Implementation of the Six Core Strategies for Restraint Minimization in a Specialized Mental Health Organization
| Autor: | Ian C Dawe, Philip E. Klassen, Melanie I. Stuckey, Sanaz Riahi |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Restraint
Physical Health Knowledge Attitudes Practice Decision support system medicine.medical_specialty Time Factors MEDLINE Psychiatric Department Hospital Patient Isolation 03 medical and health sciences 0302 clinical medicine Nursing medicine Humans 030212 general & internal medicine Psychiatry General Nursing Mental Disorders Debriefing Electronic medical record Mental health 030227 psychiatry Core (game theory) Pshychiatric Mental Health Seclusion Psychology Psychosocial |
| Zdroj: | Journal of Psychosocial Nursing and Mental Health Services. 54:32-39 |
| ISSN: | 1938-2413 0279-3695 |
| Popis: | Implementation of the Six Core Strategies to Reduce the Use of Seclusion and Restraint (Six Core Strategies) at a recovery-oriented, tertiary level mental health care facility and the resultant changes in mechanical restraint and seclusion incidents are described. Strategies included increased executive participation; enhanced staff knowledge, skills, and attitudes; development of restraint orders and decision support in the electronic medical record to enable informed debriefing and tracking of events; and implementation of initiatives to include service users and their families in the plan of care. Strategies were implemented in a staged manner across 3 years. The total number of mechanical restraint and seclusion incidents decreased by 19.7% from 2011/12 to 2013/14. Concurrently, the average length of a mechanical restraint or seclusion incident decreased 38.9% over the 36-month evaluation period. Implementation of the Six Core Strategies for restraint minimization effectively decreased the number and length of mechanical restraint and seclusion incidents in a specialized mental health care facility. [ Journal of Psychosocial Nursing and Mental Health Services, 54 (10), 32–39.] |
| Databáze: | OpenAIRE |
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