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Alternative nursing environments: do they affect hospital outcomes?

L R Clark, V Fraaza, S Schroeder

Journal of Gerontological Nursing

|November 1, 1995

Summary

A specialized dayroom program for confused geriatric inpatients reduced hospitalization complications and improved family satisfaction with nursing care in an alternative environment.

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Area of Science:

Geriatric Medicine
Inpatient Care
Healthcare Program Design

Background:

Confused geriatric inpatients often require intensive monitoring, restraints, or sitter services.
Alternative care environments are being explored to improve patient outcomes and reduce healthcare costs.
Hospitalization can lead to complications, especially in vulnerable elderly populations.

Purpose of the Study:

To evaluate the impact of a functional needs-focused dayroom program for confused geriatric inpatients.
To assess hospitalization complications in patients participating in the dayroom program compared to standard care.
To measure family satisfaction with nursing care in the alternative dayroom environment.

Main Methods:

Implementation of an intensive dayroom program targeting functional needs.
Documentation and comparison of hospitalization complications between dayroom patients and a control group (implied).
Surveys or interviews to assess family satisfaction with nursing care.

Main Results:

Fewer hospitalization complications were documented for patients in the dayroom program.
The dayroom program provided an alternative environment for confused geriatric inpatients, potentially reducing the need for restraints or sitters.
Increased family satisfaction was observed regarding nursing care within the alternative environment.

Conclusions:

A functional needs-focused dayroom program can be effective for confused geriatric inpatients.
This alternative care model may lead to reduced hospitalization complications.
The program positively impacts family-perceived quality of nursing care.

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