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dc.contributor.authorWilkes, Lesleyen_US
dc.contributor.authorJackson, Debraen_US
dc.contributor.authorMohan, Shantalaen_US
dc.contributor.authorWallis, Marianneen_US
dc.date.accessioned2017-05-03T12:03:10Z
dc.date.available2017-05-03T12:03:10Z
dc.date.issued2010en_US
dc.date.modified2013-05-30T01:13:09Z
dc.identifier.issn10376178en_US
dc.identifier.doi10.5172/conu.2010.36.1-2.131en_US
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.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_US
dc.format.extent118526 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.language.isoen_US
dc.publishereContent Management Pty Ltden_US
dc.publisher.placeAustraliaen_US
dc.relation.ispartofstudentpublicationNen_US
dc.relation.ispartofpagefrom131en_US
dc.relation.ispartofpageto142en_US
dc.relation.ispartofissue1-2en_US
dc.relation.ispartofjournalContemporary Nurseen_US
dc.relation.ispartofvolume36en_US
dc.rights.retentionYen_US
dc.subject.fieldofresearchClinical Nursing: Secondary (Acute Care)en_US
dc.subject.fieldofresearchAged Care Nursingen_US
dc.subject.fieldofresearchcode111003en_US
dc.subject.fieldofresearchcode111001en_US
dc.titleClose observation by 'specials' to promote the safety of the older person with behavioural disturbances in the acute care settingen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.rights.copyrightCopyright 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.en_US
gro.date.issued2010
gro.hasfulltextFull Text


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