Ergonomics in the psychiatric ward towards workers or patients?
BACKGROUND
Patient's aggressive behavior is one of the major problem in the psychiatric ward. Here we present the preliminary results of a psychiatric ward case-study, of a public hospital in the Chieti province, in order to plan ergonomic improvement.


METHODS
We applied the Method of Organizational Congruencies in the psychiatric ward in order to study the relationship between organized hospital work and nurses wellbeing in a 24 hour shifts.


RESULTS
We observed 58 main phases in the three work shifts. The technical actions are mainly those of any hospital wards (shift briefing, preparing and administering drugs, recording data on clinical charts, etc.). We found important differences mainly due to the nurses overcontrol activities on the patients behavior (preventing suicides or self destructive behavior), the occurrence of restraint procedure towards patients, the pollution due to patient's cigarette smoke.


CONCLUSIONS
The fear of patient's self destructive behavior or other aggressive behaviour are the main cognitive and social aspects of this hospital ward. Nurses working in this psychiatric ward have to accept: locked doors, poor and polluted environment, restraint procedure with high risk of aggression and no availability of mental health care programs. A new interdisciplinary concept for ergonomics in psychiatry setting may represent a challenge for both nurses and patients and the community.
ENEA Casaccia, Division of Biomedicine, SP 018, Rome, Italy. silvana.salerno@enea.it
Salerno
S
Silvana
Forcella
F
Laura
Di Fabio
DF
Ursula
Figà Talamanca
FT
Irene
Boscolo
B
Paolo
D000374:Aggression; D001291:Attitude of Health Personnel; D006804:Ergonomics; D006801:Humans; D007558:Italy; D001523:Mental Disorders / Q000451:nursing*; D009741:Nursing Staff, Hospital / Q000458:organization & administration* / Q000523:psychology; D019982:Organizational Case Studies; D011567:Psychiatric Department, Hospital / Q000458:organization & administration*; D011568:Psychiatric Nursing; D016728:Self-Injurious Behavior / Q000451:nursing / Q000517:prevention & control*; D013647:Task Performance and Analysis; D016526:Workload