Association of Empathy of Nursing Staff With Reduction of Seclusion and Restraint in Psychiatric Inpatient Care

Yang, Chin-Po Paul; Hargreaves, William A.; Bostrom, Alan

doi:10.1176/appi.ps.201200531

Cited by 46 publications

(36 citation statements)

References 12 publications

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“…Nursing staff with empathy ratings above average have been significantly associated with a reduced use of seclusion and restraint in psychiatric inpatient units (Yang, Hargreaves, & Bostrom, ). However, little is known about how empathy is developed and maintained in demanding staff–patient relations in acute mental health services (Gerace et al., ; Stewart et al., ).…”

Section: Discussionmentioning

confidence: 99%

Development and reliability testing of the Scale for the Evaluation of Staff‐Patient Interactions in Progress Notes (SESPI): An assessment instrument of mental health nursing documentation

Myklebust

Bjørkly

2019

Nursing Open

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Aim To develop and test the reliability of the Scale for the Evaluation of Staff‐Patient Interactions in Progress Notes ( SESPI ). Therapeutic nurse–patient interactions are fundamental in mental health nursing. However, little is known about how these interactions are recorded in nursing documentation and there is no instrument available for collecting this type of information for quantitative analysis. Design Instrument development and reliability testing. Methods The development of the SESPI was based on qualitative analyses of progress notes retrieved from patient records in two mental health services. A self psychological attunement perspective guided the analyses. SESPI was tested for internal consistency and inter‐rater reliability after 22 nurses independently scored 10 progress notes. Results Cronbach's alpha for the entire instrument was 0.977, indicating that the raters' scores had very high internal consistency. ICC was 0.770. The alpha and ICC values for each step were high, varying between 0.970 and 0.992.

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Section: Discussionmentioning

confidence: 99%

Development and reliability testing of the Scale for the Evaluation of Staff‐Patient Interactions in Progress Notes (SESPI): An assessment instrument of mental health nursing documentation

Myklebust

Bjørkly

2019

Nursing Open

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“…The administrative staff also received customer service training. Our participants highlighted several skills previously reported in the literature: clinical skills related to risk assessment, diagnostic assessment, disposition planning, problem solving skills, process negotiation within clinical teams, and knowledge of community services (Tih‐Shih et al, ), ability to effectively work in shifts (Flowerdew et al, ), and skills for dealing with agitated patients (Richmond et al, ; Yang et al, ).…”

Section: Findings and Discussionmentioning

confidence: 84%

Which skills boost service provider confidence when managing people presenting with psychiatric emergencies?

Poremski

Lim

Kunjithapatham

et al. 2016

Int J Mental Health Nurs

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ABSTRACT:The way service seekers interact with the staff at emergency services has been shown to influence the standard of care, especially in the case of certain psychiatric manifestations. Staff reactions to psychiatric complaints have been linked to their comfort dealing with these types of service users as well as their competencies understanding the illness. It is therefore vital to understand which skills increase confidence in treating psychiatric emergencies.Twenty-six open-ended convergent interviews were conducted with staff working in a psychiatric emergency department. Thematic analysis was used to analyze the data. Participants reported several non-technical skills which developed from exclusively serving people with psychiatric emergencies: 1) Vigilance allowed staff to be sensitive to minor changes in behavior which precede psychiatric emergencies. 2) The ability to negotiate and find tangible solutions was particularly important when dealing with psychiatric complaints which may not have tangible resolutions.3) The ability to appraise social support networks allowed staff to plan follow-up actions and ensure continuity of care when support was available. 4) The ability to self-reflect allowed participants to learn from their experience and avoid burnout, frustration, and fatigue. Participants also reported several other clinical skills which they gained during training, including teamwork, de-escalating techniques and risk assessment. Tentatively speaking, these skills improve staff's confidence when treating psychiatric emergencies. Certain skills may be generalized to staff working in medical emergency departments who frequently encounter psychiatric complaints.

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“…; Yang et al . ). As the results demonstrate, the staff were eager to discuss the ethical aspects of their work.…”

Section: Discussionmentioning

confidence: 97%

“…; Yang et al . ). The literature has emphasized that the ideology, attitudes, and responses to patients of the staff are important in preventing violence at a primary level, that is, creating a ward climate that minimizes the risk of violence occurring in the first place (Björkdahl et al .…”

Section: Introductionmentioning

confidence: 97%

Moral mindfulness: The ethical concerns of healthcare professionals working in a psychiatric intensive care unit

Salzmann‐Erikson

2018

Int J Mental Health Nurs

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Healthcare professionals working on inpatient wards face the externalizing or challenging behaviour of the patients who are admitted. Ethical values and principles in psychiatric nursing have been reported to be important when approaching patients during the most acute phase of deterioration in their mental health. Hence, the aim of this study was to discover and describe staff members' ethical and moral concerns about their work as healthcare professionals in a psychiatric intensive care unit. The study has a qualitative descriptive design and makes use of Framework Analysis. Registered nurses and psychiatric aides in a psychiatric intensive care unit in Sweden were observed during ethical reflection meetings. Four to six staff attended the 90-min meetings. The data comprise observations from six meetings, which provided 94 pages of text. The results demonstrate that the work was described as being both motivating and exhausting. The staff faced ethical concerns in their daily work, as patients often demonstrated challenging behaviours. Three themes were identified as follows: (i) concerns about the staff impacting on patients' experience of care, (ii) concerns about establishing a safe working environment, and (iii) concerns about becoming unprofessional due to expectations and a high workload. Ethical concerns included simultaneously taking into account both the patients' dignity and safety aspects, while also being exposed to high workloads. These elements of work are theorized as influencing complex psychiatric nursing. If we are to bring these influential factors to light in the workplace, advanced nursing practice must be grounded in moral mindfulness.

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Association of Empathy of Nursing Staff With Reduction of Seclusion and Restraint in Psychiatric Inpatient Care

Abstract: Recruiting and retaining empathic nursing staff may be the best way to reduce the use of seclusion and restraint.

Cited by 46 publications

References 12 publications

Development and reliability testing of the Scale for the Evaluation of Staff‐Patient Interactions in Progress Notes (SESPI): An assessment instrument of mental health nursing documentation

Development and reliability testing of the Scale for the Evaluation of Staff‐Patient Interactions in Progress Notes (SESPI): An assessment instrument of mental health nursing documentation

Which skills boost service provider confidence when managing people presenting with psychiatric emergencies?

Moral mindfulness: The ethical concerns of healthcare professionals working in a psychiatric intensive care unit

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