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Using Evidence: A Nursing Assessment Protocol for Acute Geropsychiatric Patients
Ashley Sechrist Corn1, Joan Sevy-Majers2, R Lee Tyson3
1Ashley Corn, DNP, University of Cincinnati, Cincinnati, OH, USA.
Journal of the American Psychiatric Nurses Association
|November 9, 2020
Summary
A new protocol using the Pittsburgh Agitation Scale improved nursing assessment for agitated patients, enhancing safety and documentation for those with anxiety and mood disorders.
Area of Science:
- Nursing Practice
- Quality Improvement
- Patient Safety
Background:
- Approximately 20% of the US population experiences mental health issues, with anxiety, cognitive, and mood disorders common in older adults.
- Hospitalized patients with agitation or anxiety may require de-escalation techniques and medication for emergent symptoms.
Purpose of the Study:
- To enhance nursing assessment and reassessment of patients exhibiting symptoms of agitation and anxiety requiring intervention.
- To improve patient safety and professional nursing practice through a quality improvement intervention.
Main Methods:
- Implemented a new practice standard incorporating an evidence-based tool, the Pittsburgh Agitation Scale.
- Nurses utilized a protocol to augment documentation of nursing assessment for patients with marked anxiety and agitation.
Main Results:
- A 3-month trial demonstrated significant improvement in the nursing assessment process.
- Required documentation of nursing assessment and reassessment, including protocol use, was enhanced.
Conclusions:
- Implementing standardized protocols for nursing care supports patient safety.
- Evidence-based tools like the Pittsburgh Agitation Scale can improve nursing documentation and patient care outcomes.
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