title: Sustainability of an innovation to support and respond to persons with behaviors related to dementia and delirium.
abstract: Gentle Persuasive Approaches (GPA) in Dementia Care, a program designed for staff caring for patients in long-term care who exhibit challenging behaviors, was implemented and has been sustained in an acute care setting. Outcomes include fewer codes indicating violent situations, a reduction in physical restraint and sitter use, and fewer reports of safety incidents involving agitated patients. In this article, we describe the innovation (GPA) and the strategies used to sustain its successful implementation.
authors.affiliation: Author Affiliations: Director (Ms Gillies), Perioperative Services, Critical Care Program, Respiratory Therapy Service and Haldimand Norfolk Diabetes Program, Norfolk General Hospital, Simcoe; and Assistant Clinical Professors (Mss Gillies, Coker, Montemuro, and Pizzacalla), McMaster University, School of Nursing, Hamilton; Clinical Nurse Specialists (Mss Coker and Montemuro), Hamilton Health Sciences; and Nurse Practitioner (Ms Pizzacalla), Rapid Response Transitional Team Hamilton Niagara Haldimand Brant Community Care Access Center, Hamilton, Ontario, Canada.
authors.forename: Leslie
authors.initials: L
authors.lastname: Gillies
authors.forename: Esther
authors.initials: E
authors.lastname: Coker
authors.forename: Maureen
authors.initials: M
authors.lastname: Montemuro
authors.forename: Anne
authors.initials: A
authors.lastname: Pizzacalla
mesh_terms: D001521:Behavior Therapy / Q000379:methods*; D003693:Delirium / Q000451:nursing* / Q000523:psychology; D003704:Dementia / Q000451:nursing* / Q000523:psychology; D006801:Humans; D007318:Inservice Training / Q000379:methods; D007857:Leadership; D009741:Nursing Staff, Hospital / Q000193:education* / Q000592:standards; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000379:methods / Q000592:standards*; D010565:Persuasive Communication; D015397:Program Evaluation