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Nurses’ perceptions of preventing falls for patients with dementia in the acute hospital setting.

Nurses’ perceptions of preventing falls for patients with dementia in the acute hospital setting.
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Ayton D, O'Brien P, Treml J, Soh SE, Morello R, Barker A,


Ayton D, O'Brien P, Treml J, Soh SE, Morello R, Barker A, (click to view)

Ayton D, O'Brien P, Treml J, Soh SE, Morello R, Barker A,

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Australasian journal on ageing 2017 11 24() doi 10.1111/ajag.12474
Abstract
OBJECTIVES
Safe and high-quality care for patients with dementia is a key priority area of the Australian Commission on Safety and Quality in Health Care; however, caring for patients with dementia in the acute hospital setting is perceived as challenging. The aim of this analysis was to explore nurses’ perspectives regarding fall prevention for patients with dementia in an acute care setting.

METHODS
Secondary analysis of focus group data. Focus groups were conducted with nurses (n = 96) across six hospitals in New South Wales and Victoria.

RESULTS
Nurses frequently reported issues relating to the physical environment of the acute care setting, competing priorities in a complex care setting and the need for one-on-one supervision for patients with dementia.

CONCLUSION
Nurses report that one-on-one supervision is required to keep patients safe. Future research examining the acceptability and cost-effectiveness of volunteers providing this supervision is warranted in Australian hospitals.

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