Management of challenging behaviours in patients with traumatic brain injury in acute hospital settings
Lifetime Support Authority
June 2019 – June 2025
Block, H., George, S., Milanese, S., Dizon, J., Bowen-Salter, H., & Jenkinson, F. (2021). Evidence for the management of challenging behaviours in patients with acute traumatic brain injury or post-traumatic amnesia: An Umbrella Review. Brain Impairment, 22(1), 1-19. DOI:10.1017/BrImp.2020.5
Block, H., Paul, M., Muir-Cochrane, E., Bellon, M., George, S., & Hunter, S. (2023) Clinical practice guideline recommendations for the management of challenging behaviours after traumatic brain injury in acute hospital and inpatient rehabilitation settings: a systematic review. Disability and Rehabilitation, DOI: 10.1080/09638288.2023.2169769
Block, H., Hunter, S., Bellon, M., & George, S. (2022). Implementing a behaviour management approach in the hospital setting for individuals with challenging behaviours during acute traumatic brain injury. Brain Injury, 36(9), 1176-1186. DOI: 10.1080/02699052.2022.2110941
This research explores the management of challenging behaviours for people with traumatic brain injury during their acute hospital admission. Evidence of management strategies are synthesised in an Umbrella review and a scoping review of clinical practice guideline recommendations. A pilot study of a consistent approach to assessment and management of challenging behaviours for patients with TBI in hospital settings was implemented with high fidelity, demonstrating lowered use or restraints and lowered hospital length of stay. Qualitative exploration of staff experiences, barriers and enablers to implementing TBI behaviour management approaches in hospital settings will occur through focus groups with acute hospital and specialist inpatient rehabilitation staff. Family members of people with TBI will be interviewed to provide their experiences of challenging behaviours in the acute stage of TBI. Data will be triangulated to develop factors to guide implementation for effective TBI behaviour management in hospital settings.
Address gaps in synthesised evidence for clinical management of challenging behaviours for patients with TBI in acute settings.
Demonstrate a clinically pragmatic behaviour management approach has high fidelity, and lowers use of restraints and hospital length of stay for acute patients with TBI. These outcomes align with Australian Commission on Safety and Quality in Health Care comprehensive care recommendations.
Provide an exploration of acute hospital and inpatient rehabilitation staff’s experiences, barriers and enablers in managing patients with challenging behaviours after TBI.
Understand the family experience of challenging behaviours after TBI in hospital settings.
Develop a robust and proven implementation strategy to change practice for effective TBI behaviour management in hospital settings.
An easy-read resource for this project is not currently available.