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Dignity on the ward: promoting excellence in care
- Author:
- DAVIES Sue
- Journal article citation:
- Nursing Times, 17.8.00, 2000, pp.37-39.
- Publisher:
- Nursing Times
First of a five-part series. Reports on research commissioned by Help the Aged into good practice in the acute hospital care of older people.
Perspectives on the delirium experience and its burden: common themes among older patients, their family caregivers, and nurses
- Authors:
- SCHMITT Eva M., et al
- Journal article citation:
- Gerontologist, 59(2), 2019, p.327–337.
- Publisher:
- Oxford University Press
Background and Objectives: While there are qualitative studies examining the delirium-related experiences of patients, family caregivers, and nurses separately, little is known about common aspects of delirium burden among all three groups. This study describes common delirium burdens from the perspectives of patients, family caregivers, and nurses. Research Design and Methods: Semi-structured qualitative interviews about delirium burden were conducted with 18 patients who had recently experienced a delirium episode, with 16 family caregivers, and with 15 nurses who routinely cared for patients with delirium. This study recruited participants from a large, urban teaching hospital in Boston, Massachusetts. Interviews were recorded and transcribed. This study used interpretive description as the approach to data analysis. Results: This study identified three common burden themes of the delirium experience: Symptom Burden (Disorientation, Hallucinations/Delusions, Impaired Communication, Memory Problems, Personality Changes, Sleep Disturbances); Emotional Burden (Anger/Frustration, Emotional Distress, Fear, Guilt, Helplessness); and Situational Burden (Loss of Control, Lack of Attention, Lack of Knowledge, Lack of Resources, Safety Concerns, Unpredictability, Unpreparedness). These burdens arise from different sources among patients, family caregivers, and nurses, with markedly differing perspectives on the burden experience. Discussion and Implications: The findings advance the understanding of common burdens of the delirium experience for all groups and offer structure for instrument development and distinct interventions to address the burden of delirium as an individual or group experience. This work reinforces that no one group experiences delirium in isolation. Delirium is a shared experience that will respond best to systemwide approaches to reduce associated burden.
Safe staffing of older people's wards: RCN summary guidance and recommendations
- Author:
- ROYAL COLLEGE OF NURSING
- Publisher:
- Royal College of Nursing
- Publication year:
- 2012
- Pagination:
- 11p.
- Place of publication:
- London
A range of reports on NHS hospital care have highlighted concerns about older people’s human rights, dignified care and hospital experience. Evidence from the Royal College of Nursing suggests that older people, despite often having the most complex needs, regularly suffer from a severe shortage of nurses and health care assistants (HCAs), coupled with an inappropriate skill mix of HCAs to nurses. This publication considers the staff ratios and skill mix provided in older people’s wards. It argues that today’s older people’s wards need enough staff, highly skilled nursing teams and flexible staffing arrangements, and cannot weather further cuts. The publication provides guidance and recommendations for the provision of good quality compassionate and safe nursing care for older people in hospital, and identifies what is needed to meet the expectations of patients, nurses and the public, both now and in the future.
Dignity on the ward: pain and older people
- Authors:
- SCHOFIELD Pat, et al
- Publisher:
- Help the Aged
- Publication year:
- 2008
- Place of publication:
- London
This guide aims to highlight the main issues nursing staff need to consider when managing pain in older adults. It covers assessment and different methods of pain management. It also helps assist nurses in their decision making regarding treatment or referral to a members of multidisciplinary teams.
A patient's experience of an NHS hospital: complaint and outcomes
- Author:
- WENGER G. Clare
- Journal article citation:
- Quality in Ageing, 9(2), June 2008, pp.4-11.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
The author presents a personal account of her experiences of six days in an NHS hospital in Wales. The article details the authors complaints and actions and comments made following the complaints.
Dying with dignity
- Authors:
- MEERES Clarissa, MCKENNA Fergus
- Journal article citation:
- Nursing Times, 16.8.01, 2001, pp.36-37.
- Publisher:
- Nursing Times
A structured plan of action for patients who are dying of dementia can ease their pain and the distress of their relatives. Outlines the approach taken in a Cannock hospital.
The care homes catastrophe
- Author:
- BUNCE Christina
- Journal article citation:
- Nursing Times, 2.8.01, 2001, pp.22-24.
- Publisher:
- Nursing Times
Argues that nursing homes are closing at a rate of more than 15 a week which means that hospitals are full of older people with nowhere to go and scores of nurses are being lost to the profession.
The pressure's on
- Author:
- GULLAND Anne
- Journal article citation:
- Nursing Times, 3.11.99, 1999, pp.12-14.
- Publisher:
- Nursing Times
Last winter's flu outbreak saw the NHS at breaking point. This article asks what some of the worst-hit Trusts are now doing to prevent further chaos.
A&E - why so complacent?
- Author:
- VERNON Martin
- Journal article citation:
- Nursing Times, 18.10.95, 1995, pp.28-30.
- Publisher:
- Nursing Times
Elder abuse of often remains unnoticed in A&E departments, some reasons lie in the history of care of older people and in the development of elder abuse as a social problem.
Social workers, nurses, or both: who is primarily responsible for hospital discharge planning with older adults?
- Author:
- EATON Charissa K.
- Journal article citation:
- Social Work in Health Care, 57(10), 2018, pp.851-863.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study examines the profession primarily responsible for discharge planning in all hospitals serving older adults in Minnesota. Quantitative analyses determined that the majority of hospitals in Minnesota serving older adults are small, rural hospitals with critical access designations, are private nonprofit, and are affiliated with a health care system. Social workers are primarily responsible for discharge planning in half of the hospitals, nurses in a quarter and either a nurse/social worker team or both nurse and social worker separately in the remaining quarter. Multinomial logistic regression determined that in critical access hospitals nurses are more likely than social workers to be the profession primarily responsible for discharge planning. (Publisher abstract)