Multidimensional approach to restraint minimization: The journey of a specialized mental health organization
| Autor: | Alexandra Hernandez, Melanie I. Stuckey, Philip E. Klassen, Sanaz Riahi, Barbara Mildon |
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| Rok vydání: | 2017 |
| Předmět: |
Mental Health Services
Restraint Physical medicine.medical_specialty Time Factors Professional practice Peer support Patient Isolation 03 medical and health sciences 0302 clinical medicine medicine Humans Psychiatry 030504 nursing business.industry Mental Disorders Interrupted Time Series Analysis Mental health 030227 psychiatry Rate of increase Emergency medicine Mental health care Pshychiatric Mental Health Clinical Ethics 0305 other medical science Seclusion business |
| Zdroj: | International Journal of Mental Health Nursing. 26:482-490 |
| ISSN: | 1445-8330 |
| Popis: | The executive-level witnessing and review of restraint events has been identified as a key strategy for restraint minimization. In the present study, we examined the changes in restraint practices at a tertiary-level mental health-care facility with implementation of an initiative, in which representatives from senior management, professional practice, peer support, and clinical ethics witnessed seclusion and restraint events, and rounded with clinical teams to discuss timely release and brainstorm prevention strategies. Interrupted time series analysis compared the change from pre-implementation (14 months prior) to postimplementation (35 months’ following) in the number of incidents/month, total hours/month, and average hours/incident/month for each of seclusion and mechanical restraint. With implementation, there was a step decrease in average hours/seclusion (–28.3 hours/seclusion, P |
| Databáze: | OpenAIRE |
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