Effects of clinical supervision on nurse-patient cooperation quality: a controlled study in dementia care.
An intervention consisting of individualized planned care for patients and regular clinical systematic supervision for nurses was carried out on a ward for dementia care (the experimental ward, EW). On a similar control ward (CW), no changes were made. Observations of nurse-patient cooperation during morning care were collected at both wards, before and during the intervention. The observations (N = 107) were analyzed blindly and sorted into already-developed categories. The distribution of the cooperation-style categories was then analyzed statistically. The patients who survived throughout the study period (N = 18) were also compared over time. Nurse-patient cooperation at the EW improved significantly during the intervention period, whereas, at the CW, it deteriorated (p = .02). Status of surviving patients followed the same pattern (p = .001). The findings indicate that such interventions can improve the quality of nurse-patient cooperation in dementia care.
Edberg
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Hallberg
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D000368:Aged; D000369:Aged, 80 and over; D003299:Cooperative Behavior; D003704:Dementia / Q000451:nursing*; D005260:Female; D006801:Humans; D008297:Male; D009723:Nurse-Patient Relations; D009745:Nursing, Supervisory / Q000592:standards*; D010347:Patient Care Planning / Q000592:standards*; D016037:Single-Blind Method