A Bayesian network model to identify the associations between the use of seclusion in psychiatric care and nursing managers' attitudes towards containment methods

Laukkanen, Eila; Kuosmanen, Lauri; Louheranta, Olavi; Ryynänen, Olli‐Pekka; Vehviläinen‐Julkunen, Katri

doi:10.1111/jpm.12736

Cited by 3 publications

(1 citation statement)

References 48 publications

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“…Through training, nurses may gain understanding on the psychological impact of the use of physical restraint and how it is experienced by patients [31]. Training for nurse managers would also be beneficial as it seems that their attitudes have an impact on the rates of containment used on the ward [69].…”

Section: Discussionmentioning

confidence: 99%

The Knowledge, Practice and Attitudes of Nurses Regarding Physical Restraint: Survey Results from Psychiatric Inpatient Settings

Lee

Välimäki

2021

IJERPH

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There is a considerable amount of literature describing how nurses’ knowledge contributes to their attitudes and practices related to patient physical restraint. However, whether or not there have been any improvements in nurses’ knowledge levels, attitudes or practices regarding physical restraint during the past few years is unknown. A survey was conducted on nurses (n = 133) in one psychiatric hospital in Hong Kong (n = 98, response rate = 74%). The data were analyzed using independent t-tests, ANOVA, a Mann–Whitney U test, a Kruskal–Wallis test and Spearman’s rho. In general, nurses had good restraint-related knowledge with satisfactory attitudes and practices, although their knowledge levels, attitudes, and practices regarding restraint varied. Having a higher age, seniority, and education level contributed to a higher restraint-related knowledge level. Male nurses demonstrated more desirable practices (i.e., care of restrained patients), while nurses with a higher education level were more likely to avoid restraint. Nurses’ restraint-related knowledge positively correlated with restraint practices. Although nurses’ knowledge levels, attitudes, and practices regarding restraint were found to be satisfactory, more training efforts should focus on young nurses working in psychiatric settings with less work experience and lower education levels. As some nurses seem to favor the use of restraint with limited reflection, more studies are needed to verify nurses’ emotions and how their emotions influence the use of restrictive practices.

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Section: Discussionmentioning

confidence: 99%

The Knowledge, Practice and Attitudes of Nurses Regarding Physical Restraint: Survey Results from Psychiatric Inpatient Settings

Lee

Välimäki

2021

IJERPH

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Staff Perspectives: Why are adolescent inpatients secluded and what causes changes in rates of seclusion on a unit?

Yurtbasi,

Gordon,

Pavlou

et al. 2024

Child Adoles Ment Health

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BackgroundThe use of seclusion in Adolescent Inpatient Psychiatric Units is being heavily scrutinised due to its forceful nature and potential to cause harm. This study aimed to understand staff perspectives on reasons for seclusion in an Adolescent Inpatient Psychiatric Unit.MethodA mixed methods approach that included the Attitudes to Seclusion Survey followed by a semi‐structured interview on the reasons for seclusion was used. We recruited 31 participants who worked on the unit of which 27 were involved in seclusion.ResultsThe findings showed that the majority of staff view seclusion as undesirable and believe it should only be used out of necessity. However, there was disagreement among staff about the reasons why adolescents were secluded and whether those reasons were justified. Staff identified factors that contributed to increases in seclusion but also provided several ways in which seclusion could be reduced.ConclusionsThese findings highlight a need for precision on what constitutes justifiable use of seclusion to reduce the potential for misuse. It also shows opportunities exist for further reduction in seclusion through teamwork and communication.

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Attitudes of nurses and nurse managers towards violence risk assessment and management: A cross‐sectional study in psychiatric inpatient settings

Varpula,

Ameel,

Lantta

2024

Psychiatric Ment Health Nurs

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Accessible SummaryWhat is known on the subject Workplace violence is a significant challenge in psychiatric hospital care. Some existing practices of violence risk assessment and management are based on nurses' intuition and clinical experience instead of structured tools. What the paper adds to existing knowledge Nurses and nurse managers consider violence risk assessment and management their responsibility. Still, nurses and nurse managers have mixed attitudes towards the use of validated risk assessment tools. The attitudes towards service users' positive risk‐taking in nurses and nurse managers vary, with some nurses and nurse managers supporting its importance. What are the implications for practice Change in nurses' and nurse managers' attitudes towards risk assessment tools is required before their implementation into practice. More profound change in practices towards recovery‐oriented care is required also in risk assessment. AbstractIntroductionWorkplace violence is a prevalent issue in psychiatric inpatient care. Prevention efforts require the identification of at‐risk service users using validated violence risk assessment tools. The shift in violence prevention emphasises preventive measures and collaborative risk assessment together with service users. Nurses have a central role in this process. Therefore, their attitudes are crucial when implementing evidence‐based methods.AimTo assess the attitudes of nurses and nurse managers towards violence risk assessment and management.MethodA cross‐sectional online survey in Finnish psychiatric inpatient care. Data analysis was conducted with statistical methods. The STROBE guideline was used in reporting.ResultsNurses (n = 142) valued risk assessment and felt that it was their responsibility. Attitudes towards service users' risk‐taking as part of their recovery varied. Nurses had mixed attitudes regarding the effectiveness of risk assessment tools. Older participants and nurse managers had more positive attitudes towards risk assessment tools.DiscussionThe study findings highlight a feeling of responsibility of nurses towards violence risk assessment and at the same time their preference towards their own clinical judgement.Implications for PracticeUnderstanding nurses' attitudes is crucial in training and implementation processes to address concerns, provide support and enhance positive attitudes.

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A Bayesian network model to identify the associations between the use of seclusion in psychiatric care and nursing managers' attitudes towards containment methods

Cited by 3 publications

References 48 publications

The Knowledge, Practice and Attitudes of Nurses Regarding Physical Restraint: Survey Results from Psychiatric Inpatient Settings

The Knowledge, Practice and Attitudes of Nurses Regarding Physical Restraint: Survey Results from Psychiatric Inpatient Settings

Staff Perspectives: Why are adolescent inpatients secluded and what causes changes in rates of seclusion on a unit?

Attitudes of nurses and nurse managers towards violence risk assessment and management: A cross‐sectional study in psychiatric inpatient settings

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