Serious untoward incidents and their aftermath in acute inpatient psychiatry: The Tompkins Acute Ward Study
| Autor: | Sophie Eyres, Louise Phillips, Len Bowers, Angela Grange, Henk Nijman, Alan Simpson, Cerdic Hall |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Occupational therapy medicine.medical_specialty Attitude of Health Personnel media_common.quotation_subject Poison control Psychiatric Nursing Nursing Methodology Research Violence Suicide prevention Occupational safety and health Experimental Psychopathology and Treatment Occupational Therapy Surveys and Questionnaires Adaptation Psychological Injury prevention Humans Medicine Psychiatry Burnout Professional Occupational Health Qualitative Research media_common Suicide attempt business.industry Mental Disorders Social Support medicine.disease R1 United Kingdom Personnel Hospital Suicide Cross-Sectional Studies Acute Disease RC0321 Guilt Anxiety Female Grief Medical emergency Pshychiatric Mental Health medicine.symptom Homicide business |
| Zdroj: | International Journal of Mental Health Nursing, 15, 226-234 International Journal Of Mental Health Nursing International Journal of Mental Health Nursing, 15, 4, pp. 226-234 |
| ISSN: | 1447-0349 1445-8330 |
| DOI: | 10.1111/j.1447-0349.2006.00428.x |
| Popis: | Background: Serious untoward incidents, or sentinel events (suicide, homicide, suicide attempt, serious assault and elopement of high risk patients) occur from time to time in association with acute psychiatric inpatient wards.\ud \ud Aim: To discover the impact of serious untoward incidents on inpatient wards.\ud \ud Method: Doctors, nurses and occupational therapists at three hospitals were interviewed about these events and their impact on their wards.\ud \ud Findings: Staff reported feelings of shock, depression, demoralisation, upset, loss, and grief, followed by ruminations, guilt and anxiety. Levels of containment increased, as did the focus on risk assessment. Processing of the emotional impact was hindered by the pace of ward life, a lack of external support, and management investigations. Patient responses were largely ignored. A few staff responded negatively, hindering service improvements.\ud \ud Conclusions: Much more attention needs to be given to the needs of the patient group following incidents. Substantial planning, organisation and investment are required to properly prepare for such events and manage their outcome. Without this planning and action, acute inpatient work has the capacity to be damaging to staff. |
| Databáze: | OpenAIRE |
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