Comparing Attitudes to Containment Measures of Patients, Health Care Professionals and Next of Kin

Reisch, Thomas; Beeri, Simone; Klein, Georges; Meier, Philipp; Pfeifer, Philippe; Buehler, Etienne; Hotzy, Florian; Jaeger, M.

doi:10.3389/fpsyt.2018.00529

Cited by 18 publications

(15 citation statements)

References 60 publications

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“…This is consistent with previous reports (Table S1; Bowers et al, 2007; Pettit et al, 2017). Managers had the most negative attitudes towards net bed, which is also coherent with earlier studies (Bowers et al, 2007; Hottinen et al, 2012; Pettit et al, 2017; Reisch et al, 2018), and can be explained by the fact that this method is not used in Finland or any previously studied country (Bowers et al, 2004). The differences between attitudes towards net bed and those towards other containment methods were substantial.…”

Section: Discussionsupporting

confidence: 85%

“…The differences between attitudes towards net bed and those towards other containment methods were substantial. However, the attitudes of Finnish nursing managers towards net bed were more negative than those previously determined for nursing staff (Bowers et al, 2007; Hottinen et al, 2012; Pettit et al, 2017), albeit less negative than those of nursing staff in Switzerland (Reisch et al, 2018).…”

Section: Discussionmentioning

confidence: 77%

“…The ACMQ was created by Bowers et al (2004) and encompasses items relating to containment methods that are used in European psychiatric care (Bowers et al, 2004). It has been used to examine the attitudes of health care professionals (Gerace & Muir‐Cochrane, 2019; Hottinen et al, 2012), nursing students (Bowers et al, 2004), patients (Dack, Ross, & Bowers, 2012; Reisch et al, 2018) and patients' family members (Reisch et al, 2018). In Finland, it has been used to examine attitudes among adolescent psychiatric nursing staff (Hottinen et al, 2012) and forensic psychiatric professionals (Bowers et al, 2007).…”

Section: Methodsmentioning

confidence: 99%

“…Some previous studies used a different rating system in which scores of 1 and 5 indicate strong disagreement and strong agreement, respectively (Hottinen et al, 2012; Jalil, Huber, Sixsmith, & Dickens, 2017; Pettit et al, 2017). The system adopted in this work was chosen for the sake of consistency with the most recent study on attitudes towards the 11 methods examined in the ACMQ, which was conducted by Reisch et al (2018). The containment methods examined in the ACMQ are pro re nata (PRN) medication, restraint (both physical and mechanical), seclusion, timeout, coercive intramuscular medication, net bed, transmission to a special closed ward (PICU), constant observation, intermittent observation and open‐area seclusion.…”

Section: Methodsmentioning

confidence: 99%

“…There is considerable variation in the attitudes of nursing staff towards containment methods (Laukkanen et al, 2019). Several studies have found net bed, a bed enclosed by lockable nets (Bowers et al, 2004), to be the measure with the lowest acceptance (Hottinen et al, 2012; Pettit et al, 2017; Reisch et al, 2018). Earlier research has also shown that gender and age are related to attitudes towards containment methods (Hottinen et al, 2012; Whittington, Bowers, Nolan, Simpson, & Neil, 2009).…”

Section: Introductionmentioning

confidence: 99%

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Psychiatric nursing managers' attitudes towards containment methods in psychiatric inpatient care

et al. 2020

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Aims This research was conducted to examine psychiatric nursing managers' attitudes towards containment methods. Background Nursing management is regarded as a key issue in the reduction of coercion and containment. However, there has been little research on managers' attitudes towards containment methods. Methods This descriptive, cross‐sectional study utilized a survey design. Finnish inpatient psychiatric nursing managers (n = 90) completed the Attitudes to Containment Measures Questionnaire (ACMQ). The results were described with statistics, and the associations between attitudes and background variables were analysed using parametric tests. Results Psychiatric nursing managers had the most negative attitude towards net bed and mechanical restraint, and the most positive attitudes towards as necessary medication and intermittent observation. A few associations were discovered between attitudes and background variables such as gender and number of employees. Conclusions In general, Finnish psychiatric nursing managers' attitudes towards containment methods seem to be quite negative, but more research is needed. Implications for Nursing Management This study provides fresh and unique data on the attitudes of psychiatric nursing managers towards containment methods. Managers' attitudes are important because of their ability to encourage investment in coercion reduction by nursing staff.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 77%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Psychiatric nursing managers' attitudes towards containment methods in psychiatric inpatient care

et al. 2020

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The Experience of Coercion and Violence: Service User, Professional and Informal Caregiver Perspectives

Hahn,

Hasler,

Rühle Andersson

et al. 2024

Coercion and Violence in Mental Health Settings

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The focus of this chapter is to describe the views of service users, staff, and informal caregivers on violence, aggression, and coercion. Service users, staff, and informal caregivers usually have different views on why aggression and violence occur in mental health care settings. Staff and informal caregivers see the root of violence in the service user’s mental disorder and behaviour. Service users often describe staff behaviour as provocative and disrespectful, and therefore as the main trigger for violence. Also, their views on coercion vary significantly, reflecting a complex landscape of perspectives and challenges. Most service users oppose coercive practices, viewing them as violations of their rights and triggering past and future traumas. Conversely, staff and informal caregivers often see coercion as necessary to address aggressive behaviour or self-harm and maintain a safe environment. However, staff generally regard coercion as a last resort. Informal caregivers tend to be critical of coercive measures, feeling to be excluded and insecure as a result. All parties recognise the distressing impact of coercion on service users and its potential to disrupt therapeutic relationships. If clinical practice aims to minimise violence and coercion, service users must be actively involved on an equal basis in the development of alternatives and the promotion of shared and supported decision-making in mental health care.

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Reduktion von Zwangsmaßnahmen: Alles ist nicht genug

Reisch

2019

Psychiat Prax

Self Cite

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Wir tun alles, um Zwangsmaßnahmen in der Psychiatrie zu verhindern." Diesen Satz in sinngemäßer Form verwenden wir vielfach, wenn wir unsere alltägliche Arbeit in der stationären Psychiatrie gegenüber der Presse, den Angehörigen oder gegenüber Patienten erklären müssen. Wir benutzen ihn manchmal aber auch, um unser eigenes Gewissen zu beruhigen oder um äußeren Zwängen zu genügen. Die Schweizerische Richtlinie zur Reduktion von Zwangsmaßnahmen [1], ebenso wie die deutsche S3-Richtlinie [2], ermahnt uns, alles zu tun, um Zwangsmaßnahmen zu vermeiden. In unserem hauseigenen Formular zur gesetzeskonformen Dokumentation von Zwangsmaßnahmen müssen die Berichtschreibenden ankreuzen, dass alle Maßnahmen zur Vermeidung von Zwangsmaßnahmen ausgeschöpft wurden. Doch tun wir dies in der Realität auch, nutzen wir alle Möglichkeiten? Vieles deutet darauf hin, dass dem leider nicht so ist. Ein indirekter Beleg hierfür ist zum Beispiel, dass sich die Raten von Zwangsmaßnahmen innerhalb eines Landes von Klinik zu Klinik und nicht selten sogar innerhalb einer psychiatrischen Klinik stark unterscheiden [3]. Wenn alle alles tun würden, dürften diese Zahlen jedoch nicht groß differieren. Vor Kurzem hat eine Gruppe Schweizer Psychiater eine Studienreise nach Triest gemacht. In dieser norditalienischen Region werden die Ideen von Franco Basaglia, Italien, aus den 1970er-Jahren auch im Jahre 2019 in beeindruckender Weise umgesetzt. Möglichst wenig psychiatrische Hospitalisationen, möglichst viel Personenkonstanz, hoch individuelles Setting von stationär bis zur aufsuchenden Betreuung von ein und demselben Behandlerteam sind nur einige Maßnahmen des klinischen Vorgehens in Triest. Vergleicht man die Rate von Zwangsmaßnahmen dort mit den Zwangsmaßnahmen in der Reduktion von Zwangsmaßnahmen: Alles ist nicht genug

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Comparing Attitudes to Containment Measures of Patients, Health Care Professionals and Next of Kin

Cited by 18 publications

References 60 publications

Psychiatric nursing managers' attitudes towards containment methods in psychiatric inpatient care

Psychiatric nursing managers' attitudes towards containment methods in psychiatric inpatient care

The Experience of Coercion and Violence: Service User, Professional and Informal Caregiver Perspectives

Reduktion von Zwangsmaßnahmen: Alles ist nicht genug

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