Nurses' Experience of Delivering One-to-One Observations in Acute Non-Psychiatric Hospitals: An Integrative Review

To explore the experience of nursing staff who provide one-to-one observations for patients aged ≥ 18 years admitted to acute hospitals.

Integrative review reported in accordance with the method described by Wittemore and Knafl (2005) which focused on the period 2000-2024.

Papers were included if they reported on novel studies, service or educational improvement interventions. All studies were critically appraised for quality; no study was excluded because of methodological quality. Included data were synthesised narratively.

Eight databases were searched in August 2024. Search terms related to nurses' experience and one-to-one observations, with no restrictions placed on language.

Nine papers were included. Nurses' experience of delivering one-to-one observations ranged from 'frightening' to 'satisfying'. Nursing staff were more likely to have a positive experience if they had access to training on delivering one-to-one observations, felt themselves part of a cohesive team and worked in an organisation with a supportive culture.

Nurses' experience of delivering one-to-one observations is influenced by organisational factors, sense of teamwork and access (or lack thereof) to relevant training.

The Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines were used to report the review findings.

No Patient or Public Contribution.