Violence prevention in inpatient psychiatric settings: Systematic review of studies about the perceptions of care staff and patients

Hallett, Nutmeg; Huber, Jörg; Dickens, Geoffrey L.

doi:10.1016/j.avb.2014.07.009

Cited by 66 publications

(79 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Coercive measures are widely used in psychiatric settings (McLaughlin, Giacco, & Priebe, ) and have been classified by Völlm and Nedopil () into mainly four types: seclusion, mechanical restraint, physical restraint/holding and forced medication (see definitions in Table ). The common reasons for utilizing such measures on patients are reported to be violent/aggressive behaviour, agitation and/or verbal threats directed at staff (Duxbury & Whittington, ; Stewart, Bowers, Simpson, Ryan, & Tziggili, ; Laiho et al., ; Hallett, Huber, & Dickens, ). The mental health laws in most countries consider coercion to be acceptable in emergency situations to prevent harm to the patients themselves, other patients or staff (Albrecht, ).…”

Section: Introductionmentioning

confidence: 99%

“Treat me with respect”. A systematic review and thematic analysis of psychiatric patients’ reported perceptions of the situations associated with the process of coercion

Tingleff

Bradley²,

Gildberg

et al. 2017

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

Introduction There is a lack of research into psychiatric patients' perceptions of coercion that discriminates between different types of coercive measures, while also investigating patients' perceptions of undergoing coercion as a process. This knowledge is required to improve our understanding and provide a foundation for improving clinical practice. Aims To review existing research literature in order to investigate adult psychiatric patients' reported perceptions of situations before, during and after specific and defined types of coercive measures, and to investigate what patients perceive as moderating factors, in regard to the use of these coercive measures. Method A systematic review and thematic analysis of 26 peer-reviewed studies was undertaken. Results The analysis identified six themes and additional subthemes, where "interactions with professionals" and "communication" were predominant themes across the timeline of coercion. Altogether, themes were associated with either "positive or negative patient-perceived impact." Implications for practice Increased sensitivity to patients' views of the situation at each point in the process is desirable in order to respond to the patients' individual needs. Professionals also need to articulate concern and empathy towards the patient and to improve communication skills before, during and after a coercive incident. Use of de-escalation and noncoercive strategies is required. Relevance statement Coercion within psychiatric/mental health care remains controversial, and repeated international calls have recommended a reduction of their use. This review indicates that greater attention to how patients perceive the use of coercive measures (before, during, and after incidents) needs to be considered in order to improve the evidence-based and clinical practice.

show abstract

Section: Introductionmentioning

confidence: 99%

“Treat me with respect”. A systematic review and thematic analysis of psychiatric patients’ reported perceptions of the situations associated with the process of coercion

Tingleff

Bradley²,

Gildberg

et al. 2017

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

show abstract

“…One possibility is further patient-related factors, such as recent risk behavior. However, both staff and environmental factors have been reported as possible influences on patients' engagement in aggressive behaviors (Hallett, Huber, & Dickens, 2014) and should also be considered. In contrast, NPVs for self-harm were high, suggesting that the START may be useful as a screening tool for this outcome, such that those who are identified as low risk are not likely to engage, but the PPVs for this outcome suggest that those rated as moderate or high risk may benefit from further assessment.…”

mentioning

confidence: 99%

Predictive Validity of the Short-Term Assessment of Risk and Treatability (START) for Aggression and Self-Harm in a Secure Mental Health Service: Gender Differences

O’Shea

Dickens

2015

International Journal of Forensic Mental Health

Self Cite

View full text Add to dashboard Cite

The START predicts aggressive outcomes and to some extent self-harm. However, it is not known whether gender moderates its performance. This study used routinely collected data to investigate the predictive ability of the START for aggression and self-harm in secure psychiatric patients. Utility of the START was examined separately for men and women. The START was a stronger predictor of aggression and self-harm in women than men. The specific risk estimates produced large effect sizes for the prediction of aggression and selfharm in women; none of the AUC values reached the threshold for a large effect size in the male sample.

show abstract

“…To compare different views, we recommend that debriefing should be held by independent staff members. Since the recommendations of patients and nurses are repeatedly found to be complementary, it is advisable to debrief both (Hallett et al, ). Regarding the theoretical method of debriefing, previous studies in other settings showed that technical debriefing (i.e., not focussing on feelings but on facts) improve the outcome of patients after psychological trauma (Sijbrandij, Olff, Reitsma, Carlier, & Gersons, ).…”

Section: Resultsmentioning

confidence: 99%

“But I did not touch nobody!”—Patients' and nurses' perspectives and recommendations after aggression on psychiatric wards—A qualitative study

Vermeulen

Doedens

Boyette

et al. 2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

AimsTo gain a deeper understanding of the differences in patients and staff perspectives in response to aggression and to explore recommendations on prevention.DesignQualitative, grounded theory study.MethodsWe conducted semi‐structured interviews with patients and nurses involved in an aggressive incident. Data collection was performed from May 2016 ‐ March 2017.ResultsThirty‐one interviews were conducted concerning 15 aggressive incidents. Patients and nurses generally showed agreement on the factual course of events, there was variation in agreement on the perceived severity (PS). Patients' recommendations on prevention were mostly personally focussed, while nurses suggested general improvements.ConclusionPatients are often capable to evaluate aggression and give recommendations on prevention shortly after the incident. Patients and nurses differ in the PS of aggression. Recommendations on prevention of patients and nurses are complementary.ImpactWhat problem did the study address? Perspectives of patients and nurses differ with respect to aggression, but how is unclear. What were the main findings? Patients and nurses generally described a similar factual course of events concerning the incident, patients often perceive the severity less than nurses. Patients are capable to give recommendations on prevention of aggressive incidents, shortly after the incident. Where and on whom will the research have impact? Factual course of events can be a common ground to start evaluating aggressive incidents and post‐incident review should address the severity of incidents. Asking recommendations from patients on how to improve safety and de‐escalation can lead to innovative and personal de‐escalation strategies and supports patients autonomy.

show abstract

Violence prevention in inpatient psychiatric settings: Systematic review of studies about the perceptions of care staff and patients

Cited by 66 publications

References 48 publications

“Treat me with respect”. A systematic review and thematic analysis of psychiatric patients’ reported perceptions of the situations associated with the process of coercion

“Treat me with respect”. A systematic review and thematic analysis of psychiatric patients’ reported perceptions of the situations associated with the process of coercion

Predictive Validity of the Short-Term Assessment of Risk and Treatability (START) for Aggression and Self-Harm in a Secure Mental Health Service: Gender Differences

“But I did not touch nobody!”—Patients' and nurses' perspectives and recommendations after aggression on psychiatric wards—A qualitative study

Contact Info

Product

Resources

About