Using Implementation Science Strategies to Embed Geriatric and Dementia Best Practices in Acute Care

BACKGROUND: Hospitalizations are challenging for older adults and people living with dementia due to geriatric syndromes and behavioral disturbances. Person-centered care (PCC) is a proven strategy to improve outcomes. PROBLEM: We experienced an increase in behavioral disturbances and long stays of Veterans with dementia in an acute care setting. APPROACH: We used the Consolidated Framework for Implementation Research and Expert Recommendations for Implementing Changes to implement a Geriatric-Cognitive Impairment Protocol to promote PCC and geriatric best practices. RESULTS: Through identification of barriers and facilitators, PCC interventions were enacted, behavioral disturbances declined, and nurses reported a more person-centered environment and improved access to tools to provide evidence-based care. CONCLUSION: Implementation science strategies can facilitate PCC and geriatric best practices through a modifiable nursing protocol.