Author: Murray James EdgarPublisher:
ISBN:
Category : Psychiatric hospital care
Languages : en
Pages : 334
Book Description
A Thematic Analysis of Factors Influencing Decisions to Use Physical Restraint in Acute Mental Health Settings
Author: Murray James EdgarPublisher:
ISBN:
Category : Psychiatric hospital care
Languages : en
Pages : 334
Book Description
Towards an Improved Understanding of Severe and Enduring Anorexia Nervosa
Author: Stephen William TouyzPublisher: Frontiers Media SA
ISBN: 2889710726
Category : Medical
Languages : en
Pages : 110
Book Description
Home Care Across Europe
Author: Nadine GenetPublisher:
ISBN: 9789289002899
Category : Home care services
Languages : en
Pages : 0
Book Description
For every person over the age of 65 in today's European Union there are four people of working age but by 2050 there will only be two. Demand for long-term care of which home care forms a significant part will inevitably increase in the decades to come. Despite the importance of the issue however up-to-date and comparative information on home care in Europe is lacking. This book attempts to fill some of that gap by examining current European policy on home care services and strategies. Home care in Europe probes a wide range of topics including the links between social services and health-care.
Health Professional's Experiences of Implementing Seclusion and Restraint Reduction Strategies in an Acute Mental Health Unit
Author: Sharon WebsterPublisher:
ISBN:
Category : Mental health services
Languages : en
Pages :
Book Description
Reduction of coercive practices known as seclusion (solitary confinement) and restraint (physical control of inpatients) are important priorities of mental health services. Seclusion and restraint are reported to be highly traumatic for service users and organizations are expected and encouraged to find alternatives to their use. A programme that contains six strategies to reduce seclusion and restraint has been successfully utilized internationally; however, there is little research on the efficacy of the six strategies when implemented within New Zealand contexts. The purpose of this study was to explore the experiences of key clinicians from one New Zealand acute mental health facility who implemented the strategies to reduce the unit's use of seclusion and restraint. A qualitative descriptive methodology was chosen for this study as it allowed participants to describe their experiences including factors that helped or hindered implementation of the strategies. Six participants, both clinical leaders and staff took part in the study and provided the data. Semi-structured focus group discussions were audio taped then transcribed verbatim. Transcribed data was analyzed and themes were generated using an inductive thematic analytical process. Three themes surfaced: 'Rethinking power and control', 'Into the unknown' and 'Getting staff on board'. The findings suggested that the change involved two separate but interlinked processes. Clinical leaders introduced practical policy changes to reduce seclusion, which in turn allowed staff to interpret and respond to the changes in ways meaningful to them. Ultimately, these dual processes influenced staff's daily interactions with service users resulting in reduced use of both seclusion and restraint. Equal consideration needs to be given to clinical leaders' implementation of the strategies and staff contributions in ensuring their success. The findings in this study may provide useful insights for organizations that intend to use the seclusion and restraint reduction strategies.
Finding What Works in Health Care
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309164257
Category : Medical
Languages : en
Pages : 267
Book Description
Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.
Mental Health
Author: 'PASUNG' AND OTHER FORMS OF PHYSICAL RESTRAINT: A CRITICAL REVIEW OF THE TREATMENT GAP FOR SEVERE MENTAL ILLNESS IN LOW-RESOURCE SETTINGS
Author: Aldani WijayantiPublisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
BACKGROUND AND AIMPhysical restraint has been used widely in institutions or by caregiver worldwide. The caregivers in some countries use pasung, which is a form of confinement with a chain or another medium to restrict mobilisation toward mentally ill people. This practice associated with stigma or as an effort to ensure the safety. However, neither type of explanation can relate this case to the treatment gap issue. This article critically reviews the current studies that have investigated the physical restraint characteristics and scarce-resource in mental health services, particularly in the case of pasung. The analysis aims at developing recommendations for optimising community resource to minimise treatment gap and reduce the rate of physical restraint.METHODSThe review identified the report discrepancies from articles published between 2008 and 2018 with quantitative and qualitative studies in the field. RESULTSResults demonstrate various motives and strategies in low-resource settings to deal with physical restraint. The treatment gap moderated by the lack of cost-effective services in local context, minimum treatment coverage and the absence of monitoring after patients discharged from mental health hospitals. CONCLUSIONSThis study contributes towards understanding of treatment gap within physical restraint for severely mentally ill people. Using the existing analysis, stakeholder can create evidence-informed policy. Future studies and scope of intervention should consider an iterative process of involving communities in capacity development to prevent pasung or other forms of physical restraint.
Strengths-Based Nursing Care
Author: Laurie N. Gottlieb, PhD, RNPublisher: Springer Publishing Company
ISBN: 0826195873
Category : Medical
Languages : en
Pages : 450
Book Description
This is the first practical guide for nurses on how to incorporate the knowledge, skills, and tools of Strength-Based Nursing Care (SBC) into everyday practice. The text, based on a model developed by the McGill University Nursing Program, signifies a paradigm shift from a deficit-based model to one that focuses on individual, family, and community strengths as a cornerstone of effective nursing care. The book develops the theoretical foundations underlying SBC, promotes the acquisition of fundamental skills needed for SBC practice, and offers specific strategies, techniques, and tools for identifying strengths and harnessing them to facilitate healing and health. The testimony of 46 nurses demonstrates how SBC can be effectively used in multiple settings across the lifespan.
Crossing the Quality Chasm
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309132967
Category : Medical
Languages : en
Pages : 359
Book Description
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Design, Evaluation, and Translation of Nursing Interventions
Author: Souraya SidaniPublisher: John Wiley & Sons
ISBN: 0813820324
Category : Medical
Languages : en
Pages : 318
Book Description
Nurse-led intervention research is a core component of the global initiative to improve quality of care. Though research in this area has already contributed much to the advancement of patient care, future strides depend on the dissemination of practical, how-to instruction on this important area of research. Design, Evaluation, and Translation of Nursing Interventions aids in this endeavour by presenting both general approaches and specific methods for developing nursing interventions. Logically organized to facilitate ease of use, the book is divided into four sections. The introduction provides a firm grounding in intervention science by situating it within the broader topics of evidence-based practice, client-centred care, and quality of care. Section Two describes each step of intervention design, including correct identification of the health issue or problem, clarification of the elements comprising an intervention, and application of theory. Section Three is centred on implementation, highlighting such topics as development of the intervention manual, training interventionists, and intervention fidelity. The book concludes with methods to evaluate interventions enacted and suggestions for their translation into practice. Design, Evaluation, and Translation of Nursing Interventions distills the authors’ years of expertise in intervention research into comprehensive, easy-to-follow chapters. It is a must-have resource for students, researchers and healthcare professionals wishing to impact the future of patient care.