Enhanced supervision: new ways to promote safety and well-being in patients requiring one-to-one or cohort nursing
evidence and practice    

Enhanced supervision: new ways to promote safety and well-being in patients requiring one-to-one or cohort nursing

Ann Jones Service improvement manager, Cardiff and Vale University Health Board, Cardiff, Wales
Rebecca Aylward Director of nursing medicine, Cardiff and Vale University Health Board, Cardiff, Wales
Aled Jones Reader in patient safety and healthcare quality, School of Healthcare Sciences, Cardiff University, Cardiff, Wales

The number of older people with multiple co-morbidities and cognitive impairment being admitted to hospital is increasing, and behavioural disturbances, such as confusion, agitation and delirium, are becoming commonplace. The need for nursing teams to manage the patients with such disturbances has led to the proliferation of one-to-one nursing or close observation, anecdotally known as ‘specialing’.

This article describes the implementation and outcomes of a new framework for providing enhanced supervision of patients in clinical wards run by the Cardiff and Vale University Health Board, one of the largest acute providers of care in Wales.

Nursing Management. doi: 10.7748/nm.2019.e1827

Peer review

This article has been subject to external double-blind peer review and has been checked for plagiarism using automated software

Correspondence

ann.jones11@wales.nhs.uk

Conflict of interest

None declared

Jones A, Aylward R, Jones A (2019) Enhanced supervision: new ways to promote safety and well-being in patients requiring one-to-one or cohort nursing. Nursing Management. doi: 10.7748/nm.2019.e1827

Published online: 13 March 2019