Alternative strategies to constant patient observation and sitters: a proactive approach

J Nurs Adm. 2013 Oct;43(10):497-501. doi: 10.1097/NNA.0b013e3182a3e83e.


The evidence is inconclusive as to whether better patient outcomes for behavioral issues in acute care are achieved using constant patient observation. Nurse leaders at a northern California hospital designed and implemented proactive strategies to identify patients at risk for behavioral issues, developed evidence-based interventions to reduce the use of sitters and constant observation, and maintained or improved patient safety.

MeSH terms

  • Attention Deficit and Disruptive Behavior Disorders / prevention & control*
  • California
  • Evidence-Based Nursing / methods*
  • Humans
  • Nursing Staff, Hospital / organization & administration*
  • Observation / methods*
  • Patient Care / methods*
  • Patient Safety
  • Risk Management / methods*
  • Watchful Waiting / methods*