Purpose: To reduce the use of mechanical restraints, Safewards was introduced to a ward in a psychiatric hospital in Poland. Design and Methods: Three aspects of Safewards were applied for 8 months. The comparison time period was the same time frame of the previous year. Findings: Restraint use dropped by 24%, and the number of patients restrained dropped 34%. The duration of restraint remained at 2.8 days per episode. Practice Implications: Simple techniques aimed at promoting positive interactions between staff and patients can reduce the frequency of restraints.
Hughes et al. / FEAR AND CONFIDENCE Fear-of-crime research, although plentiful, has been plagued by criticism that it often focuses on generalized, global measures of fear instead of specific instances that elicit an emotional response of fear. Much of the criticism is justified. Little is known about women's perceptions of confidence in managing dangerous situations or crimes, or if confidence is correlated strongly with fear. College women (n = 564) completed the Perceptions of Dangerous Situations Scale, a survey instrument validated for college women, consisting of 34 crimes and dangerous situations. Women rated each situation with regard to their fear of and their confidence to manage selected situations. Ratings were subjected to multidimensional scaling, producing two dimensions that were interpreted as Personal Threat and Intimacy. Cluster analysis produced eight interpretable clusters for fear and eight for confidence. Implications for self-defense curricula and rape prevention training are discussed.Abundant research has focused on women's fear of crime (Ferraro, 1996;Keane, 1998;Stanko, 1992), and much of it has concluded that women are fearful, although the amount of fear may vary with environment
Background: The number of meteoropaths, or people negatively affected by weather conditions, is rising dramatically. Meteoropathy is developing rapidly due to ever poorer adaptations of people to changes in weather conditions. Strong weather stimuli may not only exacerbate symptoms in people with diseases of the cardiovascular and respiratory systems but may also induce aggressive behavior. Researchers have shown that patients suffering from mental illnesses are most vulnerable to changes in the weather and postulate a connection between the seasons and aggressive behavior. Methods: The goal of the study was to analyze the relationship between coercive measures and weather factors. The researchers identified what meteorological conditions prevailed on days with an increased number of incidents of aggressive behavior leading to the use of physical coercion towards patients in a psychiatric hospital in Poland. In order to determine the impact of weather conditions on the frequency at which physical coercion measures were used, the hospital’s “coercion sheets” from 1 January 2015 to 31 March 2017 were analyzed. The data were correlated with meteorological data. In order to determine the relationship between the occurrence of specific weather conditions and the number of coercive interventions (N), researchers utilized Spearman’s rank correlation analysis together with two-dimensional scatter diagrams (dependency models), multiple regression, stepwise regression, frequencies, and conditional probability (%). Results: Lower barometric pressure and foehn wind increased aggressive behavior in patients that led to coercive measures. For temperature (positive correlation) and humidity (negative correlation), there was a poor but statistically significant correlation. Conclusions: Monitoring weather conditions might be useful in predicting and preventing aggression by patients who are susceptible to weather changes
Martial arts and self-defense programs train fearful people, especially women, to be more competent and confident to defend themselves in dangerous situations. However, there are no validated instruments to evaluate the effectiveness of programs purporting to teach self-protection. The Perceptions of Dangerous Situations Scale (PDSS), composed of fear, likelihood and confidence subscales, was developed and validated for university women. Participants were 368 university women, ages 17 to 45 years (M age = 20.7 years). Content validity of the PDSS was established through an expert panel, and construct validity was established through principal components analysis and determination of instructional sensitivity. Reliability was established through alpha coefficients. The PDSS, when used with university women, offers promising measurement opportunities in self-defense and martial arts settings.
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