{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T03:55:05Z","timestamp":1790826905343,"version":"4.1.0"},"reference-count":75,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T00:00:00Z","timestamp":1625616000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008485","name":"Schweizerische Akademie der Medizinischen Wissenschaften","doi-asserted-by":"publisher","award":["PC 20\/17"],"award-info":[{"award-number":["PC 20\/17"]}],"id":[{"id":"10.13039\/501100008485","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We aim to evaluate the effectiveness of the Integrated Palliative Care Outcome Scale for people with dementia\u2010based case studies to improve the caring quality for people with dementia in nursing homes by frontline staff and family members.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Swiss nursing homes mostly care for people with dementia. This population is at high risk of receiving little to no palliation for their complex needs. The majority of Swiss frontline healthcare staff do not systematically report on the needs of their residents. Additionally, family members do not routinely participate in assessment processes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>We will conduct a stepped\u2010wedge cluster randomized trial of repeated assessment using the Integrated Palliative Care Outcome Scale for people with dementia (IPOS\u2010Dem) and subsequent case studies. Clusters will consist of Swiss nursing homes randomly assigned to one of three sequential intervention time points.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study population will consist of people with dementia living in nursing homes with and without specialized dementia care facilities. Over 16\u00a0months, staff working at the frontline and family members will assess the needs and concerns of people with dementia using IPOS\u2010Dem. Depending on sequence allocation, facilitated case studies will start after 3, 6 or 9\u00a0months. The primary outcome will be caring quality measured by QUALIDEM. The secondary outcome will be symptoms and concerns, as indicated by the IPOS\u2010Dem sum\u2010score. The Z\u00fcrich Ethics Committee approved the study in 2019 (2019\u201001847).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>The results of this study will contribute to improving the effectiveness of person\u2010centred care for people with dementia. Collaboration between healthcare staff and family members will be systematically developed and built upon thorough assessment using the IPOS\u2010Dem and related case studies. The use of IPOS\u2010Dem will offer all frontline staff a systematic approach to have an independent voice within the nursing process, regardless of their qualification or grade.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.14953","type":"journal-article","created":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T00:46:19Z","timestamp":1625705179000},"page":"4234-4245","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Improving caring quality for people with dementia in nursing homes using IPOS\u2010Dem: A stepped\u2010wedge cluster randomized controlled trial protocol"],"prefix":"10.1111","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1900-1938","authenticated-orcid":false,"given":"Frank","family":"Spichiger","sequence":"first","affiliation":[{"name":"HES\u2010SO \u25aa University of Applied Science and Arts of Western Switzerland School of Health Sciences Fribourg Fribourg Switzerland"},{"name":"Faculty of Biology and Medicine Institute of Nursing UNIL University of Lausanne Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7274-6691","authenticated-orcid":false,"given":"Andrea L.","family":"Koppitz","sequence":"additional","affiliation":[{"name":"HES\u2010SO \u25aa University of Applied Science and Arts of Western Switzerland School of Health Sciences Fribourg Fribourg Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3421-2418","authenticated-orcid":false,"given":"Susanne","family":"De Wolf\u2010Linder","sequence":"additional","affiliation":[{"name":"ZHAW Zurich University of Applied Science School of Health Professions Institute of Nursing Winterthur Switzerland"},{"name":"University of Hull Hull York Medical School Wolfson Palliative Care Research Centre Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1289-3726","authenticated-orcid":false,"given":"Fliss E. M.","family":"Murtagh","sequence":"additional","affiliation":[{"name":"University of Hull Hull York Medical School Hull UK"},{"name":"Hull University Teaching Hospitals NHS Trust Wolfson Palliative Care Research Centre Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1490-011X","authenticated-orcid":false,"given":"Thomas","family":"Volken","sequence":"additional","affiliation":[{"name":"ZHAW Zurich University of Applied Science School of Health Professions Institute of Health Science Winterthur Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8424-3920","authenticated-orcid":false,"given":"Philip","family":"Larkin","sequence":"additional","affiliation":[{"name":"Faculty of Biology and Medicine Institute of Nursing UNIL University of Lausanne Lausanne Switzerland"},{"name":"CHUV Lausanne University Hospital Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-03388-x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313491619"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-020-01836-w"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.2090"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm.2018.06.08"},{"key":"e_1_2_10_7_1","volume-title":"Lme4\/lme4 [R] `lme4` R package","author":"Bolker B.","year":"2021"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13022"},{"key":"e_1_2_10_9_1","unstructured":"Brunner C. &Spiegel R.(2002).NOSGER II \u2014 Nurses\u2019 Observation Scale for Geriatric Patients.https:\/\/doi.org\/10.23668\/psycharchives.312."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-6787.2010.00204.x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0212686"},{"key":"e_1_2_10_12_1","unstructured":"2015 Cicely Saunders Institute (CSI) Palliative Care Outcome Scale"},{"key":"e_1_2_10_13_1","unstructured":"Cicely Saunders Institute (CSI)(2018a).IPOS\u2010Dem manual and assessment. 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