Nursing personnel’s use of non-pharmacological intervention in dementia care. Scoping review
CHEMWEI, CHARLES (2025)
2025
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https://urn.fi/URN:NBN:fi:amk-2025101025895
https://urn.fi/URN:NBN:fi:amk-2025101025895
Tiivistelmä
Background: Dementia is a progressive neurological disorder with increasing global prevalence, demanding effective, sustainable, and affordable approaches. Non-pharmacological interventions offer safe and cost-effective alternatives to pharmacological treatment.
Task and objectives: The objectives were to investigate what non-pharmacological interventions nurses use in dementia care, identify challenges to their implementation, and propose evidence-based recommendations for improved application in dementia care settings.
Implementation methods: A scoping review was conducted guided by the Joanna Briggs Institute (JBI) framework. Data were search in databases, CINAHL, MEDLINE, PubMed, JBI, and Google Scholar. They were systematic selected thereafter; eligible studies underwent screening and thematic analysis.
Results: Non-pharmacological interventions such as cognitive interventions, music and creative therapies, sensory and relaxation therapies, physical activity and motor rehabilitation, psychosocial and emotional engagement, behavioural and environmental interventions, and technology-based interventions was iden-tified. Reported outcomes of the intervention includes memory decline, improved cognition, mood, social engagement, and reduced behavioural and psychological symptoms of dementia. Challenges identified are financial constraints, organisational limitations, and cultural and ethical considerations.
Conclusion: NPIs are critical in dementia care, providing safe and person-centred support. Effective imple-mentation requires proper resource allocation, targeted staff training, and cultural adaptation. The review recommends sustainable funding, adequate staffing, and person-centered training to strengthen NPIs in dementia care. Future research should explore long-term effects of these interventions and strategies to address implementation barriers.
Task and objectives: The objectives were to investigate what non-pharmacological interventions nurses use in dementia care, identify challenges to their implementation, and propose evidence-based recommendations for improved application in dementia care settings.
Implementation methods: A scoping review was conducted guided by the Joanna Briggs Institute (JBI) framework. Data were search in databases, CINAHL, MEDLINE, PubMed, JBI, and Google Scholar. They were systematic selected thereafter; eligible studies underwent screening and thematic analysis.
Results: Non-pharmacological interventions such as cognitive interventions, music and creative therapies, sensory and relaxation therapies, physical activity and motor rehabilitation, psychosocial and emotional engagement, behavioural and environmental interventions, and technology-based interventions was iden-tified. Reported outcomes of the intervention includes memory decline, improved cognition, mood, social engagement, and reduced behavioural and psychological symptoms of dementia. Challenges identified are financial constraints, organisational limitations, and cultural and ethical considerations.
Conclusion: NPIs are critical in dementia care, providing safe and person-centred support. Effective imple-mentation requires proper resource allocation, targeted staff training, and cultural adaptation. The review recommends sustainable funding, adequate staffing, and person-centered training to strengthen NPIs in dementia care. Future research should explore long-term effects of these interventions and strategies to address implementation barriers.