Attitudinal variance among patients, next of kin and health care professionals towards the use of containment measures in three psychiatric hospitals in Switzerland
| Autor: | Etienne Buehler, Matthias Jaeger, Georges Klein, Florian Hotzy, Simone Beeri, Thomas Reisch, Sonja Moetteli |
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| Přispěvatelé: | University of Zurich, Hotzy, Florian |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Hospitals Psychiatric Male medicine.medical_specialty Adolescent Patients Next of kin Attitude of Health Personnel lcsh:RC435-571 Health Personnel Coercion 610 Medicine & health Commission Young Adult 03 medical and health sciences 2738 Psychiatry and Mental Health 0302 clinical medicine Surveys and Questionnaires lcsh:Psychiatry Health care medicine Humans Family Confidentiality 030212 general & internal medicine Psychiatry Aged business.industry Mental Disorders Patient Preference Variance (accounting) Middle Aged Voluntariness Health care professionals 030227 psychiatry Psychiatry and Mental health Cross-Sectional Studies Attitudes 10054 Clinic for Psychiatry Psychotherapy and Psychosomatics Female Treatment culture Containment measures business Seclusion Psychology Switzerland Research Article Declaration of Helsinki |
| Zdroj: | BMC Psychiatry, Vol 19, Iss 1, Pp 1-12 (2019) BMC Psychiatry |
| Popis: | Background In psychiatric treatment containment measures are used to de-escalate high-risk situations. These measures can be characterized by their immanent amount of coercion. Previous research could show that the attitudes towards different containment measures vary throughout countries. The aim of this study was to compare the attitudes towards containment measures between three study sites in Switzerland which differ in their clinic traditions and policies and their actual usage of these measures. Methods We used the Attitude to Containment Measures Questionnaire (ACMQ) in three psychiatric hospitals in Switzerland (Zurich, Muensingen and Monthey) in patients, their next of kin (NOK) and health care professionals (HCP). Furthermore, we assessed the cultural specifics and rates of coercive measures for these three hospitals. Results We found substantial differences in the usage of and the attitudes towards some containment measures between the three study sites. The study site accounted for a variance of nearly zero in as needed medication to 15% in seclusion. The differences between study sites were bigger in the HCPs’ attitudes (up to 50% of the variance), compared to NOK and patients. In the latter the study site accounted for up to 6% of the variance. The usage/personal experience of containment measures in general was associated with higher agreement. Conclusions Although being situated in the same country, there are substantial differences in the rates of containment measures between the three study sites. We showed that the HCP’s attitudes are more associated with the clinic traditions and policies compared to patients’ and their NOKs’ attitudes. One can conclude that patients’ preferences depend less on clinic traditions and policies. Therefore, it is important to adapt treatment to the individual patients’ attitudes. Trial registration The study was reviewed and approved by the Cantonal Ethics Commission of Zurich, Switzerland (Ref.-No. EK: 2016–01526, decision on 28.09.2016) and the Cantonal Ethics Commission of Bern, Switzerland (Ref.-Nr. KEK-BE: 2015–00074). This study has been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. The permission for conduction of the study was granted by the medical directors at the three study sites. The authors informed the respondents (patients, NOK, HCP) of their rights in the study in an oral presentation and/or a cover letter. They assured the participants of the confidentiality and anonymity of the data, and the voluntariness of participation. Patients were given an information sheet with the possibility to consent in the conduction of the study. Return of the completed questionnaires from HCP and NOK was constituted as confirmation of their consent. No identifying factors were collected to ensure privacy. This article does not contain any studies with animals performed by any of the authors. |
| Databáze: | OpenAIRE |
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