Geriatric Nursing Practitioner Screening Practices For Cognitive Impairment In The Older Adult

Main Article Content

Firas Atef Abu Hussein

Abstract

Objectives: The objective of this systematic review is to comprehensively evaluate screening practices for cognitive impairment in older adults, emphasizing the critical role of Geriatric Nursing Practitioner practitioners.


Methodology:  A systematic literature search of the major databases, inclusive of PubMed, PsycINFO, and Cochrane library was carried out. The search was keywords centered on articles that dealt with cognitive impairment screening in older adults with mental health problems. Articles were carefully chosen according to the inclusion criteria such as only those articles which had been published during the last nine years and had undergone a peer-review process. Data extraction process involved identification of screening methods, participant characteristics, and major findings. The quality assessment made sure that the chosen literature was of good reliability, and data synthesis identified common factors such as similarities and differences between various studies.


Results: The search resulted to 144 articles but after intensive screening, 20 of them were included in the review. Results were reported from different healthcare settings, showing both the frequency and the effectiveness of screening tools for identifying cognitive impairment. The role of nurse practitioners was identified in the selected articles, more particularly in establishment of screening systems, use tools for identification, and practice advanced roles. The synthesis revealed the role of patient-centred treatment, all-rounded approaches, and the opportunity of blending cognitive screening with routine healthcare practices.

Article Details

How to Cite
Firas Atef Abu Hussein. (2023). Geriatric Nursing Practitioner Screening Practices For Cognitive Impairment In The Older Adult. Journal for ReAttach Therapy and Developmental Diversities, 6(5s), 1062–1068. https://doi.org/10.53555/jrtdd.v6i5s.2546
Section
Articles
Author Biography

Firas Atef Abu Hussein

Faculty of Graduate studies, Arab American University, 13 Zababdeh, P.O. box 240, Jenin Palastine

References

Abd Razak, M. A., Ahmad, N. A., Chan, Y. Y., Kasim, N. M., Yusof, M., Ghani, M. A. & Jamaluddin, R. (2019). Validity of screening tools for dementia and mild cognitive impairment among the elderly in primary health care: a systematic review. Public health, 169, 84-92.

Calf, A. H., Pouw, M. A., van Munster, B. C., Burgerhof, J. G., de Rooij, S. E., & Smidt, N. (2021). Screening instruments for cognitive impairment in older patients in the Emergency Department: a systematic review and metaanalysis. Age and Ageing, 50(1), 105-112.

Caplan, G. A., Kurrle, S. E., & Cumming, A. (2016). Appropriate care for older people with cognitive impairment in hospital. Medical Journal of Australia, 205(S10), S12-S15.

Van Erp, R. M. A., Van Doorn, A. L., Van Den Brink, G. T., Peters, J. W. B., Laurant, M. G. H., & Van Vught, A.

J. (2021). Physician assistants and nurse practitioners in primary care plus: a systematic review. International Journal of Integrated Care, 21(1).

Donald, F., Martin‐Misener, R., Carter, N., Donald, E. E., Kaasalainen, S., Wickson‐Griffiths, A., ... & DiCenso, A. (2015). A systematic review of the effectiveness of advanced practice nurses in long‐term care. Journal of advanced nursing, 69(10), 2148-2161.

Ferretti-Rebustini, R. E. D. L., Souza-Talarico, J. N. D., Fhon, J. R. S., & Greenberg, S. A. (2022). The role of assessment in competence-based gerontological advanced practice nursing. Revista da Escola de Enfermagem da USP, 56.

Gibson, C., Goeman, D., & Pond, D. (2020). What is the role of the practice nurse in the care of people living with dementia, or cognitive impairment, and their support.

Hasemann, W., Tolson, D., Godwin, J., Spirig, R., Frei, I. A., & Kressig, R. W. (2018). Nurses' recognition of hospitalized older patients with delirium and cognitive impairment using the delirium observation screening scale: a prospective comparison study. Journal of Gerontological Nursing, 44(12), 35-43.

MacDermott, S., McKechnie, R., LoGiudice, D., Morgan, D., & Blackberry, I. (2022). Barriers and Facilitators to Screening for Cognitive Impairment in Australian Rural Health Services: A Pilot Study. Geriatrics, 7(2), 35.

Lu, Y. Y. F., Ellis, J., Yang, Z., Weaver, M. T., Bakas, T., Austrom, M. G., & Haase, J. E. (2016). Satisfaction with a family‐focused intervention for mild cognitive impairment dyads. Journal of nursing scholarship, 48(4), 334344.http://library.stikespantirapih.ac.id/downloads/Journal%20of%20Nursing%20Scholarship%20Volume%2048 %20Tahun%202016,%20No%204.pdf

O'Sullivan, D., O'Regan, N. A., & Timmons, S. (2016). Validity and reliability of the 6-item cognitive impairment test for screening cognitive impairment: a review. Dementia and geriatric cognitive disorders, 42(1-2), 42-49.

Pellicer-Espinosa, I., & Díaz-Orueta, U. (2022). Cognitive screening instruments for older adults with low educational and literacy levels: A systematic review. Journal of Applied Gerontology, 41(4), 1222-1231.

Rosenbloom, M., Barclay, T. R., Borson, S., Werner, A. M., Erickson, L. O., Crow, J. M., ... & Hanson, L. R. (2018). Screening positive for cognitive impairment: impact on healthcare utilization and provider action in primary and specialty care practices. Journal of general internal medicine, 33, 1746-1751.

Smid, J., Studart-Neto, A., César-Freitas, K. G., Dourado, M. C. N., Kochhann, R., Barbosa, B. J. A. P., ... & Vale, F. A. C. (2022). Subjective cognitive decline, mild cognitive impairment, and dementia-syndromic approach: recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology. Dementia & Neuropsychologia, 16, 1-24.

Tsai, J. C., Chen, C. W., Chu, H., Yang, H. L., Chung, M. H., Liao, Y. M., & Chou, K. R. (2016). Comparing the sensitivity, specificity, and predictive values of the Montreal Cognitive Assessment and Mini-Mental State Examination when screening people for mild cognitive impairment and dementia in Chinese population. Archives of psychiatric nursing, 30(4), 486-491.

Wiese, L. K., & Williams, C. L. (2015). Annual cognitive assessment for older adults: Update for nurses. Journal of Community Health Nursing, 32(4), 187-198.

Wittich, W., Jarry, J., Höbler, F., & McGilton, K. S. (2019). Agreement on the use of sensory screening techniques by nurses for older adults with cognitive impairment in long-term care: a mixed-methods consensus approach. BMJ open, 9(9), e027803.

Xu, Z., Zhang, D., Lee, A. T., Sit, R. W., Wong, C., Lee, E. K., ... & Wong, S. Y. (2020). A pilot feasibility randomized controlled trial on combining mind-body physical exercise, cognitive training, and nurse-led risk factor modification to reduce cognitive decline among older adults with mild cognitive impairment in primary care. PeerJ, 8, e9845.

Yang, Y., Xiao, L. D., Deng, L., Wang, Y., Li, M., & Ullah, S. (2015). Nurse‐led cognitive screening model for older adults in primary care. Geriatrics & gerontology international, 15(6), 721-728.

AlShibi, A. N., & Hamdan-Mansour, A. M. (2020). Nurses' knowledge and skills to manage patients with psychological distress in emergency departments. The Open Nursing Journal, 14(1). https://opennursing journal.com/VOLUME /14/PAGE/49/