{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:58:40Z","timestamp":1791478720134,"version":"4.3.4"},"reference-count":37,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T00:00:00Z","timestamp":1735776000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T00:00:00Z","timestamp":1735776000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To develop a nurse\u2010initiated protocol for early ward\u2010based interprofessional coordination and formulation of person\u2010centred care plans to assist in point\u2010of\u2010care management of behaviour in older patients on general hospital wards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A modified e\u2010Delphi method was employed to establish expert consensus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Multidisciplinary acute\u2010care experts experienced in hospital care of patients with dementia and\/or delirium in Australia were recruited by email from 35 professional networks. Three online survey rounds were planned. The first sought free\u2010text comments on point\u2010of\u2010care practices. The following rounds sought expert ratings for subsequently developed protocol components. The study occurred between January and June 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010three experts participated (eight completed all rounds). Existing practices, opportunities and barriers were established in round one (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200932), informing development of three multicomponent stages: (1) a bundle of bedside care comprising generic person\u2010centred approaches, (2) a stepped\u2010care workflow redirecting multidisciplinary teams to adopt an interprofessional approach to formulating individualised behavioural\u2010care and (3) a one\u2010page Behaviour Support Plan template. Content Validity Index scores for all items in round two (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200929) were 0.89\u20130.96, meeting a priori consensus criteria, and negating the need for a third round.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>To improve outcomes for older hospital patients with changed behaviours, a multicomponent protocol for timely interprofessional formulation of point\u2010of\u2010care Behaviour Support Plans was established through expert panel consensus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Management of patient behaviours has resided almost solely with nursing, ignoring the potential inherent in ward\u2010based multidisciplinary teams. A pragmatic procedure for initiating early interprofessional support to nurses' management of behaviours may potentially improve care, safety and outcomes for patients and staff alike. Ready for feasibility testing in hospitals, the protocol capitalises on existing multidisciplinary resources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>The study is reported in accordance with the Guidance on Conducting and Reporting Delphi Studies (CREDES) recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16721","type":"journal-article","created":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T05:05:01Z","timestamp":1735794301000},"page":"4290-4305","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A Nurse\u2010Initiated Protocol for Interprofessional Management of Changed Behaviours in Hospital Patients With Dementia and\/or Delirium: A Modified e\u2010Delphi Study"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8747-0712","authenticated-orcid":false,"given":"Frederick A.","family":"Graham","sequence":"first","affiliation":[{"name":"Division of Medicine Princess Alexandra Hospital  Woolloongabba Queensland Australia"},{"name":"Centre for Health Services Research The University of Queensland  Woolloongabba Queensland Australia"},{"name":"School of Nursing Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8383-5043","authenticated-orcid":false,"given":"Christine","family":"Ossenberg","sequence":"additional","affiliation":[{"name":"Nursing Practice Development Unit Princess Alexandra Hospital  Woolloongabba Queensland Australia"},{"name":"School of Nursing, Midwifery and Social Sciences Central Queensland University  Brisbane City Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0564-3243","authenticated-orcid":false,"given":"Amanda","family":"Henderson","sequence":"additional","affiliation":[{"name":"Nursing Practice Development Unit Princess Alexandra Hospital  Woolloongabba Queensland Australia"},{"name":"School of Nursing, Midwifery and Social Sciences Central Queensland University  Brisbane City Queensland Australia"},{"name":"Faculty of Medicine University of Queensland  St. Lucia Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,2]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Agency for Clinical Innovation.2015.\u201cKey Principles for Care of Confused Hospitalised Older Persons [resource document].\u201dwww.aci.health.nsw.gov.au."},{"key":"e_1_2_12_3_1","unstructured":"Australian Commission for Quality and Safety in Health Care [ACSQHC].2019.\u201cA Better Way to Care: Safe and High\u2010Quality Care for Patients with Cognitive Impairment or at Risk of Delirium in Acute Health Services\u2014Second Edition [Document].\u201dhttps:\/\/www.safetyandquality.gov.au\/publications\u2010and\u2010resources\/resource\u2010library\/better\u2010way\u2010care\u2010second\u2010edition."},{"key":"e_1_2_12_4_1","unstructured":"Australian Commission on Safety and Quality in Health Care [ACSQHC].2013.\u201cEvidence for the Safety and Quality Issues Associated with the Care of Patients with Cognitive Impairment in Acute Care Settings: A Rapid Review [Resource 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