A5008067887- Healthcare Decision-Making and Restraints
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Primary Care and Health Outcomes
- Psychiatric care and mental health services
- Workplace Violence and Bullying
- Mental Health Treatment and Access
- Healthcare Systems and Challenges
- EEG and Brain-Computer Interfaces
- Nursing Education, Practice, and Leadership
- Schizophrenia research and treatment
- Muscle activation and electromyography studies
- Health and Well-being Studies
- Disaster Response and Management
- Business Process Modeling and Analysis
- Digital Innovation in Industries
- Chronic Disease Management Strategies
- Complementary and Alternative Medicine Studies
- Global Health Workforce Issues
- Substance Abuse Treatment and Outcomes
- Child and Adolescent Health
- Geriatric Care and Nursing Homes
- Ethics and Legal Issues in Pediatric Healthcare
- Ethics in medical practice
- Human Behavior and Motivation
- Health Services Management and Policy
Privacy Analytics (Canada)
2021
Canadian Standards Association
2018-2020
Institute of Electrical and Electronics Engineers
2020
Georgia Institute of Technology
2020
Harvard University
2020
University of Florida
2018
The Ohio State University
2018
California Institute of Technology
2018
John Brown University
2018
Shirley Ryan AbilityLab
2018
Accessible summary In the previous paper we described a model explaining differences in rates of conflict and containment between wards, grouping causal factors into six domains: staff team, physical environment, outside hospital, patient community, characteristics regulatory framework. This reviews evaluates evidence for from previously published research. The is supported, but not very strong. More research using more rigorous methods required order to confirm or improve this model....
Background Two recently developed measures intended for clinical use are HoNOS (Health of the Nation Outcome Scales), measuring social functioning, and CANSAS (Camberwell Assessment Need Short Appraisal Schedule), need. Aims We investigated association between HoNOS. Results For some domains there were substantial associations, with high rating correlated presence a other areas agreement was less than might be expected. Seven factors identified within 22 domains, needs in Drug/alcohol...
Steve Wright and Frank Ashton explain what staff development really entails describe the programme that they have implemented at Tameside Hospital
Background Communication between secondary and primary care is an important aspect of continuity care. We investigated communication general practitioners (GPs) psychiatric teams about a representative group patients with severe mental illness (SMI). also sought views on GP involvement in from the their GPs. Methods One hundred SMI were randomly selected those under two sector inner London. The GPs interviewed. Results GPs' knowledge received was limited. Most perceived role as providing...
Abstract Therapeutic and informal interactions with nurses are integral to the quality of care that psychiatric patients receive. How well these performed, their impact on experience outcomes inpatient care, have not been subject systematic evaluation. The aim present study was examine patients' perceptions personal professional qualities nursing staff how contribute ward environment. Patients ( n = 119) from 16 acute wards were interviewed using a schedule developed by service‐user...
A postal questionnaire survey was employed in regional secure and psychiatric intensive care units England Wales, respect of mental health nurses’ training the use physical restraint. The views were sought relating to their last experience implementing procedure. Whilst most nurses ( n = 259, 96.3%) reported positive outcomes so far that incident brought under control, aftereffects procedure concern ambivalence. literature suggests service users did not necessarily hold same views. range...
Although individual conflict and containment events among acute psychiatric inpatients have been studied in some detail, the relationship of these to each other has not. In particular, little is known about temporal order for patients. This study aimed identify most common pathways from event event. A sample 522 patients was recruited 84 wards 31 hospital locations London surrounding areas during 2009–2010. Data on were collected first two weeks admission patients' case notes. Event-to-event...
Background: The physical management of violence in psychiatric in-patient settings is great concern and interest. However, there are no guidelines concerning training providers, course content, or length, little known about injuries to staff during training. Aim: To investigate restraint Psychiatric Intensive Care Units (PICUs) Regional Secure (RSUs) England Wales, with a view comparing content across the providers cited by respondents. Method: Questionnaires were completed randomly selected...
Abstract High rates of offending and violence have been found in patients with co-morbid severe mental illness substance misuse (dual diagnosis), although research has focused upon inner-city populations. This study compares dual diagnosis (DD) psychosis only, drawing on a more demographically representative population. Forty disorders were interviewed geographically defined catchment area Croydon, Surrey. Cases alcohol or drug identified, measures lifetime history (including violence)...
Rates of mental illness and self-harm are very high among women prisoners. Questionnaires assessed prisoners' knowledge attitudes towards health problems, relevant behavioural intentions before after the intervention, to evaluate effectiveness a comedy show in women's prison reduce stigma improve coping help-seeking for problems. The intervention appeared have been successful improving some aspects about psychotherapy (Z = − 2.304, p 0.021) likelihood recovery from problems 2.699, 0.007)....
Stigma and discrimination are faced by many with mental health problems this may affect the uptake of services engagement in leisure recreational activities. The aims study were to develop a schedule measure impact stigma on service use, employment activities estimate value such reductions.A questionnaire, Cost Discrimination Assessment, was developed piloted sample people problems. Costs calculated test-retest reliability assessed.Test-retest good for most items. A substantial proportion...
Steve Wright traces the introduction and future planning of nursing development units
The survey examined training and practice in the prevention management of violence nurses working acute in-patient psychiatric services throughout UK. Out 2,152 questionnaires sent out, 771 completed responses were returned (36%). While response rate was low, there no obvious biases affecting it, a high level statistical power attained. study is largest this population conducted so far. Most respondents reported an acceptable ratio theoretical input to practical skills training, although...
Purpose – The use of violence risk assessment measures within intellectual disabilities (ID) services is now the norm and a growing target for research. purpose this paper to examine clinical utility historical factors HCR-20 in predicting violence. Design/methodology/approach study took place national low secure service adults with ID examining all completed admissions over six-year period, ( N =22). Clinical records covering first three months admission were examined along reports incident...
Background This study focuses on health care received by people with serious mental illness (SMI). The aim is to examine the economic implications of different locations management and views service users staff regarding services set up as alternatives secondary care. Objectives Specific objectives are (1) identify SMI managed in primary or care; (2) those who could be potentially transferred (3) compare characteristics these groups; (4) use costs; (5) generate models estimate cost changes...
Primary nursing, quality assurance, the growth of research and nursing development units are but a few developments that increasing nursing's worth as profession, in eyes its own practitioners, well those politicians public.
Abstract This article compares the clinical characteristics, risk and need profiles of forensic general adult patients in parallel integrated models care UK. Case notes were examined, Care Programme Approach care-coordinator interviewed to assess need. Forensic had a higher violence, accounted for by score on historical risk, but not different current future predicted risk. number total met needs, unmet needs. Compared managed teams, those teams scores. Those more needs The findings support...
Measures to keep staff and patients safe (containment) frequently involve coercion. A small proportion of is subject a large containment use. To reduce the use containment, we need better understanding circumstances in which it used understandings staff. Two sweeps were made all wards, spread over four hospital sites, one London mental health organization identify who had been high levels previous two weeks. Data then extracted from their case notes about past history, current problem...