Other Titles

Rising Star Poster/Presentation

Abstract

Background: Dementia is a progressive neurological disease that affects cognition and behavioral and mood impairments, such as depression, that must be addressed. The DNP Project implemented an evidence-based intervention to improve healthcare outcomes involving depression in patients with dementia in a long-term care setting.

Problem: Dementia is a progressive neurological disease affecting mood and conditions that can lead to depression, affecting a patient’s quality of life. A quality improvement project was implemented in a long term care facility in Chicago, Illinois.

Methods: Eight residents with mild to moderate dementia participated in an eight-week Group Reminiscence Therapy program to measure the impact on depression symptoms. The data collection tool used was the Geriatric Depression Scale-Short Form (GDS-SF), and it was completed in pre- and post-intervention phases. Formative and summative evaluations were performed with interviews with patients and staff, and a checklist review that intervention steps were followed.

Intervention: The intervention implemented was the Group Reminiscence Therapy, which is a review of life type of therapy and has been used effectively for patients with dementia.

Results: Data from eight participants were collected at baseline to assess the impact of the QI on the GDS-SF scores. The mean presurvey score of the GDS-SF was 5 (SD=0), with a range of 5. All scores of the eight participants were summed as a 5 according to scoring guidelines and were identical. The mean post survey score of the GDS-SF was 1 (SD=0) with a range of 1. Pearson’s chi-square test showed a statistically significant difference in the frequencies of patients scoring a 5, which was associated with depression, to those scoring a 1 with no depression (p =.001).

Conclusion: Clinical significance was demonstrated by successful implementation of the quality improvement project with a decrease in depression scores indicating less depression. The quality improvement should be sustained, and the results should be disseminated.

Notes

References:
Abdel-Aziz, H. R., & Ahmed, H. A. A. (2021). The effect of group reminiscence therapy on self-esteem and emotional overall well-being of older adults. Central European Journal of Nursing and Midwifery, 12(4), 513-520. https://www.doi.org/10.154252

Alqahtani, N., Oh, K., Kitsantas, P., & Rodan, M. (2020). Nurses’ evidence-based practice knowledge, attitudes and implementation: A cross-sectional study. Journal of Clinical Nursing, 29(1-2), 274-283. https://www.doi.org/10.1111/jocn.15097

Al-Ruzzieh, M., & Ayaad, O. (2020). Nursing professional practice model. JONA, 50(11), 562-564. https://www.doi.org/10.1097/NNA.0000000000000937

Birken, S., Haines, E., Hwang, S., Chambers, D., Bunger, A., & Nilsen, P. (2020). Advancing understanding and identifying strategies for sustaining evidence-based practices: a review of reviews. Implementation Science, 15(88), 1-13. https://www.doi.org/10.1186/s13012-020-01040-9

Boldizhar, S., Nechiporuk, K., Panov, A., & Kopcha, N. (2023). Ethical expertise in biomedical research as a way of human rights protection. Wiadomosci Lekarskie Medical Advances, 77(3), 656-661. https://www.doi.org/10.36740/Wlek202303132

Cammisuli, D. M., Cipriani, G., Giusti, E. M., & Castelnuovo, G. (2022). Effects of reminiscence therapy on cognition, depression, and quality of life in older adults with Alzheimer’s: a systematic review of randomized controlled trials. Journal of Clinical Medicine, 11, 1-13. https://www.doi.org/10.3390/jcm11195752

Chandra, M., Harbishettar, V., Sawhney, H., & Amanullah, S. (2021). Ethical issues in dementia research. Indian Journal of Psychological Medicine, 43(55), 255-305. https://www.doi.org/10.1177/02537176211022224

Ching-Teng, Y., Ya-Phing, Y., Chia-Ju, L., & Hsiu-Yueh, L. (2020). Effereminiscence therapy on depression and perceived meaning of life of veterans diagnosed with dementia at veteran homes. Social Work in Health Care, 59(2), 75-90. https://www.doi.org/10.1080/00981389.2019.1710320

Creemers, R. (2022). China’s emerging data protection framework. Journal of Cybersecurity, 1-12. https://www.doi.org/doi.org/10.1093/cybersec/tyaco011

Cuevas, P., Davidson, P., Mejilla, J., & Rodney, T. (2020). Reminiscence therapy for older adults with Alzheimer’s disease: A literature review. International Journal of Mental Health Nursing, 29, 364-371. https://www.doi.org/10.1111/inm.12692

Dion, K., Oerther, D., & Davidson, P. (2021). Nurse leaders and financial literacy: Learning to become CFO of me. Nursing Economics, 39(3), 151-155.

Edwards, A., Zweigenthal, V., & Olivier, J. (2019). Evidence map of knowledge translation
Strategies, outcomes, facilitators, and barriers in African health systems. Health Research
Policy and Systems, 17(16), 1-14. https://doi.org/10.1186/s12961-019-0419-0

Farina, M., Zhang, Y., Kim, J., Hayward, M., & Crimmins, E. (2022). Trends in dementia prevalence, incidence, and mortality in the United States (2000-2016). Journal of Aging and Health, 34(1), 100-108. https://www.doi.org/10.1177/08982643211029716

Greenberg, S. (2019). Try this: Best practices in nursing care to older adults. The Geriatric Depression Scale (GDS). The Hartford Institute for Geriatric Nursing, New York University Rory Meyers College of Nursing. Accessed on September 27, 2023.

Ildarabadi, E., Khorashadizadeh, F., Zafaranlou, N. R., & Shamsabadi, A. A. (2020). Effectiveness of group reminiscence therapy on mental health status and levels of happiness among elderly patients on hemodialysis. Aging Medicine and Healthcare, 11(4), 129-135. https://doi.org/10.33879/amh.114.2020.04011

Keleekai-Brapoh, N., & Toresco, D. (2020). Anchoring a professional practice model: Success through collaboration. Nurse Leader, 552-556. https://www.doi.org/10.1016/j.mnl.2020.08.007

Khan, A., Bleth, A., Bakpayev, M., & Imtiaz, N. (2022). Reminiscence therapy in the treatment of depression in the elderly: Current perspectives. Journal of Ageing and Longevity, 2(1), 34-48. https://www.doi.org/10.3389/fpsyg.2021.709853

Kianian, T., Lotfi, M., Zamanzadeh, V., Rezayan, A., Hazrati, M., & Pakpour, V. (2022). Exploring barriers to the development of home health care in Iran: A qualitative study. Home Health Care Management & Practice, 34(2), 83-91. https://doi.org/10.1177/10848223211038510

Liu, Z., Yang, F. Lou, Y., & Zhou. (2021). The effectiveness of reminiscence therapy on alleviating depressive symptoms in older adults. Frontiers in Psychology, 12, 1-13. https/www.doi.org/10.3389/fpsychg.2021.709853

Matulis, J., & Manning, D. (2023). Supporting the pursuit of quality improvement publication: What your organization can do now. Q Manage Health Care, 32(1), 53-58. https://www.doi.org/10.1097/QMH.0000000000000377

McFarlan, S. (2020). An experiential educational intervention to improve nurse manager’s knowledge and self-assessed competence with health care financial management. The Journal of Continuing Education in Nursing, 51(4), 181-188. https://www.doi.org/10.3928/0020124-20200317-08

Musacchio, J. (2019). HIPAA violations: A great way to destroy your nursing career. ANA-New York Nurse, 4(1), 18-19.

Nandi, A., Counts, N., Chen, S., Seligman, B., Tortorice, D., Vigo, D., & Bloom, D. (2022). Global and regional projections of the economic burden of Alzheimer’s disease and related dementias from 2019 to 2050: A value of statistical life approach. eClinicalMedicine, 51, 1-10. https://www.doi.org/10.1016/j.eclinm.2022.101580

Nekit, K., Kolodin, D., & Fedorov, V. (2020). Personal data protection and liability for damage in the field of the internet of things. Juridicial Tribune, 10(1), 80-93.

Nichols, E., & Vos, T. (2020). Estimating the global mortality from Alzheimer’s disease and other dementias: A new method and results from the Global Burden of Disease study 2019. Alzheimer’s & Dementia The Journal of The Alzheimer’s Association, 16, 1. https://www.doi.org/10.1002/alz.042236

Ostergaard, B., Eggenberger, S., Sheppard-Lemoine, D., Mulcaster, A., & Mahrer-Imhof, R. (2023). Implementation and efficacy of knowledge translation frameworks in family-focused nursing care: A scoping review. Journal of Clinical Nursing, 32, 7086-7100. https://www.doi.org/10.1111/jocn.16848

Park, K., Lee, S., Yang, J., Song, T., & Hong, G. R. (2019). A systematic review and meta-analysis on the effect of reminiscence therapy for people with dementia. International Psychogeriatrics, 31(11), 1581-1597. https://www.doi.org/10.1017/S1041610218002168

Purvis, B., Mao, Y., & Robinson, D. (2019). Three pillars of sustainability: in search of conceptual origins. Sustainability Science, 14(3), 681-695. https://doi.org/10.1007/s11625-018-0627-5
Reid, K., & DeGennaro, R. (2022). Strategies for successfully completing a DNP final project. Nursing Management, 41-46.

Ross, J. (2019). Research ethics: From the inside. Issues in Science and Technology, 84-88.
Siangchokyoo, N., Klinger, R. L., & Campion, E. (2020). Follower transformation as the linchpin of transformational leadership theory: A systematic review and future research agenda. The Leadership Quarterly, 31(1), 101341. https://doi.org/10.1016/j.leaqua.2019.101341

Steinskog, T. L., Tranvag, O., Ciliska, D., Nortvedt, M., & Graverholt, B. (2021). Integrated knowledge translation in nursing homes: exploring the experiences of practice development nurses. BMC Health Services Research, 21(1283), 1-12. https://www.doi.org/10.1186/s12913-021-07282-7

Stuart, W.P. & Moore, B. (2021). Evidence-based Facebook recruitment of study participants. CIN: Computers, Informatics, Nursing, 39(7), 355-361. https://www.doi.org/10.1097/CIN.0000000000000709

Thomas, J. M., & Sezgin, D. (2021). Effectiveness of reminiscence therapy in reducing agitation and depression and improving quality of life and cognition in long-term care residents with dementia: A systematic review and meta-analysis. Geriatric Nursing, 42, 1497-1506
https://www.doi.org/10.1016/j.gerinurse.202110.014

United States Department of Health and Human Services. (2023). The Belmont Report. https://www.hhs.gov. Retrieved on September 28, 2023.

Vincent, V. S., & Suvitha (2023). Effectiveness of reminiscence therapy. International Journal of Nursing Education & Research, 1-8. https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_proquest_journals_2845133469

Walton, H., Spector, A., Williamson, M., Tombor, I., & Miche, S. (2020). Developing quality fidelity and engagement measures for complex health interventions. British Journal of Health Psychology, 25, 39-60. https://www.doi.org/10.1111/bjhp.12394

Xia, Y., Chen, Q., Zeng, L., Guo, Q., Liu, H., Fan, S., & Huang, H. (2022). Factors associated with the patient privacy protection behaviors of nursing interns in China: A cross-sectional study. Nurse Education in Practice, 65, 1-7. https://www.doi.org/10.1016/j.nepr.2022.103479

Yusof, M. Y., Teo, C. H., & Ng, C. J. (2022). Electronic informed consent criteria for research ethics review: A scoping review. BMC Medical Ethics, 23(117), 1-11. https://www.doi.org/10.1186/s12910-022-00849-x

Zidek, S., & Medland, J. (2020). Interprofessional collaboration: A model for nurse executives to follow to support magnet designation. The Journal of Nursing Administration, 50(10), E8-E11. https://www.doi.org/10.1097/NNA.0000000000000933

Description

Dementia is a progressive neurological disease affecting mood that can lead to depression, affecting a patient’s quality of life. A quality improvement project was implemented in a long-term care facility named Group Reminiscence Therapy, which is a review of life type of therapy and has been effective for patients with dementia. Clinical significance was demonstrated by successful implementation of the quality improvement project with a decrease in depression scores indicating less depression.

Author Details

Candice Cacal Nono, DNP, MSN, RN

Sigma Membership

Phi Pi

Type

Poster

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Dementia, Group Reminiscence Therapy, Depression, General Depression Scale

Conference Name

Creating Healthy Work Environments

Conference Host

Sigma Theta Tau International

Conference Location

Phoenix, Arizona, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Poster

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Reminisce and Relive Joyful Memories Despite Dementia

Phoenix, Arizona, USA

Background: Dementia is a progressive neurological disease that affects cognition and behavioral and mood impairments, such as depression, that must be addressed. The DNP Project implemented an evidence-based intervention to improve healthcare outcomes involving depression in patients with dementia in a long-term care setting.

Problem: Dementia is a progressive neurological disease affecting mood and conditions that can lead to depression, affecting a patient’s quality of life. A quality improvement project was implemented in a long term care facility in Chicago, Illinois.

Methods: Eight residents with mild to moderate dementia participated in an eight-week Group Reminiscence Therapy program to measure the impact on depression symptoms. The data collection tool used was the Geriatric Depression Scale-Short Form (GDS-SF), and it was completed in pre- and post-intervention phases. Formative and summative evaluations were performed with interviews with patients and staff, and a checklist review that intervention steps were followed.

Intervention: The intervention implemented was the Group Reminiscence Therapy, which is a review of life type of therapy and has been used effectively for patients with dementia.

Results: Data from eight participants were collected at baseline to assess the impact of the QI on the GDS-SF scores. The mean presurvey score of the GDS-SF was 5 (SD=0), with a range of 5. All scores of the eight participants were summed as a 5 according to scoring guidelines and were identical. The mean post survey score of the GDS-SF was 1 (SD=0) with a range of 1. Pearson’s chi-square test showed a statistically significant difference in the frequencies of patients scoring a 5, which was associated with depression, to those scoring a 1 with no depression (p =.001).

Conclusion: Clinical significance was demonstrated by successful implementation of the quality improvement project with a decrease in depression scores indicating less depression. The quality improvement should be sustained, and the results should be disseminated.