COVID‐19: Restrictive practices and the law during a global pandemic – an Australian perspective

Stewart, Cameron; Brunero, Scott; Lamont, Scott

doi:10.1111/inm.12785

Cited by 3 publications

(1 citation statement)

References 11 publications

(11 reference statements)

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“…It is still unknown how these operational changes and the implementation of new security measures have affected the use of coercive measures, such as mechanical restraint. In fact, mechanical restraint, by de nition, implies direct contact with professionals, can carry a risk of infection and could be experienced even more traumatically by users [15].…”

Section: Introductionmentioning

confidence: 99%

COVID-19 pandemic in a mental health ward: inpatient admissions, use of mechanical restraint and aggressions

Guzmán‐Parra

Sánchez-Lafuente

Medina

et al. 2022

Preprint

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Background. To analyze the impact of the COVID-19 pandemic on mental health hospital admissions, the use of mechanical restraint and number of aggressions to the staff. Methods. Outcomes in the period from March 14, 2020–December 31, 2020 were compared to the same period in 2019. A multivariate logistic regression analysis was carried out to compare the risk of mechanical restraint during admissions in the two periods, controlling for potential confounding variables. Results. There was a 30.7% reduction in the number of inpatient admissions with significant changes in the profiles of the patients admitted. There were no differences in the risk of restraint and aggressions. Violence was less frequent as a reason for restraint in the pandemic period, while agitation increased. Conclusions. The COVID-19 pandemic has had a significant impact on the functioning of the hospitalization ward. Measures introduced during pandemic did not seem to have a meaningful effect on mechanical restraint procedures or violent behavior towards the staff.

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Section: Introductionmentioning

confidence: 99%

COVID-19 pandemic in a mental health ward: inpatient admissions, use of mechanical restraint and aggressions

Guzmán‐Parra

Sánchez-Lafuente

Medina

et al. 2022

Preprint

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The Application of Australian Rights Protections to the Use of Hepatitis C Notification Data to Engage People ‘Lost to Follow Up’

Saich,

Walker,

Hellard

et al. 2024

Public Health Ethics

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Hepatitis C is a global public health threat, affecting 56 million people worldwide. The World Health Organization has committed to eliminating hepatitis C by 2030. Although new treatments have revolutionised the treatment and care of people with hepatitis C, treatment uptake has slowed in recent years, drawing attention to the need for innovative approaches to reach elimination targets. One approach involves using existing notifiable disease data to contact people previously diagnosed with hepatitis C. Within these disease surveillance systems, however, competing tensions exist, including protecting individual rights to privacy and autonomy, and broader public health goals. We explore these issues using hepatitis C and Australia’s legislative and regulatory frameworks as a case study. We examine emerging uses of notification data to contact people not yet treated, and describe some of the ethical dilemmas associated with the use and non-use of this data and the protections that exist to preserve individual rights and public health. We reveal weaknesses in rights protections and processes under Australian public health and human rights legislation and argue for consultation with and involvement of affected communities in policy and intervention design before notification data is used to increase hepatitis C treatment coverage.

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Understanding the Experience of Workplace Violence in Hospitals as Documented by Nursing Staff: Using the READ Approach

Brunero,

Tetik,

Donnelly

et al. 2024

Workplace Health Saf

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Background: Workplace violence has a significant impact on patients, families, and staff safety. Workplace violence can produce traumatic results for those involved; the importance of preventive measures needs to be paramount in health service policy and process. Health care staff are required to document their experiences of violent incidents after every occasion, usually via an incident reporting system, which allows for a free text description of the event. There is a lack of understanding of how health care staff document reports of violence and how they explain the events. Methods: This study aims to determine the circumstances surrounding workplace violent events as documented by health care staff. The four-step Review, Extract, Analyze, and Document (READ) approach to document analysis was used to examine workplace violence incident reports over 12 months (September 2021–September 2022) in a tertiary referral hospital. Findings: Six categories of workplace violence were found: (a) “Escalation Dynamics”—patterns and progression of how violence incidents intensify; (b) “Warning Behaviors”—verbal or non-verbal signals that may foreshadow physical violence if not addressed; (c) “Authoritative Institutional Interventions”—how aggression correlates to protocols involving security personnel or law enforcement; (d) “Care Delivery Methods”—how certain treatment procedures and approaches might inadvertently elicit violence; (e) “Situational Stressors”—external circumstances or changes that act as triggers for violence; and (f) “Unprovoked triggers”—sudden and seemingly unprovoked violent outbursts. Conclusions and application to practice: Workplace violence in health care is a multifaceted interplay of events with the nurse involved in all aspects of the process. These findings can be used by occupational health nurses in education and policy development. The findings can be used to focus education on how violent incidents may escalate and provide more opportunities for de-escalation by health care staff.

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COVID‐19: Restrictive practices and the law during a global pandemic – an Australian perspective

Cited by 3 publications

References 11 publications

COVID-19 pandemic in a mental health ward: inpatient admissions, use of mechanical restraint and aggressions

COVID-19 pandemic in a mental health ward: inpatient admissions, use of mechanical restraint and aggressions

The Application of Australian Rights Protections to the Use of Hepatitis C Notification Data to Engage People ‘Lost to Follow Up’

Understanding the Experience of Workplace Violence in Hospitals as Documented by Nursing Staff: Using the READ Approach

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