Constant Observation Practices for Hospitalized Persons With Dementia: A Survey Study.

IF 2.7 4区医学 Q2 CLINICAL NEUROLOGY

American Journal of Alzheimers Disease and Other Dementias Pub Date : 2019-06-01 Epub Date: 2019-01-31 DOI:10.1177/1533317519826272

Liron Sinvani, Andrew Strunk, Vidhi Patel, Shalin Shah, Colm Mulvany, Andrzej Kozikowski, Marie Boltz, Renee Pekmezaris, Gisele Wolf-Klein

{"title":"Constant Observation Practices for Hospitalized Persons With Dementia: A Survey Study.","authors":"Liron Sinvani, Andrew Strunk, Vidhi Patel, Shalin Shah, Colm Mulvany, Andrzej Kozikowski, Marie Boltz, Renee Pekmezaris, Gisele Wolf-Klein","doi":"10.1177/1533317519826272","DOIUrl":null,"url":null,"abstract":"<p><p>Despite substantial staffing and cost implications, the use of constant observation (CO) has been poorly described in the acute care setting. The purpose of this cross-sectional, multicenter, survey study was to assess hospital provider practices regarding the use of CO. Of the 543 surveys distributed, 231 were completed across 5 sites. Most respondents worked on medical units (67.5%), as nurses (49.1%); 44.8% were white; and 75.6% were female. The majority (84.2%) reported at least 1 patient/wk requiring CO. Most frequent indication for CO was dementia with agitation (60.7%), in patients older than 70 (62.3%) and predominantly by nurse assistants (93.9%). Almost half (47.3%) stated they felt pressured to discontinue CO, despite a strong perceived benefit (76%). Enhanced observation (92.6%) was most frequently used to decrease CO. Finally, 77.9% perceived that those performing CO lacked training. Our study highlights the widespread use of CO for hospitalized older adults with dementia.</p>","PeriodicalId":50816,"journal":{"name":"American Journal of Alzheimers Disease and Other Dementias","volume":"34 4","pages":"223-230"},"PeriodicalIF":2.7000,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10852488/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Alzheimers Disease and Other Dementias","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/1533317519826272","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2019/1/31 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Despite substantial staffing and cost implications, the use of constant observation (CO) has been poorly described in the acute care setting. The purpose of this cross-sectional, multicenter, survey study was to assess hospital provider practices regarding the use of CO. Of the 543 surveys distributed, 231 were completed across 5 sites. Most respondents worked on medical units (67.5%), as nurses (49.1%); 44.8% were white; and 75.6% were female. The majority (84.2%) reported at least 1 patient/wk requiring CO. Most frequent indication for CO was dementia with agitation (60.7%), in patients older than 70 (62.3%) and predominantly by nurse assistants (93.9%). Almost half (47.3%) stated they felt pressured to discontinue CO, despite a strong perceived benefit (76%). Enhanced observation (92.6%) was most frequently used to decrease CO. Finally, 77.9% perceived that those performing CO lacked training. Our study highlights the widespread use of CO for hospitalized older adults with dementia.

查看原文本刊更多论文

痴呆症住院患者的持续观察实践：调查研究。

尽管持续观察（CO）对人员配备和成本有很大影响，但在急症护理环境中的使用情况却鲜有描述。这项横断面多中心调查研究旨在评估医院医疗服务提供者在使用持续观察方面的做法。在发放的 543 份调查问卷中，有 231 份在 5 个地点完成。大多数受访者在医疗单位工作（67.5%），护士（49.1%）；44.8%为白人；75.6%为女性。大多数受访者（84.2%）表示每星期至少有一名患者需要使用 CO。最常见的 CO 适应症是伴有躁动的痴呆症（60.7%），患者年龄在 70 岁以上（62.3%），主要由护士助理负责（93.9%）。近一半的患者（47.3%）表示，尽管他们认为停止使用 CO 有很大益处（76%），但仍感到有压力。加强观察（92.6%）是最常用的减少 CO 的方法。最后，有 77.9% 的人认为执行 CO 的人员缺乏培训。我们的研究表明，对住院的老年痴呆症患者广泛使用CO。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

American Journal of Alzheimers Disease and Other Dementias GERIATRICS & GERONTOLOGY-CLINICAL NEUROLOGY

CiteScore

5.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： American Journal of Alzheimer''s Disease and other Dementias® (AJADD) is for professionals on the frontlines of Alzheimer''s care, dementia, and clinical depression--especially physicians, nurses, psychiatrists, administrators, and other healthcare specialists who manage patients with dementias and their families. This journal is a member of the Committee on Publication Ethics (COPE).