{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:14:23Z","timestamp":1791908063052,"version":"4.3.4"},"reference-count":44,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,1,31]],"date-time":"2019-01-31T00:00:00Z","timestamp":1548892800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Alzheimers Dis Other Demen"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:p>Despite substantial staffing and cost implications, the use of constant observation (CO) has been poorly described in the acute care setting. The purpose of this cross-sectional, multicenter, survey study was to assess hospital provider practices regarding the use of CO. Of the 543 surveys distributed, 231 were completed across 5 sites. Most respondents worked on medical units (67.5%), as nurses (49.1%); 44.8% were white; and 75.6% were female. The majority (84.2%) reported at least 1 patient\/wk requiring CO. Most frequent indication for CO was dementia with agitation (60.7%), in patients older than 70 (62.3%) and predominantly by nurse assistants (93.9%). Almost half (47.3%) stated they felt pressured to discontinue CO, despite a strong perceived benefit (76%). Enhanced observation (92.6%) was most frequently used to decrease CO. Finally, 77.9% perceived that those performing CO lacked training. Our study highlights the widespread use of CO for hospitalized older adults with dementia.<\/jats:p>","DOI":"10.1177\/1533317519826272","type":"journal-article","created":{"date-parts":[[2019,1,31]],"date-time":"2019-01-31T23:56:40Z","timestamp":1548979000000},"page":"223-230","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Constant Observation Practices for Hospitalized Persons With Dementia: A Survey Study"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9700-251X","authenticated-orcid":false,"given":"Liron","family":"Sinvani","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Hospital Medicine, Northwell Health, New York, NY, USA"},{"name":"Center of Health Innovation and Outcomes Research (CHIOR), The Feinstein Institute for Medical Research, Northwell Health, New York, NY, USA"},{"name":"Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell, Northwell Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Strunk","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Northwell Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vidhi","family":"Patel","sequence":"additional","affiliation":[{"name":"Center of Health Innovation and Outcomes Research (CHIOR), The Feinstein Institute for Medical Research, Northwell Health, New York, NY, USA"},{"name":"Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell, Northwell Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalin","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Hospital Medicine, Northwell Health, New York, NY, USA"},{"name":"Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell, Northwell Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6645-0299","authenticated-orcid":false,"given":"Colm","family":"Mulvany","sequence":"additional","affiliation":[{"name":"Center of Health Innovation and Outcomes Research (CHIOR), The Feinstein Institute for Medical Research, Northwell Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrzej","family":"Kozikowski","sequence":"additional","affiliation":[{"name":"Center of Health Innovation and Outcomes Research (CHIOR), The Feinstein Institute for Medical Research, Northwell Health, New York, NY, USA"},{"name":"Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell, Northwell Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Boltz","sequence":"additional","affiliation":[{"name":"College of Nursing, Penn State, University Park, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renee","family":"Pekmezaris","sequence":"additional","affiliation":[{"name":"Center of Health Innovation and Outcomes Research (CHIOR), The Feinstein Institute for Medical Research, Northwell Health, New York, NY, USA"},{"name":"Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell, Northwell Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gisele","family":"Wolf-Klein","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Geriatrics and Palliative Medicine, Northwell Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,1,31]]},"reference":[{"issue":"3","key":"bibr1-1533317519826272","doi-asserted-by":"crossref","first-page":"46","DOI":"10.3928\/0279-3695-19950301-08","volume":"33","author":"Moore P","year":"1995","journal-title":"J Psychosoc Nurs Ment Health Serv"},{"key":"bibr2-1533317519826272","unstructured":"Joint Commission on Accreditation of Healthcare Organizations. 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