Close observation by 'specials' to promote the safety of the older person with behavioural disturbances in the acute care setting

Lesley Wilkes, Debra Jackson, Shantala Mohan, Marianne Wallis

    Research output: Contribution to journalArticlepeer-review

    14 Citations (Scopus)

    Abstract

    This paper reports a two-phased pilot study that explored the concept of 'specialling' older patients with challenging behaviours in acute ward situations. Previous research suggests that the nursing workforce is not equipped with the skills and resources required to provide quality care for these patients. The hospital in which this study was conducted, instigated a model where these patients were closely observed by 'specials'. Phase 1 of the study involved a retrospective analysis of de-identified 'Specials' Observation Charts' and 'Request for Patient Special' forms of patients aged 65 years and above, over 12 months in 2006. Phase 2 involved in-depth interviews with the nurses caring for these patients. Findings revealed inadequacy of the forms, gaps in service provision for this vulnerable group of patients and the need for education of specials and ward staff, with suggestions to improve care for this patient group. Findings suggest the necessity to design and structure the observation forms more efficiently. It is important to formulate clear assessment criteria for these patients and incorporate in-service education programmes for 'specials' and ward staff and adequately prepare and support them to meet the challenges of caring for older persons with behavioural disturbances in ward situations.
    Original languageEnglish
    Pages (from-to)131-142
    Number of pages12
    JournalContemporary Nurse
    Volume36
    Issue number45323
    DOIs
    Publication statusPublished - 2010

    Fingerprint

    Dive into the research topics of 'Close observation by 'specials' to promote the safety of the older person with behavioural disturbances in the acute care setting'. Together they form a unique fingerprint.

    Cite this