Related Experiment Videos
A Multifaceted Nursing Practice Bundle for the Management of Changed Behaviour in Hospitalised Adults With Cognitive
Erin Rachel Davis1,2, Christina Aggar1,2, Michelle Bissett1
1Southern Cross University, Bilinga, Queensland, Australia.
Objective:
The aim of this study was to evaluate changes in nursing practices following implementation of a multifaceted nursing practice bundle for the management of changed behaviour in hospitalised adults with cognitive impairment.
Methods:
A single-group pre-post interventional study evaluated changes in nurses' reactions to changed behaviour and the use of alternatives to physical restraint following implementation of a multifaceted nursing practice bundle (implementation framework, nurse education and nonpharmacological resources).
Results:
Management of changed behaviour improved, with nurses more commonly reacting with care and less likely to react by ignoring when changed behaviour occurred. Nurses were also more likely to utilise professional knowledge and problem-solving abilities, and less likely to use medications as alternatives to physical restraints.
Conclusions:
The implementation of a nursing practice bundle was associated with improved management of changed behaviour in hospitalised adults with cognitive impairment, likely due to its multifaceted approach. Improvements in nursing practice indicate enhanced attitudes towards adults with cognitive impairment and increased confidence in implementing nonpharmacological interventions.
Related Concept Videos
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
Acute Coronary Syndrome IV: Interprofessional Care
Planning Nursing Care I
Fundamentals of Nursing Process II