Attitudes to coercion at two Norwegian psychiatric units

Wynn, Rolf; Kvalvik, Ann-Mari; Hynnekleiv, Torfinn

doi:10.3109/08039488.2010.513068

Cited by 44 publications

(38 citation statements)

References 27 publications

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“…; Wynn et al . ). Moreover, nurses with lower levels of knowledge and positive attitudes towards seclusion and restraint methods used these practices more frequently (Khalil et al .…”

Section: Resultsmentioning

confidence: 97%

“…According to Wynn et al . (), staff appeared to be careful in their use of the maximum restrictive methods and preferred less restrictive methods whenever possible. Furthermore, staff seemed to be most restrictive when the patient was acting violently and/or showing intent for self‐harm or suicide than when the patient was aggressive and threatening (Wynn et al .…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Psychiatric nursing staffs’ attitudes towards the use of containment methods in psychiatric inpatient care: An integrative review

Laukkanen

Vehviläinen‐Julkunen

Louheranta

et al. 2019

Int J Mental Health Nurs

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One of the international objectives in psychiatric care is reducing the use of coercion. Containment methods are meant to keep patients safe, yet usually include coercion. Nurses play a key role in deciding whether or not containment should be used and, as such, their attitudes towards containment can significantly impact the extent to which these methods are applied. The aim of this integrative review was to identify, analyse, and synthesize the available research on psychiatric nursing staffs’ attitudes towards containment methods in inpatient psychiatric care. An electronic search was conducted using the CINAHL, Scopus, and PsycINFO databases. In addition, the citations of identified studies were screened for relevant research. A total of 24 relevant papers published between 2002 and 2017 were selected for further analysis. These studies revealed variation in nursing staffs’ attitudes towards the use of containment methods. The use of containment methods seems to be widely accepted and nurses reported rarely considering alternative measures. It appears that attitudes towards containment have continuously become more negative, although the change has not been very pronounced. The concept of attitude was only defined in two studies. Thus, future research should strive to clarify this concept, as a generally accepted definition for attitude within nursing research and the utilization of all dimensions of this concept are both essential to the nursing field. Currently, it would be important to focus on changing attitudes among psychiatric nursing staff to reduce the use of containment methods; this calls for more research on nursing staffs’ attitudes.

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“…; Wynn et al . ). Moreover, nurses with lower levels of knowledge and positive attitudes towards seclusion and restraint methods used these practices more frequently (Khalil et al .…”

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

Psychiatric nursing staffs’ attitudes towards the use of containment methods in psychiatric inpatient care: An integrative review

Laukkanen

Vehviläinen‐Julkunen

Louheranta

et al. 2019

Int J Mental Health Nurs

View full text Add to dashboard Cite

show abstract

“…Moreover, we lack data on some variables that could be of importance to the use of involuntary admission, including degree of disability, financial status, employment, educational level, ethnicity, attitudes of doctors, caregivers and patients, etc. [5,6,8,10,23,34,48-51]. The model predicts between 9.0% (Cox & Snell R Square) and 28.7% (Nagelkerke R Square) of the variance in legal status at admission.…”

Section: Discussionmentioning

confidence: 94%

Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study

Myklebust

Sørgaard

Wynn

2014

BMC Health Serv Res

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BackgroundStudies on the effect of organizational factors on the involuntary admission of psychiatric patients have been few and yielded inconclusive results. The objective was to examine the importance of type of service-system, level of care, length of inpatient stay, gender, age, and diagnosis on rates of involuntary admission, by comparing one deinstitutionalized and one locally institutionalized service-system, in a naturalistic experiment.Methods5538 admissions to two specialist psychiatric service-areas in North Norway were studied, covering a four-year period (2003-2006). The importance of various predictors on involuntary admission were analyzed in a logistic regression model.ResultsInvoluntary admission to the services was associated with the diagnosis of psychosis, male sex, being referred to inpatient treatment, as well as type of service-system. Patients from the deinstitutionalized system were more likely to be involuntarily admitted.ConclusionsSeveral factors predicted involuntary status, including male sex, the diagnosis of psychosis, and type of service-system. The results suggests that having psychiatric beds available locally may be more favourable than a traditional deinstitutionalized service system with local outpatient clinics and central mental hospitals, with respect to the use of involuntary admission.

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“…We delimited our review to the retrospective, naturalistic, and descriptive case report, also labeled the “traditional” or “classic” case report, and case series including such reports. Thus we excluded other types, such as the planned, qualitative case study approach [21] and simulated cases [22-24]. Finally, we extracted the relevant data and grouped the merits and limitations items in rank order with the items we judged to be the most important first.…”

Section: Methodsmentioning

confidence: 99%

The clinical case report: a review of its merits and limitations

2014

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BackgroundThe clinical case report has a long-standing tradition in the medical literature. While its scientific significance has become smaller as more advanced research methods have gained ground, case reports are still presented in many medical journals. Some scholars point to its limited value for medical progress, while others assert that the genre is undervalued. We aimed to present the various points of view regarding the merits and limitations of the case report genre. We searched Google Scholar, PubMed and select textbooks on epidemiology and medical research for articles and book-chapters discussing the merits and limitations of clinical case reports and case series.ResultsThe major merits of case reporting were these: Detecting novelties, generating hypotheses, pharmacovigilance, high applicability when other research designs are not possible to carry out, allowing emphasis on the narrative aspect (in-depth understanding), and educational value. The major limitations were: Lack of ability to generalize, no possibility to establish cause-effect relationship, danger of over-interpretation, publication bias, retrospective design, and distraction of reader when focusing on the unusual.ConclusionsDespite having lost its central role in medical literature in the 20th century, the genre still appears popular. It is a valuable part of the various research methods, especially since it complements other approaches. Furthermore, it also contributes in areas of medicine that are not specifically research-related, e.g. as an educational tool. Revision of the case report genre has been attempted in order to integrate the biomedical model with the narrative approach, but without significant success. The future prospects of the case report could possibly be in new applications of the genre, i.e. exclusive case report databases available online, and open access for clinicians and researchers.

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Attitudes to coercion at two Norwegian psychiatric units

Abstract: Our hypothesis was confirmed, as there was a limited degree of variance in staff's responses with respect to degree of restrictiveness. The study supported the idea that a range of different interventions are used in emergency situations.

Cited by 44 publications

References 27 publications

Psychiatric nursing staffs’ attitudes towards the use of containment methods in psychiatric inpatient care: An integrative review

Psychiatric nursing staffs’ attitudes towards the use of containment methods in psychiatric inpatient care: An integrative review

Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study

The clinical case report: a review of its merits and limitations

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