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Acceptability and use of coercive methods across differing service configurations with and without seclusion and/or psychiatric intensive care units.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Apr2017, Vol. 73 Issue 4, p966-976, 11p
- Publication Year :
- 2017
-
Abstract
- Aims The aim of this study was to compare across different service configurations the acceptability of containment methods to acute ward staff and the speed of initiation of manual restraint. Background One of the primary remits of acute inpatient psychiatric care is the reduction in risks. Where risks are higher than normal, patients can be transferred to a psychiatric intensive care unit or placed in seclusion. The abolition or reduction in these two containment methods in some hospitals may trigger compensatory increases in other forms of containment which have potential risks. How staff members manage risk without access to these facilities has not been systematically studied. Design The study applied a cross-sectional design. Methods Data were collected from 207 staff at eight hospital sites in England between 2013 - 2014. Participants completed two measures; the first assessing the acceptability of different forms of containment for disturbed behaviour and the second assessing decision-making in relation to the need for manual restraint of an aggressive patient. Results In service configurations with access to seclusion, staff rated seclusion as more acceptable and reported greater use of it. Psychiatric intensive care unit acceptability and use were not associated with its provision. Where there was no access to seclusion, staff were slower to initiate restraint. There was no relationship between acceptability of manual restraint and its initiation. Conclusion Tolerance of higher risk before initiating restraint was evident in wards without seclusion units. Ease of access to psychiatric intensive care units makes little difference to restraint thresholds or judgements of containment acceptability. [ABSTRACT FROM AUTHOR]
- Subjects :
- AGGRESSION (Psychology)
ALLIED mental health personnel
CHI-squared test
TEST validity
HEALTH services accessibility
HOSPITALS
VIOLENCE against medical personnel
METROPOLITAN areas
NURSING practice
PERSONNEL management
SECLUSION of psychiatric hospital patients
PSYCHIATRIC hospitals
PSYCHIATRIC nursing
PSYCHOTHERAPY patients
QUESTIONNAIRES
RESEARCH funding
RESTRAINT of patients
STATISTICS
DECISION making in clinical medicine
LOGISTIC regression analysis
JUDGMENT sampling
DATA analysis
SOCIOECONOMIC factors
STATISTICAL reliability
CROSS-sectional method
WORK experience (Employment)
DESCRIPTIVE statistics
HOSPITAL nursing staff
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 73
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 121698597
- Full Text :
- https://doi.org/10.1111/jan.13197