There is no effect on adverse events with the adoption of protected engagement time in inpatient older people’s mental health wards

Smith, T., Clark, A., Dodd, E., Khoo, M.-E., Henker, S., Cross, J., Cheston, R., Gray, R., Fox, C. and Nolan, F. (2017) There is no effect on adverse events with the adoption of protected engagement time in inpatient older people’s mental health wards. International Journal of Mental Health Nursing. ISSN 1445-8330 [In Press] Available from: http://eprints.uwe.ac.uk/32034

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Abstract/Description

Hospital adverse events such as falls, violence and aggression, security, self-harm and suicide are difficult to manage in older people with dementia. The purpose of this study was to determine whether Protected Engagement Time (PET) resulted in lower adverse events and incidence compared to comparable non-PET wards for people admitted to inpatient older people’s mental health wards. Ten inpatient psychiatric units for older people were recruited. Five followed a PET management pathway, whilst five continued usual care. All adverse events and incidents were recorded in routine hospital records over 72 weeks. Data were gathered from these records and analysed as rate per person per week to assess for differences in frequency and type of adverse events between wards. 4130 adverse events were recorded. In the PET wards, a mean of 0.38 adverse events occurred per person per week compared to 0.40 in non-PET wards. No statistically significant differences were found between PET and non-PET wards for adverse events (p=0.93), nor for adverse events of any particular type (p≥0.15). Hence these is no evidence to suggest that PET had any impact of adverse events in older people’s psychiatric wards. Further investigation with a larger cohort, is warranted on this intervention through a definitive, phase three, clinical trial.

Item Type:Article
Uncontrolled Keywords:Care Model; Dementia; Older People Mental Health; Nursing
Faculty/Department:Faculty of Health and Applied Sciences > Department of Health and Social Sciences
ID Code:32034
Deposited By: Professor R. Cheston
Deposited On:13 Jun 2017 09:19
Last Modified:15 Oct 2017 14:19

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