Changes in the occurrences of coercive interventions and staff injuries on a psychiatric intensive care unit.
The purpose of this study was to compare the occurrences of coercive interventions and violence-related staff injuries before and after a 2-year violence prevention intervention on a psychiatric intensive care unit. The intervention aimed to improve nursing care by addressing patient violence from multiple perspectives. During the study, the unit was reorganized toward a higher concentration of severely disturbed patients. The results showed an increased proportion of coercive interventions without a corresponding increase in staff injuries. Use of coercive interventions is discussed in relation to a safe environment for both patients and staff.
Björkdahl
Anna
A
Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institute, Stockholm, Sweden. anna.bjorkdahl@sll.se
Heilig
Markus
M
Palmstierna
Tom
T
Hansebo
Görel
G
D003068:Coercion; D006282:Health Personnel / Q000706:statistics & numerical data*; D006801:Humans; D007362:Intensive Care Units; D001523:Mental Disorders / Q000534:rehabilitation / Q000628:therapy*; D011567:Psychiatric Department, Hospital; D016312:Treatment Refusal; D014947:Wounds and Injuries / Q000453:epidemiology*