Multinational Experiences in Reducing and Preventing the Use of Restraint and Seclusion

LeBel, Janice; Duxbury, Joy; Putkonen, Anu; Sprague, Titia; Rae, Carolyn; Sharpe, Joanne

doi:10.3928/02793695-20140915-01

Cited by 94 publications

(104 citation statements)

References 10 publications

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“…; LeBel et al . ). Policy changes, practice initiatives, and a growing body of research have been directed at improving nursing interventions in response to conflicts and reducing reliance on restrictive interventions (Boumans et al .…”

Section: Introductionmentioning

confidence: 97%

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Outcomes of the Victorian Safewards trial in 13 wards: Impact on seclusion rates and fidelity measurement

Fletcher

Spittal

Brophy

et al. 2017

Int J Mental Health Nurs

148

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Restrictive practices are used in response to conflict and aggression in psychiatric inpatient settings. Reducing such practices is the focus internationally of policy and legislative change, many initiatives, and a growing body of research. Safewards is a model and a set of 10 interventions designed to reduce conflict and containment in inpatient services. In the current study, we aimed to assess the impact of implementing Safewards on seclusion in Victorian inpatient mental health services in Australia. The study used a before-and-after design, with a comparison group matched for service type. Thirteen wards opted into a 12-week trial to implement Safewards and 1-year follow up. The comparison group was all other wards (n = 31) with seclusion facilities in the jurisdiction, matched to service type. Mandatorily-reported seclusion event data for all 44 wards over a 15-month period were analysed using negative binomial regression. Adherence to Safewards was measured via fidelity checklists at four time points: twice during the trial, post-trial, and at 1-year follow up. Seclusion rates were reduced by 36% in Safewards trial wards by the 12-month follow-up period (incidence rate ratios (IRR) = 0.64,) but in the comparison wards seclusion rates did not differ from baseline to post-trial (IRR = 1.17) or to follow-up period (IRR = 1.35). Fidelity analysis revealed a trajectory of increased use of Safewards interventions after the trial phase to follow up. The findings suggest that Safewards is appropriate for practice change in Victorian inpatient mental health services more broadly than adult acute wards, and is effective in reducing the use of seclusion.

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Section: Introductionmentioning

confidence: 97%

“…; LeBel et al . ; McSherry ). In the context of being involuntarily treated in an inpatient ward and experiencing an acute phase of severe mental illness, it is common for consumers to feel distressed and show agitated behaviour, sometimes including verbal or physical aggression, self‐harm, or attempts to abscond (Bowers et al .…”

Section: Introductionmentioning

confidence: 99%

Outcomes of the Victorian Safewards trial in 13 wards: Impact on seclusion rates and fidelity measurement

Fletcher

Spittal

Brophy

et al. 2017

Int J Mental Health Nurs

148

View full text Add to dashboard Cite

show abstract

“…Au cours de la dernière décennie, nous sommes à même de constater une préoccupation grandissante à l'égard des mesures de contention, un enjeu sous la loupe de plusieurs pays dont le Canada, les États-Unis, l'Australie, le Royaume-Uni, et plusieurs pays d'Europe (Wieman, Camacho-Gonsalves, Huckshorn et al, 2014;Duxbury, 2015;Lebel et al, 2014). D'importantes publications des organismes MIND (2013) Lebel et al, 2014), notamment en intervenant plus tôt au tout début de l'escalade de la violence à l'aide de méthodes préventives.…”

Section: Prévention Et Alternativesunclassified

“…D'importantes publications des organismes MIND (2013) Lebel et al, 2014), notamment en intervenant plus tôt au tout début de l'escalade de la violence à l'aide de méthodes préventives. De plus, certains ont démontré l'importance d'un leadership fort dans l'atteinte des objectifs de réduction des contentions (Huckshorn, 2004;Wieman et al, 2014;Scalan, 2010).…”

Section: Prévention Et Alternativesunclassified

“…Ce corps de recherches empiriques portant sur la prévention contribue ainsi à l'élaboration de modèles de réduction des contentions, tels que Six Core Strategies (Huckshorn, 2004), Bowers, 2014), No force first (Ashcraft & Anthony, 2008) et Restrain Yoursef (Lebel et al, 2014). Globalement, ces programmes se concentrent sur un meilleur système de gouvernance, un leadership fort, du support à l'apprentissage et l'usage systématique de stratégies de prévention (Scalan, 2010).…”

Section: Prévention Et Alternativesunclassified

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Contentions mécaniques en psychiatrie : étude phénoménologique de l’expérience vécue du personnel infirmier

Corneau¹,

Jacob²,

Holmes³

et al. 2017

Recherche en Soins Infirmiers

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L’usage des contentions mécaniques dans les milieux psychiatriques fait aujourd’hui l’objet de nombreuses controverses éthiques. Toutefois, on note l’absence des voix des patients et du personnel infirmier en regard de cette intervention controversée. L’objectif de cette étude qualitative était d’examiner l’expérience vécue du personnel infirmier exerçant en psychiatrie faisant usage de la contention mécanique. Vingt-et-un(e) infirmier(e)s travaillant sur les unités de psychiatrie et d’urgence psychiatrique d’un centre hospitalier universitaire canadien ont participé à des entrevues semi-dirigées, qui ont ensuite été transcrites, codées et analysées selon la méthode d’analyse interprétative phénoménologique (AIP). Trois thèmes principaux ont été identifiés : 1) contexte de pratique ; 2) processus de contentions ; et 3) recourir à la contention mécanique. Les résultats de cette recherche phénoménologique mettent en lumière les défis organisationnels et émotionnels auxquels est confronté le personnel infirmier exerçant en psychiatrie. Les perspectives de Foucault et Goffman ont été les sources théoriques primaires qui ont guidé le processus d’analyse critique mené lors de cette recherche qualitative.

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A Necessary Evil? Alternatives to Coercive Interventions

Rossero

2023

Care in a Time of Crisis

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Multinational Experiences in Reducing and Preventing the Use of Restraint and Seclusion

Abstract: Restraint and seclusion (R/S) have been used in many countries and across service sectors for centuries.With the recent and increasing recognition of the harm associated with these procedures, eff orts have been made to reduce and prevent R/S.

Cited by 94 publications

References 10 publications

Outcomes of the Victorian Safewards trial in 13 wards: Impact on seclusion rates and fidelity measurement

Outcomes of the Victorian Safewards trial in 13 wards: Impact on seclusion rates and fidelity measurement

Contentions mécaniques en psychiatrie : étude phénoménologique de l’expérience vécue du personnel infirmier

A Necessary Evil? Alternatives to Coercive Interventions

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