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Reducing conflict and containment rates on acute psychiatric wards: The Safewards cluster randomised controlled trial
- Source :
- International Journal of Nursing Studies, Bowers, L, James, K, Quirk, A, Simpson, A, Stewart, D & Hodsoll, J 2015, ' Reducing conflict and containment rates on acute psychiatric wards : The Safewards cluster randomised controlled trial ', International Journal of Nursing Studies, vol. 52, no. 9, pp. 1412-1422 . https://doi.org/10.1016/j.ijnurstu.2015.05.001
- Publication Year :
- 2015
- Publisher :
- Elsevier, 2015.
-
Abstract
- Please see http://openaccess.city.ac.uk/13908/ for details of the Corrigendum to this article.\ud \ud Background: Acute psychiatric wards manage patients whose actions may threaten safety (conflict). Staff act to avert or minimise harm (containment). The Safewards model enabled the identification of ten interventions to reduce the frequency of both.\ud \ud Objective: To test the efficacy of these interventions.\ud \ud Design: A pragmatic cluster randomised controlled trial with psychiatric hospitals and wards as the units of randomisation. The main outcomes were rates of conflict and containment.\ud \ud Participants: Staff and patients in 31 randomly chosen wards at 15 randomly chosen hospitals.\ud \ud Results: For shifts with conflict or containment incidents, the experimental condition reduced the rate of conflict events by 15% (95% CI 5.6–23.7%) relative to the control intervention. The rate of containment events for the experimental intervention was reduced by 26.4% (95% CI 9.9–34.3%).\ud \ud Conclusions: Simple interventions aiming to improve staff relationships with patients can reduce the frequency of conflict and containment.\ud \ud Trial registration: IRSCTN38001825
- Subjects :
- medicine.medical_specialty
Psychological intervention
dewey610
Nursing(all)
Poison control
Psychiatric Department, Hospital
Restraint
Violence
Nursing Staff, Hospital
Rapid tranquillisation
Suicide prevention
Occupational safety and health
Article
State Medicine
RT
Special observation
Conflict, Psychological
nursing
Medicine
Cluster Analysis
Humans
Cluster randomised controlled trial
Psychiatry
Absconding
General Nursing
Self harm
business.industry
Negotiating
Health services research
health
medicine.disease
United Kingdom
Harm
Seclusion
Emergency medicine
Medical emergency
Inpatient
business
Corrigendum
Subjects
Details
- Language :
- English
- ISSN :
- 1873491X and 00207489
- Database :
- OpenAIRE
- Journal :
- International Journal of Nursing Studies, Bowers, L, James, K, Quirk, A, Simpson, A, Stewart, D & Hodsoll, J 2015, ' Reducing conflict and containment rates on acute psychiatric wards : The Safewards cluster randomised controlled trial ', International Journal of Nursing Studies, vol. 52, no. 9, pp. 1412-1422 . https://doi.org/10.1016/j.ijnurstu.2015.05.001
- Accession number :
- edsair.doi.dedup.....eb1c8f20f391b037b3d35900edcbce40