An Evaluation of a Sitter Reduction Program Intervention

Spiva, LeeAnna; Feiner, Therese; Jones, Darcia; Hunter, D.J.; Petefish, Jayne; VanBrackle, Lewis

doi:10.1097/ncq.0b013e31825f4a5f

Cited by 32 publications

(34 citation statements)

References 6 publications

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“…The effect of the sitter role on healthcare costs is significant . Previous studies exploring strategies to decrease the use of sitters because of the high cost and distruption of staff responsibilities are numerous . Although a cost effectiveness analysis was beyond the scope of this study, our model suggests a cost benefit stemming from the shorter stay and less use of CO or sitters.…”

Section: Discussionmentioning

confidence: 99%

“…16,21,45 Previous studies exploring strategies to decrease the use of sitters because of the high cost and distruption of staff responsibilities are numerous. 10,[24][25][26][27][28][29] Although a cost effectiveness analysis was beyond the scope of this study, our model suggests a cost benefit stemming from the shorter stay and less use of CO or sitters. With regard to LOS, assuming a cost of $304 per day per person for the unit, the daily cost savings is $2,432 ($887,680 per year), with 576 bed days (0.8 3 720 patients over 1 year).…”

Section: Discussionmentioning

confidence: 99%

“…Regardless of their titles, hospital personnel are not trained specifically for this task, because there are no standardized guidelines to define sitter job qualifications and requirements . Furthermore, hospitals increasingly struggle with the challenge of keeping the staffing costs of providing CO affordable …”

mentioning

confidence: 99%

“…23 Furthermore, hospitals increasingly struggle with the challenge of keeping the staffing costs of providing CO affordable. 10,[24][25][26][27][28][29] There are no national guidelines with regard to use of CO in hospitalized individuals who display behavioral and psychological symptoms of dementia. The need to develop interventions for cost-effective, sustainable models is imperative to prevent poor outcomes and to ensure quality care, dignity, and respect for this vulnerable population.…”

mentioning

confidence: 99%

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A Multicomponent Model to Improve Hospital Care of Older Adults with Cognitive Impairment: A Propensity Score–Matched Analysis

Sinvani

Warner‐Cohen

Strunk

et al. 2018

J American Geriatrics Society

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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A Multicomponent Model to Improve Hospital Care of Older Adults with Cognitive Impairment: A Propensity Score–Matched Analysis

Sinvani

Warner‐Cohen

Strunk

et al. 2018

J American Geriatrics Society

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“…Spiva, L., Feiner, T., Jones, D., Hunter, D., Petefish, J., & Vanbrackle, L. (2012). An evaluation of a sitter reduction programme intervention.…”

Section: Saundersmentioning

confidence: 99%

What are we asking for when requesting “Specialling” for the confused hospitalised older person? A concept analysis

Coyle

Wilson

Lapkin

et al. 2019

Int J Older People Nursing

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Background and/or rationale: "Specialling" is a common nursing practice in hospitals which entails the allocation of extra staff to be with an older person who is confused to maintain safety. Despite ongoing use, this practice has little evidence of effectiveness.To facilitate further investigation, a concept analysis of "specialling" was undertaken.Aims: The aim of this paper was to report on a concept analysis on the practice of "specialling" pertaining to older people who have cognitive impairment when in hospital. Methods:This study used Rodgers evolutionary approach to concept analysis to clarify the attributes, antecedents and consequences of the concept to determine a definition of "specialling." Web of Science (Core Collection and Web of Science Medline), CINAHL and SCOPUS databases were searched to identify relevant literature. Due to the scarcity of papers, the search was broadened to include all sources that could add understanding. Findings:A total of (n = 43) sources were identified. The attributes were themed to 5 categories: Labels and descriptions; the "Special" role; Patient safety; Patient care; and Communication. The antecedents to 2 themes: Patient characteristics; andOrganisational risk. The consequences of "specialling" were diverse with 6 themes: the "Special" role; the Older persons experience; Costly; "Special" use and nursing beliefs; Safety outcomes; and Opportunities. Discussion:The process of concept analysis provided a means to identify knowledge gaps and practice challenges. The definition determined from this analysis has provided a reflective opportunity for clinicians and researchers to consider when implementing care initiatives to support older people in hospital. Important is the lack of person-centred approaches and the opportunities in developing nurse leadership through empowerment. The findings from this analysis will inform a PhD study. Implications for practice:Nurses have an opportunity to lead care improvements by ensuring person-centred approaches in the care of older people with cognitive impairment. K E Y W O R D Sacute care, aged care, cognitive impairment, concept analysis, delirium, dementia, hospital setting, older people, specialling • This study clarifies the concept and provides a contemporary definition of "specialling" among older people in acute care settings.• The evolutionary concept analysis identified five attributes, two antecedents and six consequences of "specialling" when used to care for the older person in hospital settings.• Nurses have an opportunity to lead care improvements by ensuring person-centred approaches in the care of older people with cognitive impairment.What are the implications of this new knowledge for nursing care with older people?• The contemporary definition of "specialling" developed provides reflective opportunity for clinicians and researchers.• "Specialling" should be implemented in a meaningful way that incorporates engagement between the multidisciplinary team, the older person and their families. How could the findings...

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An urgent need to understand and address the safety and well‐being of hospital “sitters”

Schoenfisch

Pompeii

Lipscomb

et al. 2015

American J Industrial Med

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An Evaluation of a Sitter Reduction Program Intervention

Cited by 32 publications

References 6 publications

A Multicomponent Model to Improve Hospital Care of Older Adults with Cognitive Impairment: A Propensity Score–Matched Analysis

A Multicomponent Model to Improve Hospital Care of Older Adults with Cognitive Impairment: A Propensity Score–Matched Analysis

What are we asking for when requesting “Specialling” for the confused hospitalised older person? A concept analysis

An urgent need to understand and address the safety and well‐being of hospital “sitters”

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