From Nursing Homes to Geriatric Psychiatry: Contextual Factors Associated With the Admission of People With Dementia and Behaviour That Challenges-An Integrative Review.

The evidence base is low certainty, including opinion papers, practice reports, and studies with small samples. Most included studies were from Germany, with some from Europe, North America, and Australia, limiting global transferability due to differing healthcare systems. The search excluded the term 'nursing home' to increase sensitivity, which may have introduced bias in selecting studies. Heterogeneity of study designs made direct comparison difficult, and many studies lacked detailed information on decision-making processes.

The review was supported by the Rheinhessen-Fachklinik Alzey, where one author works as an Advanced Practice Nurse, and by the Wilhelm Woort-Stiftung für Alternsforschung. The authors declare no conflicts of interest.

Do not interpret the identified factors as evidence that specific interventions will reduce admissions. The review highlights problems like poor communication and resource shortages but does not test solutions. Furthermore, the findings are largely based on low-quality evidence and European contexts, so they may not apply directly to your local healthcare system.