Evidence map›Paper›PMID 40084589›Full record

ArticleAustralasian journal on ageing2025

Implementing Australia's new guidelines for appropriate psychotropic medication use in residential aged care: Applying the Consolidated Framework For Implementation Research.

Shakti Shrestha, Amanda J Cross, Michelle Steeper, Angelita Martini, Dayna Cenin, Jertrude Smith, Francesca Glamorgan, Constance Dimity Pond, J Simon Bell, Adam La Caze

Abstract read
In one paragraph

Article in Australasian journal on ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Implementation science in care for older adults across healthcare settings: a scoping review.Archives of public health = Archives belges de sante publique · 2026
    Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Shakti ShresthaFaculty of Health, Medicine and Behavioural Sciences, School of Pharmacy and Pharmaceutical Sciences, The University of Queensland, Dutton Park Campus, Woolloongabba, Queensland, Australia.ORCID https://orcid.org/0000-0003-0344-091X
Amanda J CrossCentre of Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville Campus, Parkville, Victoria, Australia.ORCID https://orcid.org/0000-0001-6001-9211
Michelle SteeperFaculty of Medicine, Nursing and Health Sciences, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Angelita MartiniSchool of Allied Health, The University of Western Australia, Perth, Western Australia, Australia.
Dayna CeninBrightwater Research Centre, Brightwater Care Group, Inglewood, Western Australia, Australia.ORCID https://orcid.org/0000-0003-2598-7035
Jertrude SmithLifeview Corporate Lifeview Pty Ltd., Wheelers Hill, Victoria, Australia.
Francesca GlamorganMontefiore, Randwick, New South Wales, Australia.
Constance Dimity PondWicking Dementia Research and Teaching Centre, University of Tasmania, Hobart, Tasmania, Australia.
J Simon BellCentre of Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville Campus, Parkville, Victoria, Australia.
Adam La CazeFaculty of Health, Medicine and Behavioural Sciences, School of Pharmacy and Pharmaceutical Sciences, The University of Queensland, Dutton Park Campus, Woolloongabba, Queensland, Australia.ORCID https://orcid.org/0000-0001-6802-6141

Funding

Australian Government Medical Research Future Fund GA187306NHMRC Emerging Leadership 1 APP2009633
6 · The paper itself

Abstract

objectivesAccumulating evidence about psychotropic medication-related adverse events has had minimal apparent impact on overall rates of psychotropic medication use across Australian residential aged care facilities (RACFs). Australia's new Clinical Practice Guidelines for the Appropriate Use of Psychotropic Medications in People Living with Dementia and in Residential Aged Care were released in April 2023. This study aimed to identify contextual factors to inform strategies to implement the new Guidelines in Australian RACFs.

methodsA qualitative study using semi-structured interviews was conducted with the participants representing four Australian residential aged care organisations. The interviews were recorded, transcribed verbatim, coded and thematically analysed. Factors were deductively coded using the Consolidated Framework for Implementation Research (CFIR) into three domains: outer setting, inner setting and individuals, which subsequently informed the fourth CFIR domain-implementation process.

resultsParticipants (n = 33) were aged care residents and their family members, occupational therapists, nurses, nurse practitioners, general practitioners, geriatricians and pharmacists. The outer setting factors included regulatory changes, increased workload and increased workforce demand. The inner setting factors were health digitalisation, governance and compliance culture. Individual factors included mindset towards psychotropics and staff capabilities. The implementation process domain comprised four key strategies-recognising workforce pressures, leveraging recent efforts, supporting local use of data and supporting team functioning.

conclusionsThese outer setting, inner setting and individual factors represent an interconnected framework of potentially modifiable factors to guide the targeted implementation of Australia's new Guidelines. These four key strategies provide new approaches to support the translation of the Guidelines.

Indexed as

DementiaHomes for the AgedNursing HomesPractice Guidelines as TopicPractice Patterns, Physicians'Psychotropic DrugsAgedAustraliaFemaleGuideline AdherenceHumansMaleQualitative ResearchPsychotropic Drugsdementiaguidelineimplementation sciencepsychotropic drugsresidential aged care facility

Identifiers

PMID40084589
PMCPMC11907677

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.