Study of effects of constant observation of psychiatric in-patients

Ashaye, Olakunle; Ikkos, George; Rigby, Elizabeth

doi:10.1192/pb.21.3.145

Cited by 8 publications

(5 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Eight studies described interventions related to constant observations without conducting any formal evaluation (see appendix Table S1). Three of these studies implemented the intervention on psychiatric wards in the UK (Ashaye, Ikkos & Rigby, ; Dennis, ; Pereira & Woollaston, ), and two studies implemented interventions in the United States (Janofsky, ; Sullivan & Rivera, ). The remaining studies did not implement the intervention on an inpatient psychiatric ward or did not report whether the intervention had been implemented.…”

Section: Resultsmentioning

confidence: 99%

“…Studies were categorized based on the main intervention components (see Box 1) and whether the intervention made changes directly to constant observation or made systemic organizational changes on the ward. Out of the eight descriptive interventions, three could be categorized into a single component (Bharti et al ., ; Björkdahl et al ., ; Janofsky, ) and the remaining interventions were complex consisting of two or more components (Ashaye, Ikkos & Rigby, ; Dennis, ; Pereira & Woollaston, ; Russ, ; Sullivan & Rivera, ). The most commonly used intervention components were staff education and training, and changes to record keeping and assessment, and one intervention described the use of technology as an alternative tool to constant observation.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Systematic review of interventions to improve constant observation on adult inpatient psychiatric wards

Reen

Bailey

Maughan

et al. 2020

Int J Mental Health Nurs

View full text Add to dashboard Cite

Constant observation is frequently conducted on inpatient psychiatric units to manage patients at risk of harming themselves or others. Despite its widespread use, there is little evidence of the efficacy of the practice or of its impact on patients and nursing staff. Unnecessary use of this practice can be restrictive and distressing for all involved and can cause considerable strain on healthcare resources. We sought to review interventions aiming to improve the quality and safety of constant observation or to reduce unnecessary use of this restrictive practice on adult inpatient psychiatric wards. A systematic search conducted in December 2018 using PubMed, PsycINFO, CINAHL, EMBASE and Google Scholar identified 24 studies with interventions related to constant observation. Only 16 studies evaluated a total of 13 interventions. The most common intervention components were changes to team, education and training for staff, changes to record keeping and assessment, and involving patients in care. A range of outcome measures were used to evaluate interventions. Over half of the interventions showed some positive impact on constant observation. One study recorded patient feedback. All interventions were targeted towards mental health nurses. Overall, there is no consensus on how best to improve the safety and quality of constant observations or reduce its unnecessary use. Studies vary widely in design, intervention and outcome measures. Existing research does however suggest that teamwork interventions can improve the patient experience of constant observation and safely reduce their degree and frequency. Priorities for future research on constant observations are highlighted.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Systematic review of interventions to improve constant observation on adult inpatient psychiatric wards

Reen

Bailey

Maughan

et al. 2020

Int J Mental Health Nurs

View full text Add to dashboard Cite

show abstract

“…[13,26] Çalışmalar gözlem yapan kişilerce akut bakım ortamında gözlemin stresli ve rahatsız edici olduğunu, aynı şekilde hastalarda tanımadıkları biri tarafından gözlemlendiklerinde kendilerini güvende hissetmediklerini ifade ettiklerini ortaya koymaktadır. [27][28][29] Akut bakımda gözlem bir gözaltı görevi olarak nitelendirilmektense, gözleme tedavi edici, destekleyici bir müda-hale olarak bakılması gerekmektedir. [6,30] Reid ve Long'un İrlanda'da hemşirelerle yaptıkları çalışmada, hemşirelerin bir taraftan hastaların özkıyım girişimlerini önlemede gözlem kullanımını çok etkili bir yöntem olduğu ancak tedavi edici olmadığı belirttilmiştir.…”

Section: Akut Psikiyatri Kliniğinde Gözlem Düzeyleriunclassified

A professional containment method in acute psychiatric clinics: Nursing observations

Sabancığulları¹,

Açıl²,

Hallaç³

2014

Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychia

View full text Add to dashboard Cite

ÖzetGözlem, kimyasal ve fiziksel tespit, izolasyon gibi kontrol yöntemlerinin yerine kullanılan bir kontrol yöntemidir. Gözlem özellikle birçok ülkede psikiyatri kliniklerinde akt dönemdeki bakımda intihar ve saldırgan davranışları olan hastaların güvenliğini sağlamak için bir müdahale yöntemi olarak kullanılmaktadır. Özellikle psikiyatri kliniklerinde profesyonel bir kontrol yöntemi sağlayan hemşire-lik gözlemlerinin kullanılması önemli bir konudur. Bu makalenin amacı akut psikiyatrik bakımda bir kontrol yöntemi olarak kullanılan gözlem hakkında literatür bilgisini gözden geçirerek, konu ile ilgili çalışma sayısının kısıtlı olduğu ülkemizde konunun önemine dikkat çekmektedir. Makalede akut psikiyatrik bakımda risk değerlendirme, karar verme, gözlem düzeyleri, gözlem uygulaması, gözle-min etik yönü ve yapılan çalışmaların sonuçları ele alınmıştır.Anahtar sözcükler: Psikiyatri kliniği, kontrol yöntemi, gözlem, psikiyatri hemşireliği. AbstractObservation is a method that is used in place of other control methods such as chemical and physical detention, isolation. Observation is used especially as an interference method to ensure the safety of the patients with suicidal and aggressive behaviors in acute psychiatric care in many countries. Especially in acute psychiatric wards using observations of nursing as a professional control method is an important issue. This article aims to draw attention to the importance of the subject in our country about using nursing observations as a control method in acute psychiatric care from the view of the literature. In this article several studies related to risk assessment, decision making, the levels of observation, the application of observation and the ethical aspects of observation on acute psychiatric care have been discussed.

show abstract

“…Überwachung ist sehr ressourcenintensiv und mit einer unsicheren Evidenz für die Wirksamkeit der Maßnahme verknüpft [1,27,46]. Die Untersuchungen zeigen, dass die Anwesenheit von besser qualifiziertem und erfahrenem Personal auf den Stationen zu einer Reduzierung von Überwachungssituationen führen kann [16,19] [13,47] alternative Überwachungsstrategien einzusetzen oder mindestens täglich deren weitere Notwendigkeit zu überprüfen [48]. Für diese Empfehlung sprechen sowohl klinische als auch ökonomische Gründe.…”

Section: Interventionsebeneunclassified

Die intensive Überwachung von Patienten in der stationären psychiatrischen Akutversorgung

et al. 2013

View full text Add to dashboard Cite

The focus should be on therapeutic aspects of observation; particularly involvement and development of hope. Observation might restrict personal freedom and should be used as rarely as possible. Strengthening nurses in decision-making is associated with increased quality. More research is needed regarding the effectiveness, the frequency of utilization and opportunities for prevention. The importance of observation is in contrast to the lack of relevant data.

show abstract

Study of effects of constant observation of psychiatric in-patients

Cited by 8 publications

References 4 publications

Systematic review of interventions to improve constant observation on adult inpatient psychiatric wards

Systematic review of interventions to improve constant observation on adult inpatient psychiatric wards

A professional containment method in acute psychiatric clinics: Nursing observations

Die intensive Überwachung von Patienten in der stationären psychiatrischen Akutversorgung

Contact Info

Product

Resources

About