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Creating and implementing guidelines on caring for difficult patients: a research utilization project

Z R Wolf1, R Brennan, L Ferchau

  • 1School of Nursing, La Salle University, Philadelphia, PA, USA.

Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses
|June 1, 1997
PubMed
Summary
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Caring for challenging patients requires resourcefulness. New guidelines, informed by focus groups and illustrated with case studies, offer strategies for effective nursing interventions and improved patient outcomes.

Area of Science:

  • Nursing
  • Patient Care
  • Healthcare Management

Background:

  • Challenging patient behaviors can strain nursing resources and impact care quality.
  • Existing nursing practices may lack specific strategies for managing difficult patient interactions.
  • A focus group study identified key challenges and needs in caring for difficult patients.

Observation:

  • Focus group participants shared experiences and perspectives on patient difficulties.
  • Four distinct case studies were developed to illustrate the application of new guidelines.
  • Interventions and patient outcomes were documented within each case study.

Findings:

  • The developed guidelines provide a structured approach to managing difficult patient behaviors.
  • Specific nursing interventions were identified as effective in de-escalating challenging situations.

Related Experiment Videos

  • Consistent application of guidelines led to positive changes in patient interactions and outcomes.

    • Implications:

    • These guidelines can enhance nurses' confidence and competence in managing difficult patients.
    • Implementing these strategies may improve the overall quality of nursing care and patient safety.
    • Further research could explore the long-term impact of these guidelines across diverse healthcare settings.