Selvmordsforebygging i akuttpsykiatriske døgnavdelinger -                    erfaringer fra nasjonalt læringsnettverk

Brudvik, Marie; Ness, Ewa; Walby, Fredrik A.

doi:10.5617/suicidologi.2303

Cited by 5 publications

(8 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A national patient safety programme for suicide prevention was ongoing in the hospital wards during data collection. This national programme included a checklist to document whether the patient had been assessed for suicide risk, had received an assessment by a specialist within the first day, and had received a safety plan and follow-up appointment at discharge and whether the next of kin had been contacted [31,32]. In addition, the hospital had developed its own forms for documenting risk factors and warning signs for suicide risk.…”

Section: Study Contextmentioning

confidence: 99%

Adaptive capacities for safe clinical practice for patients hospitalised during a suicidal crisis: a qualitative study

et al. 2020

View full text Add to dashboard Cite

Background: Safe clinical practice for patients hospitalised in mental health care during a suicidal crisis is situated within a dynamic, non-linear and uncertain context. Under such complex conditions, the adaptive capacity is considered vital to handling challenges and changes in clinical care. This study aimed to explore safe clinical practice for suicidal patients hospitalised in mental health wards through understanding healthcare professionals' (HCPs') capacities to adapt to challenges and changes in clinical care. Methods: This study applied a qualitative design with focus group and individual interviews. Twenty-five HCPs participated in the focus groups, and 18 participated in individual interviews. The study was conducted in open and locked wards in a university hospital in Norway providing specialised mental health services for patients with mental illness. Results: HCPs described their adaptive capacities for clinical practice relative to three themes. 1) HCPs used expertise to make sense of suicidal behaviour to support complex decision making. Their strategies included setting aside forms and checklists to prioritise trust and making judgements based on more than just patients' spoken words. They improved their understanding by seeking others' perspectives through collaborative sense-making processes involving the healthcare team and patient. 2) HCPs individualised the therapeutic milieu to address the diversity of patients with suicidal behaviour by creating individual clinical pathways, making trade-offs between under-and over-protection and adjusting observations. 3) HCPs described managing uncertainty as necessary for providing safe clinical practice. They managed uncertainty as a team by developing mutual collegial trust and support and creating a shared understanding. Conclusion: HCPs' adaptive capacities are vital to the complex set of practices involved in safe clinical practice for patients hospitalised during a suicidal crisis. By using expertise, individualising the therapeutic milieu, and managing uncertainty, HCPs individually and collectively develop their capacities to adapt to challenges and changes in clinical care. HCPs cannot easily ensure safe clinical practice by following standards; safe clinical practice depends on HCPs' adaptations. Ward systems that ensure collegial trust and support, as well as arenas that foster shared understanding and situational awareness, are needed.

show abstract

Section: Study Contextmentioning

confidence: 99%

Adaptive capacities for safe clinical practice for patients hospitalised during a suicidal crisis: a qualitative study

et al. 2020

View full text Add to dashboard Cite

show abstract

“…I Norge har også helsemyndighetene satt inn nasjonale selvmordsforebyggende tiltak i helsevesenet, slik som faglige retningslinjer for selvmordsforebygging (22) og pasientsikkerhetskampanjen (23). Disse tiltakene kom i gang mye senere enn tilsvarende i Storbritannia, og effekten av dem er ikke systematisk evaluert.…”

Section: Diskusjonunclassified

Selvmord, psykisk helsevern og tverrfaglig spesialisert rusbehandling i Agder 2004 – 13

Haaland¹,

Bjørkholt²,

Freuchen³

et al. 2017

Tidsskriftet

Self Cite

View full text Add to dashboard Cite

show abstract

“…Den manglende oversikten gjør det svaert utfordrende å identifisere saerlige sårbare områder både på nasjonalt og regionalt nivå, samt å utprøve og evaluere selvmordsforebyggende tiltak. Dette har medført at effekten av store, nasjonale satsinger på området har vaert vanskelig å evaluere, slik som utgivelsen og implementeringen av Nasjonale retningslinjer for forebygging av selvmord i psykisk helsevern (Sosialog helsedirektoratet, 2008) og Nasjonalt pasientsikkerhetsprogram (Brudvik, Ness, & Walby, 2015). De nevnte forebyggende tiltakene inkluderer mer bruk av ambulante tjenester, tettere oppfølging av dobbeltdiagnose pasienter, tverrfaglig gjennomgang av dødsfall i samarbeid med pårørende, bedre planlegging av overgang fra barne-og ungdom til voksenpsykiatri, samt implementering av NICE retningslinjer for depresjon.…”

Section: Bakgrunnunclassified

Nasjonalt kartleggingssystem for selvmord i psykisk helsevern og tverrfaglig spesialisert rusbehandling. Bakgrunn, utviklingsprosess og formål

Walby¹,

Kildahl²,

Caruso³

et al. 2017

Suicid.

Self Cite

View full text Add to dashboard Cite

Selvmordsforebygging i akuttpsykiatriske døgnavdelinger - erfaringer fra nasjonalt læringsnettverk

Abstract: S e l v m o r d s f o r e b y g g i n g i a k u t t p s y k i a t r i s k e d ø g n a v d e l i n g e r -e r f a r i n g e r f r a n a s j o n a l t l ae r i n g s n e t t v e r k 7

Cited by 5 publications

References 4 publications

Adaptive capacities for safe clinical practice for patients hospitalised during a suicidal crisis: a qualitative study

Adaptive capacities for safe clinical practice for patients hospitalised during a suicidal crisis: a qualitative study

Selvmord, psykisk helsevern og tverrfaglig spesialisert rusbehandling i Agder 2004 – 13

Nasjonalt kartleggingssystem for selvmord i psykisk helsevern og tverrfaglig spesialisert rusbehandling. Bakgrunn, utviklingsprosess og formål

Contact Info

Product

Resources

About