Relationship between service ecology, special observation and self-harm during acute in-patient care: City-128 study
| Autor: | Teresa Allan, Sarah Curtis, Diane Hackney, Len Bowers, Kamaldeep Bhui, Richard Whittington, Peter Nolan, David Parkin, Alan Simpson |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Attitude of Health Personnel Poison control Psychiatric Nursing Psychiatric Department Hospital Nursing Staff Hospital Suicide prevention RT Occupational safety and health 03 medical and health sciences 0302 clinical medicine Nursing Mentally Ill Persons Injury prevention Humans Medicine 030212 general & internal medicine Inpatients business.industry Mental Disorders Human factors and ergonomics Social environment Confounding Factors Epidemiologic Mental health United Kingdom 030227 psychiatry Psychiatry and Mental health Cross-Sectional Studies Harm Female Patient Care business Delivery of Health Care Self-Injurious Behavior |
| Zdroj: | British Journal of Psychiatry. 193:395-401 |
| ISSN: | 1472-1465 0007-1250 |
| DOI: | 10.1192/bjp.bp.107.037721 |
| Popis: | BackgroundSpecial observation (the allocation of nurses to watch over nominated patients) is one means by which psychiatric services endeavour to keep in-patients safe from harm. The practice is both contentious and of unknown efficacy.AimsTo assess the relationship between special observation and self-harm rates, by ward, while controlling for potential confounding variables.MethodA multivariate cross-sectional study collecting data on self-harm, special observation, other conflict and containment, physical environment, patient and staff factors for a 6-month period on 136 acute-admission psychiatric wards.ResultsConstant special observation was not associated with self-harm rates, but intermittent observation was associated with reduced self-harm, as were levels of qualified nursing staff and more intense programmes of patient activities.ConclusionsCertain features of nursing deployment and activity may serve to protect patients. The efficacy of constant special observation remains open to question. |
| Databáze: | OpenAIRE |
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