Post‐incident reviews after restraints—Potential and pitfalls. Patients’ experiences and considerations

Hammervold, Unn Elisabeth; Norvoll, Reidun; Sagvaag, Hildegunn

doi:10.1111/jpm.12776

Cited by 4 publications

(1 citation statement)

References 40 publications

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“…Upon closer examination, it was found that none of the articles described nurses' perceptions related to communication during seclusion events. The focus of the articles varied, including the concept of respect in mental health care (Cutcliffe & Travale, 2013), nurses' feelings related to restrictive practices (Riches et al, 2022), patient perspectives on the seclusion process (Ling et al, 2015; Faschingbauer et al, 2013; Hammervold et al, 2022), an educational program to reduce seclusion (Boumans et al, 2015), nurses' communication skills in de‐escalation situations (Ye et al, 2020; Jury et al, 2019) and unit design that improves safety and staff‐patient encounters (Holmes et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Nurses' perceptions of nurse–patient communication in seclusion rooms in psychiatric inpatient care: A focus group study

Berg

Lipponen²,

Sailas

et al. 2023

Psychiatric Ment Health Nurs

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Accessible Summary What is known on the subject? Communication between nurses and patients is essential in mental health nursing. Lack of communication during seclusion causes dissatisfaction among patients. Coercive practices can cause psychological discomfort for patients and staff members. Research related to nurses' perceptions of nurse–patient communication during seclusion events is scant. In Finland, the use of coercive practices has been high despite efforts to reduce the need for coercive practices through the National Mental Health Policy since 2009. Nurse–patient communication is referred to in the Safewards model as one issue of delivering high‐quality care. What this paper adds to existing knowledge? Nurses aim to achieve high‐quality communication while treating patients in seclusion. Nurses aim to communicate in a way that is more patient‐centred. Various issues affect the quality of communication, such as nurses' professional behaviour and patients' state of health. What are the implications for practice? Improved communication between nurses and patients will support therapeutic relationships and could lead to a better quality of care. Nurses' enhanced communication may promote the use of noncoercive practices more frequently in psychiatric settings. Improving nurses' communication skills may help support the dignity and autonomy of secluded patients, resulting in patient experiences that are more positive in relation to care offered in seclusion. Nurses should be offered opportunities to take part in further training after education to enhance communication skills for demanding care situations. Further research that incorporates the perspectives of patients and those with lived experience of mental health problems is needed. Components of evidence‐based Safewards practices, such as using respectful and individual communication (Soft Words), could be relevant when developing nurse–patient communication in seclusion events. Abstract Introduction Communication between nurses and patients is essential in mental health nursing. In coercive situations (e.g. seclusion), the importance of nurse–patient communication is highlighted. However, research related to nurses' perceptions of nurse–patient communication during seclusion is scant. Aim The aim of this study was to describe nurses' perceptions of nurse–patient communication during patient seclusion and the ways nurse–patient communication can be improved. Method A qualitative study design using focus group interviews was adopted. Thirty‐two nurses working in psychiatric wards were recruited to participate. The data were analysed using inductive qualitative content analysis. Results Nurses aimed to communicate in a patient‐centred way in seclusion events, and various issues affected the quality of communication. Nurses recognized several ways to improve communication during seclusion. Discussion Treating patients in seclusion rooms presents highly demanding care situations for nurses. Seclusion events require nurses to have good communica...

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Section: Introductionmentioning

confidence: 99%

Nurses' perceptions of nurse–patient communication in seclusion rooms in psychiatric inpatient care: A focus group study

Berg

Lipponen²,

Sailas

et al. 2023

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

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Epilogue (Will-to-Hope)

Moen

2024

Studies in the Psychosocial

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Prevention and management of agitation in the neuroscience patient: Recommendations from Australasia

Jameson,

Goff,

Kivunja

et al. 2023

Australasian Journal of Neuroscience

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Background Neuroscience patients can present with agitation due to a number of factors such as the presence of cerebral abnormalities, tumours, trauma, or medications. Agitation among neuroscience patients that escalates to violence and aggression appears to be increasing and highly challenging for neuroscience nursing practice across Australasia. Neuroscience wards or units endeavour to effectively manage patients who are affected by agitation and provide appropriate training for clinical and non-clinical staff. Following a workshop through Australasian Neuroscience Nurses’ Association (ANNA), a group of neuroscience nurses, passionate about improving the care of neuroscience patients presenting with agitation and the safety of the staff; collaborated and researched the most effective prevention and management strategies that can be used to ensure that care delivery for these patients is therapeutic and effective. Purpose The purpose of this paper is to share recommendations that can guide the prevention and management of agitation among neuroscience patients from the perspective of neuroscience nurses in Australasia. Discussion These recommendations have been discussed from hospitals across Australasia including Perth, Brisbane, Sydney, Canberra, Melbourne, and Wellington in the hope that other cities can make changes in their own hospitals to inform neuroscience nurses and allied clinicians, improve guidelines and provide effective education for staff members that interact with neuroscience patients.

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Post‐incident reviews after restraints—Potential and pitfalls. Patients’ experiences and considerations

Abstract: This is an open access article under the terms of the Creat ive Commo ns Attri bution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 4 publications

References 40 publications

Nurses' perceptions of nurse–patient communication in seclusion rooms in psychiatric inpatient care: A focus group study

Nurses' perceptions of nurse–patient communication in seclusion rooms in psychiatric inpatient care: A focus group study

Epilogue (Will-to-Hope)

Prevention and management of agitation in the neuroscience patient: Recommendations from Australasia

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