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dc.contributor.authorWilkes, Lesley
dc.contributor.authorJackson, Debra
dc.contributor.authorMohan, Shantala
dc.contributor.authorWallis, Marianne
dc.date.accessioned2017-05-03T12:03:10Z
dc.date.available2017-05-03T12:03:10Z
dc.date.issued2010
dc.date.modified2013-05-30T01:13:09Z
dc.identifier.issn1037-6178
dc.identifier.doi10.5172/conu.2010.36.1-2.131
dc.identifier.urihttp://hdl.handle.net/10072/38585
dc.description.abstractThis 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-identifi ed '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 effi ciently. 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.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent118526 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publishereContent Management Pty Ltd
dc.publisher.placeAustralia
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom131
dc.relation.ispartofpageto142
dc.relation.ispartofissue1-2
dc.relation.ispartofjournalContemporary Nurse
dc.relation.ispartofvolume36
dc.rights.retentionY
dc.subject.fieldofresearchClinical Nursing: Secondary (Acute Care)
dc.subject.fieldofresearchAged Care Nursing
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode111003
dc.subject.fieldofresearchcode111001
dc.subject.fieldofresearchcode1110
dc.titleClose observation by 'specials' to promote the safety of the older person with behavioural disturbances in the acute care setting
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© 2010 e-Content Management Pty Ltd. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal website for access to the definitive, published version.
gro.date.issued2010
gro.hasfulltextFull Text
gro.griffith.authorWallis, Marianne


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