TY - JOUR PY - 2020// TI - Constant observation of pediatric patients at risk for self-harm and suicide: An evidence-based practice inquiry JO - Applied nursing research A1 - Kiley, Kathleen A1 - Volpe, Diana A1 - Schenkel, Sara Rae A1 - DeGrazia, Michele SP - ePub EP - ePub VL - ePub IS - ePub N2 - Suicide is a leading cause of death for pediatric patients in the United States. The utilization of protective observation strategies, namely constant observation, is a regulatory recommendation as part of a comprehensive suicide prevention plan for hospitalized behavioral health patients. Constant observation is the increased level of observation and supervision with continuous one-to-one monitoring techniques, taken to assure the safety and well-being of a patient and others in the patient care environment (Moore et al., 1995). This evidence-based practice inquiry describes a search for the best evidence on constant observation practices ensuring the safe care of pediatric patients at risk for self-harm or suicide. The findings included no high-level evidence, however four literary themes related to the challenges of constant observation emerged: confusing language and definitions, untested models of care, important privacy issues and lack of pediatric observation strategies for patients at risk for self-harm and suicide. Impaired communication underscored each of the themes.

Language: en

LA - en SN - 0897-1897 UR - http://dx.doi.org/10.1016/j.apnr.2020.151294 ID - ref1 ER -