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Gentle Persuasive Approaches

Introducing an Educational Program on an Orthopaedic Unit for Staff Caring for Patients With Dementia and Delirium

Pizzacalla, Anne; Montemuro, Maureen; Coker, Esther; Martin, Lori Schindel; Gillies, Leslie; Robinson, Karen; Pepper, Heather; Benner, Jeff; Gusciora, Joanna

doi: 10.1097/NOR.0000000000000127
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Gentle Persuasive Approaches in Dementia Care (GPA), a curriculum originally designed for long-term care, was introduced into an acute care setting. This person-centered approach to supporting and responding to persons with behaviors associated with dementia was shown to be applicable for staff on an orthopaedic surgery unit where they had reported significant challenges and care burdens when faced with behaviors such as shouting, explosiveness, and resistance to care. Staff confidence in their ability to care for persons with behaviors increased after attending the 1-day GPA workshop, and they reported being highly satisfied with the curriculum, found it to be applicable to their practice, indicated that it was also useful for patients with delirium, and would recommend it to others. Some of the staff on the orthopaedic unit became certified GPA coaches. The passion of those champions, along with demonstrated success of the program on their unit, contributed to its spread to other units, including rehabilitation and acute medicine.

Anne Pizzacalla, RN, MHSc, NP-Adult, was Clinical Nurse Specialist, Hospital Elder Life Program, Hamilton Health Sciences, Hamilton, Ontario, Canada, and is now Nurse Practitioner, Rapid Response Team, the Hamilton Niagara Haldimand Brant Community Care Access Center, Hamilton, Ontario, Canada.

Maureen Montemuro, RN, MHSc, Clinical Nurse Specialist, St. Peter's Hospital, Hamilton Health Sciences, Hamilton, Ontario, Canada.

Esther Coker, RN, MScN, MSc, Clinical Nurse Specialist, St. Peter's Hospital, Hamilton Health Sciences, Hamilton, Ontario, Canada.

Lori Schindel Martin, RN, PhD, Associate Professor and Associate Director - Scholarly, Research and Creative Activities, Daphne Cockwell School of Nursing at Ryerson University, Toronto, Ontario, Canada.

Leslie Gillies, RN, Med, was Chief of Interprofessional Practice, Hamilton Health Sciences, Hamilton, Ontario, Canada, and is now Director of Perioperative Services, Critical Care Program, and Surgical Day Care at Norfolk General Hospital, Simcoe, Ontario, Canada.

Karen Robinson, RN, BScN, MEd, was Clinical Nurse Specialist on the Orthopaedic Surgery Unit, and is now a Clinical Manager at Hamilton Health Sciences, Hamilton, Ontario, Canada.

Heather Pepper, RN, BHScN, Clinical Manager on the Orthopaedic Surgery Unit at Hamilton Health Sciences, Hamilton, Ontario, Canada, and is now Clinical Manager, Orthopaedics and Neurosurgery at Health Sciences North in Sudbury, Ontario, Canada.

Jeff Benner, RN, BScN, Registered Nurse at Hamilton Health Sciences, Hamilton, Ontario, Canada.

Joanna Gusciora MSW, RSW, Social Worker in Orthopaedics and Palliative Care at Hamilton Health Sciences, Hamilton, Ontario, Canada.

The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

© 2015 National Association of Orthopaedic Nurses