Feasibility study suggests no impact from protected engagement time on adverse events in mental health wards for older adults

Smith, Toby ORCID: https://orcid.org/0000-0003-1673-2954, Clark, Allan ORCID: https://orcid.org/0000-0003-2965-8941, Dodd, Emily, Khoo, Mary-Ellen, Heneker, Sarah, Cross, Jane ORCID: https://orcid.org/0000-0002-7003-1916, Cheston, Rik, Gray, Richard, Fox, Chris ORCID: https://orcid.org/0000-0001-9480-5704 and Nolan, Fiona (2018) Feasibility study suggests no impact from protected engagement time on adverse events in mental health wards for older adults. International Journal of Mental Health Nursing, 27 (2). pp. 756-764. ISSN 1445-8330

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Abstract

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 the present study was to determine whether protected engagement time (PET) resulted in lower adverse events and incidents compared to comparable non-PET wards for people admitted to inpatient older people's mental health wards. Ten inpatient wards for older people were included. Five followed a PET-management pathway, while 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 differences in frequency and type of adverse events between wards. A total of 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), or for adverse events of any particular type (P ≥ 0.15). Therefore, there is no evidence to suggest that PET has any impact on adverse events in older people's mental health wards. Further investigation with a larger cohort is warranted, using a definitive, phase 3, clinical trial.

Item Type:	Article
Additional Information:	Title of paper slightly altered post acceptance.
Uncontrolled Keywords:	adverse event,dementia,nursing,protected engagement time,sdg 3 - good health and well-being,sdg 16 - peace, justice and strong institutions ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Health Sciences Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Groups > Dementia & Complexity in Later Life Faculty of Medicine and Health Sciences > Research Groups > Mental Health Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Medicine and Health Sciences > Research Groups > Health Promotion Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Centres > Institute for Volunteering Research Faculty of Medicine and Health Sciences > Research Centres > Population Health Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
Depositing User:	Pure Connector
Date Deposited:	18 May 2017 05:06
Last Modified:	25 Sep 2024 12:45
URI:	https://ueaeprints.uea.ac.uk/id/eprint/63550
DOI:	10.1111/inm.12362

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