-being for hospital-based patients with dementia","volume":"22","author":"Petty","year":"2021","journal-title":"Quality in Ageing & Older Adults"},{"key":"2026092213405856600_ref68","doi-asserted-by":"publisher","first-page":"4654","DOI":"10.1111\/jan.16107","article-title":"Nurses' perspectives on shared decision-making in the daily care of hospitalized patients with dementia: an exploratory qualitative study","volume":"80","author":"Plantinga","year":"2024","journal-title":"J Adv Nurs"},{"key":"2026092213405856600_ref69","doi-asserted-by":"publisher","first-page":"2868","DOI":"10.1111\/jocn.14874","article-title":"Co-development of \"BRAIN-TRK\": qualitative examination of acceptability, usability and feasibility of an app to support nurses' care for patients with behavioural and psychological symptoms of neurocognitive disorders in hospital","volume":"28","author":"Redley","year":"2019","journal-title":"J Clin Nurs"},{"key":"2026092213405856600_ref70","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1186\/s12912-024-01983-0","article-title":"Working with a robot in hospital and long-term care homes: staff experience","volume":"23","author":"Ren","year":"2024","journal-title":"BMC Nurs"},{"key":"2026092213405856600_ref71","doi-asserted-by":"publisher","first-page":"e0224043","DOI":"10.1371\/journal.pone.0224043","article-title":"Agitation near the end of life with dementia: an ethnographic study of care","volume":"14","author":"Sampson","year":"2019","journal-title":"PloS One"},{"key":"2026092213405856600_ref72","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1111\/jonm.12941","article-title":"Dementia care in acute hospitals\u2014a qualitative study on nurse managers\u2019 perceived challenges and solutions","volume":"28","author":"Scerri","year":"2020","journal-title":"J Nurs Manag"},{"key":"2026092213405856600_ref73","doi-asserted-by":"publisher","first-page":"2055668320960385","DOI":"10.1177\/2055668320960385","article-title":"Creating a toolkit with stakeholders for leveraging tablet computers to support person-centred dementia care in hospitals","volume":"7","author":"Shadarevian","year":"2020","journal-title":"J Rehabil Assist Technol Eng"},{"key":"2026092213405856600_ref74","doi-asserted-by":"publisher","first-page":"1","DOI":"10.19043\/ipdj.111.005","article-title":"Implementing the PIE (person, interaction and environment) programme to improve person-centred care for people with dementia admitted to hospital wards: a qualitative evaluation","volume":"11","author":"Skingley","year":"2021","journal-title":"International Practice Development Journal"},{"key":"2026092213405856600_ref75","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1186\/s12913-020-05382-4","article-title":"The barriers and facilitators to implementing dementia education and training in health and social care services: a mixed-methods study","volume":"20","author":"Surr","year":"2020","journal-title":"BMC Health Serv Res"},{"key":"2026092213405856600_ref76","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1080\/13607863.2018.1531382","article-title":"Components of impactful dementia training for general hospital staff: a collective case study","volume":"24","author":"Surr","year":"2020","journal-title":"Aging Ment Health"},{"key":"2026092213405856600_ref77","doi-asserted-by":"publisher","first-page":"600","DOI":"10.1136\/bmjqs-2022-015162","article-title":"Visual identifiers for people with dementia in hospitals: a qualitative study to unravel mechanisms of action for improving quality of care","volume":"32","author":"Sutton","year":"2023","journal-title":"BMJ Qual Saf"},{"key":"2026092213405856600_ref78","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1002\/nop2.419","article-title":"A qualitative focus group discussion study on the experiences of certified nurses in dementia nursing related to effective staff education","volume":"7","author":"Taneichi","year":"2020","journal-title":"Nurs Open"},{"key":"2026092213405856600_ref79","doi-asserted-by":"publisher","first-page":"745","DOI":"10.1007\/s10459-014-9562-0","article-title":"Deconstructing dementia and delirium hospital practice: using cultural historical activity theory to inform education approaches","volume":"20","author":"Teodorczuk","year":"2015","journal-title":"Advances in Health Sciences Education"},{"key":"2026092213405856600_ref80","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1177\/20571585211022971","article-title":"The impact of an education intervention on the approach of hospital staff to patients with dementia in a Danish general hospital setting: an explanatory sequential mixed-methods study","volume":"42","author":"Toub\u00f8l","year":"2021","journal-title":"Nord. J. Nurs. Res."},{"key":"2026092213405856600_ref81","doi-asserted-by":"publisher","first-page":"534","DOI":"10.1186\/s12913-018-3286-4","article-title":"CogChamps: impact of a project to educate nurses about delirium and improve the quality of care for hospitalized patients with cognitive impairment","volume":"18","author":"Travers","year":"2018","journal-title":"BMC Health Serv Res"},{"key":"2026092213405856600_ref82","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1017\/S104161021600185X","article-title":"Caring for people with dementia in hospital: findings from a survey to identify barriers and facilitators to implementing best practice dementia care","volume":"29","author":"Tropea","year":"2017","journal-title":"Int Psychogeriatr"},{"key":"2026092213405856600_ref83","doi-asserted-by":"publisher","first-page":"862","DOI":"10.1080\/13607863.2016.1179261","article-title":"The use of the truth and deception in dementia care amongst general hospital staff","volume":"21","author":"Turner","year":"2017","journal-title":"Aging Ment Health"},{"key":"2026092213405856600_ref84","doi-asserted-by":"publisher","first-page":"e64444","DOI":"10.2196\/64444","article-title":"Nurses' perspectives and experiences of using a bed-exit information system in an acute hospital setting: mixed methods study","volume":"9","author":"Walzer","year":"2025","journal-title":"JMIR Form Res"},{"key":"2026092213405856600_ref85","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1177\/1471301215584083","article-title":"Junior doctor dementia champions in a district general hospital (innovative practice)","volume":"15","author":"Wilkinson","year":"2016","journal-title":"Dementia (London)"},{"key":"2026092213405856600_ref86","doi-asserted-by":"publisher","first-page":"2377960819834127","DOI":"10.1177\/2377960819834127","article-title":"Nurses' experiences in caring for older adults with responsive Behaviors of dementia in acute care","volume":"5","author":"Yous","year":"2019","journal-title":"SAGE Open Nurs"},{"key":"2026092213405856600_ref87","doi-asserted-by":"publisher","first-page":"1575","DOI":"10.3233\/JAD-200666","article-title":"Assessing the attitudes of Greek nurses toward computerized dementia screening","volume":"78","author":"Zygouris","year":"2020","journal-title":"J Alzheimer's Dis"},{"key":"2026092213405856600_ref88","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3310\/hsdr08430","article-title":"Understanding and improving experiences of care in hospital for people living with dementia, their carers and staff: three systematic reviews. Health services and delivery","volume":"8","author":"Gwernan-Jones","year":"2020","journal-title":"Research."},{"key":"2026092213405856600_ref89","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1186\/1748-5908-4-50","article-title":"Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science","volume":"4","author":"Damschroder","year":"2009","journal-title":"Implement Sci"},{"key":"2026092213405856600_ref90","doi-asserted-by":"publisher","first-page":"1393","DOI":"10.1002\/nop2.1389","article-title":"Dementia care in acute hospitals: a framework for practice development and theory-based evaluation","volume":"10","author":"Karrer","year":"2023","journal-title":"Nurs Open"},{"key":"2026092213405856600_ref91","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1177\/13872877251314060","article-title":"The use of outpatient support services: differences between people with mild cognitive impairment and people with mild to moderate dementia","volume":"104","author":"Keefer","year":"2025","journal-title":"J Alzheimer's Dis"},{"key":"2026092213405856600_ref92","doi-asserted-by":"publisher","first-page":"724","DOI":"10.1186\/s12877-022-03407-7","article-title":"Effects of continuity of care on hospitalizations and healthcare costs in older adults with dementia","volume":"22","author":"Chao","year":"2022","journal-title":"BMC Geriatr"},{"key":"2026092213405856600_ref93","doi-asserted-by":"publisher","first-page":"1314.e1","DOI":"10.1016\/j.jamda.2022.05.024","article-title":"Optimal emergency department care practices for persons living with dementia: a scoping review","volume":"23","author":"Dresden","year":"2022","journal-title":"J Am Med Dir Assoc"},{"key":"2026092213405856600_ref94","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1186\/s12877-020-01520-z","article-title":"What hinders and facilitates the implementation of nurse-led interventions in dementia care? A scoping review","volume":"20","author":"Karrer","year":"2020","journal-title":"BMC Geriatr"},{"key":"2026092213405856600_ref95","doi-asserted-by":"publisher","DOI":"10.1186\/s43058-026-00901-6","article-title":"Rethinking barriers and facilitators in implementation science: conceptual, methodological, and practical challenges, and ways forward","volume":"7","author":"Nilsen","year":"2026","journal-title":"Implement Sci Commun"}],"container-title":["Age and Ageing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/55\/9\/afag285\/71319350\/afag285.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/55\/9\/afag285\/71319350\/afag285.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T17:41:03Z","timestamp":1790098863000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ageing\/article\/doi\/10.1093\/ageing\/afag285\/8828955"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":95,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9,4]]}},"URL":"https:\/\/doi.org\/10.1093\/ageing\/afag285","relation":{},"ISSN":["0002-0729","1468-2834"],"issn-type":[{"value":"0002-0729","type":"print"},{"value":"1468-2834","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,9]]},"article-number":"afag285"}}