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- Title
Constant Observation Practices for Hospitalized Persons With Dementia: A Survey Study.
- Authors
Sinvani, Liron; Strunk, Andrew; Patel, Vidhi; Shah, Shalin; Mulvany, Colm; Kozikowski, Andrzej; Boltz, Marie; Pekmezaris, Renee; Wolf-Klein, Gisele
- 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.
- Subjects
AGE distribution; DEMENTIA patients; INDUSTRIAL safety; MEDICAL needs assessment; MEDICAL cooperation; MEDICAL personnel; NURSES' attitudes; NURSES' aides; PATIENT safety; RESEARCH; SURVEYS; WHITE people; AGITATION (Psychology); PSYCHOSOCIAL factors; CROSS-sectional method; NURSE-patient ratio; HOSPITAL rounds; DESCRIPTIVE statistics
- Publication
American Journal of Alzheimer's Disease & Other Dementias, 2019, Vol 34, Issue 4, p223
- ISSN
1533-3175
- Publication type
Article
- DOI
10.1177/1533317519826272