Psychiatric nursing managers' attitudes towards containment methods in psychiatric inpatient care.
attitudes
coercion
nurse managers
psychiatric hospitals
psychiatric nursing
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
01
09
2019
revised:
25
02
2020
accepted:
25
02
2020
pubmed:
28
2
2020
medline:
9
1
2021
entrez:
28
2
2020
Statut:
ppublish
Résumé
This research was conducted to examine psychiatric nursing managers' attitudes towards containment methods. Nursing management is regarded as a key issue in the reduction of coercion and containment. However, there has been little research on managers' attitudes towards containment methods. This descriptive, cross-sectional study utilized a survey design. Finnish inpatient psychiatric nursing managers (n = 90) completed the Attitudes to Containment Measures Questionnaire (ACMQ). The results were described with statistics, and the associations between attitudes and background variables were analysed using parametric tests. Psychiatric nursing managers had the most negative attitude towards net bed and mechanical restraint, and the most positive attitudes towards as necessary medication and intermittent observation. A few associations were discovered between attitudes and background variables such as gender and number of employees. In general, Finnish psychiatric nursing managers' attitudes towards containment methods seem to be quite negative, but more research is needed. This study provides fresh and unique data on the attitudes of psychiatric nursing managers towards containment methods. Managers' attitudes are important because of their ability to encourage investment in coercion reduction by nursing staff.
Sections du résumé
AIMS
OBJECTIVE
This research was conducted to examine psychiatric nursing managers' attitudes towards containment methods.
BACKGROUND
BACKGROUND
Nursing management is regarded as a key issue in the reduction of coercion and containment. However, there has been little research on managers' attitudes towards containment methods.
METHODS
METHODS
This descriptive, cross-sectional study utilized a survey design. Finnish inpatient psychiatric nursing managers (n = 90) completed the Attitudes to Containment Measures Questionnaire (ACMQ). The results were described with statistics, and the associations between attitudes and background variables were analysed using parametric tests.
RESULTS
RESULTS
Psychiatric nursing managers had the most negative attitude towards net bed and mechanical restraint, and the most positive attitudes towards as necessary medication and intermittent observation. A few associations were discovered between attitudes and background variables such as gender and number of employees.
CONCLUSIONS
CONCLUSIONS
In general, Finnish psychiatric nursing managers' attitudes towards containment methods seem to be quite negative, but more research is needed.
IMPLICATIONS FOR NURSING MANAGEMENT
CONCLUSIONS
This study provides fresh and unique data on the attitudes of psychiatric nursing managers towards containment methods. Managers' attitudes are important because of their ability to encourage investment in coercion reduction by nursing staff.
Types de publication
Journal Article
Langues
eng
Pagination
699-709Subventions
Organisme : Finnish Ministry of Health and Social Affairs
Organisme : Finnish Cultural Foundation
Informations de copyright
© 2020 The Authors. Journal of Nursing Management published by John Wiley & Sons Ltd.
Références
Act on Specialized Medical Care. (1062/1989). Ministry of Social Affairs and Health, Finland. Retrieved from https://www.finlex.fi/en/laki/kaannokset/1989/en19891062. Accessed 6 January 2020.
Aiken, L. H., Sloane, D., Griffiths, P., Rafferty, A. M., Bruyneel, L., McHugh, M., … RN4CAST Consortium. (2016). Nursing skill mix in European hospitals: Cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Quality & Safety, 26(7), 559-568. https://doi.org/10.1136/bmjqs-2016-005567
Alderman, A. K., & Salem, B. (2010). Survey research. Plastic and Reconstructive Surgery, 126, 1381-1389. https://doi.org/10.1097/PRS.0b013e3181ea44f9
Alloubani, A., Akhu-Zaheaya, L., Abdelhafiz, I., & Almatari, M. (2019). Leadership styles' influence on the quality of nursing care. International Journal of Health Care Quality Assurance, 32, 1022-1033. https://doi.org/10.1108/IJHCQA-06-2018-0138
Bak, J., & Aggernaes, H. (2012). Coercion within Danish psychiatry compared with 10 other European countries. Nordic Journal of Psychiatry, 66, 297-302. https://doi.org/10.3109/08039488.2011.632645
Berkery, E., Tiernan, S., & Morley, M. (2014). The relationship between gender role stereotypes and requisite managerial characteristics: The case of nursing and midwifery professionals. Journal of Nursing Management, 22, 707-719. https://doi.org/10.1111/j.1365-2834.2012.01459.x
Blegen, N., & Severinsson, E. (2011). Leadership and management in mental health nursing. Journal of Nursing Management, 19, 487-497. https://doi.org/10.1111/j.1365-2834.2011.01237.x
Bowers, L. (2006). On conflict, containment and the relationship between them. Nursing Inquiry, 13, 172-180. https://doi.org/10.1111/j.1440-1800.2006.00319.x
Bowers, L., Alexander, J., Simpson, A., Ryan, C., & Carr-Walker, P. (2004). Cultures of psychiatry and the professional socialization process: The case of containment methods for disturbed patients. Nurse Education Today, 24, 435-442. https://doi.org/10.1016/j.nedt.2004.04.008
Bowers, L., van der Werf, B., Vokkolainen, A., Muir-Cochrane, E., Allan, T., & Alexander, J. (2007). International variation in containment measures for disturbed psychiatric inpatients: A comparative questionnaire survey. International Journal of Nursing Studies, 44, 357-364. https://doi.org/10.1016/j.ijnurstu.2006.01.005
Dack, C., Ross, J., & Bowers, L. (2012). The relationship between attitudes towards different containment measures and their usage in a national sample of psychiatric inpatients. Journal of Psychiatric and Mental Health Nursing, 19, 577-586. https://doi.org/10.1111/j.1365-2850.2011.01832.x
Dahan, S., Levi, G., Behrbalk, P., Bronstein, I., Hirschmann, S., & Lev-Ran, S. (2018). The impact of “being there”: Psychiatric staff attitudes on the use of restraint. Psychiatric Quarterly, 89, 191-199. https://doi.org/10.1007/s11126-017-9524-9
Erwin, P. (2001). Attitudes and persuasion. New York, NY: Psychology Press.
Fan, W., & Yan, Z. (2010). Factors affecting response rates of the web survey: A systematic review. Computers in Human Behavior, 26, 132-139. https://doi.org/10.1016/j.chb.2009.10.015
Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley.
Gerace, A., & Muir-Cochrane, E. (2019). Perceptions of nurses working with psychiatric consumers regarding the elimination of seclusion and restraint in psychiatric inpatient settings and emergency departments: An Australian survey. International Journal of Mental Health Nursing, 28, 209-225. https://doi.org/10.1111/inm.12522
Gerolamo, A. (2006). The conceptualization of physical restraint as a nursing-sensitive adverse outcome in acute care psychiatric treatment settings. Archives of Psychiatric Nursing, 20, 175-185. https://doi.org/10.1016/j.apnu.2005.12.005
Gooding, P., McSherry, B., Roper, C., & Grey, F. (2018). Alternatives to coercion in mental health settings: A literature review. Melbourne, Australia: Melbourne Social Equity Institute, University of Melbourne.
Hanhijoki, I., Katajisto, J., Kimari, M., & Savioja, H. (2012). Education, training and demand for labour in Finland by 2025. Publications 2012:16. Tampere, Finland: Finnish National Board of Education. Retrieved from https://www.oph.fi/download/144754_Education_training_and_demand_for_labour_in_Finland_by_2025_2.pdf. Accessed 28 May 2019.
Happell, B., Dares, G., Russell, A., Cokell, S., Platania-Phung, C., & Gaskin, C. J. (2012). The relationships between attitudes toward seclusion and levels of burnout, staff satisfaction, and therapeutic optimism in a District Health Service. Issues in Mental Health Nursing, 33, 329-336. https://doi.org/10.3109/01612840.2011.644028
Happell, B., & Harrow, A. (2010). Nurses' attitudes to the use of seclusion: A review of the literature. International Journal of Mental Health Nursing, 19, 162-168. https://doi.org/10.1111/j.1447-0349.2010.00669.x
Heyman, E. (1987). Seclusion. Journal of Psychosocial Nursing, 25, 9-12. https://doi.org/10.3928/0279-3695-19871101-04
Hottinen, A., Välimäki, M., Sailas, E., Putkonen, H., Joffe, G., Noda, T., & Lindberg, N. (2012). Attitudes towards different containment measures: A questionnaire survey in Finnish adolescent psychiatry. Journal of Psychiatric and Mental Health Nursing, 19, 521-527. https://doi.org/10.1111/j.1365-2850.2011.01820.x
Huckshorn, K. A. (2014). Reducing seclusion & restraint use in inpatient settings a phenomenological study of state psychiatric hospital leader and staff experiences. Journal of Psychosocial Nursing and Mental Health Services, 52, 40-47. https://doi.org/10.3928/02793695-20141006-01
Jalil, R., Huber, J. W., Sixsmith, J., & Dickens, G. L. (2017). Mental health nurses' emotions, exposure to patient aggression, attitudes to and use of coercive measures: Cross sectional questionnaire survey. International Journal of Nursing Studies, 75, 130-138. https://doi.org/10.1016/j.ijnurstu.2017.07.018
Kuivalainen, S., Vehviläinen-Julkunen, K., Louheranta, O., Putkonen, A., Repo-Tiihonen, E., & Tiihonen, J. (2017). De-escalation techniques used, and reasons for seclusion and restraint, in a forensic psychiatric hospital. International Journal of Mental Health Nursing, 26, 513-524. https://doi.org/10.1111/inm.12389
Laukkanen, E., Vehviläinen-Julkunen, K., Louheranta, O., & Kuosmanen, L. (2019). Psychiatric nursing staffs' attitudes towards the use of containment methods in psychiatric inpatient care: An integrative review. International Journal of Mental Health Nursing, 28, 390-406. https://doi.org/10.1111/inm.12574
McLaughlin, P., Giacco, D., & Priebe, S. (2016). Use of coercive measures during involuntary psychiatric admission and treatment outcomes: Data from a prospective study across 10 European Countries. PLoS ONE, 11, e0168720. https://doi.org/10.1371/journal.pone.0168720
Mental Health Act. (1116/1990). Ministry of social affairs and health, Finland. Retrieved from www.finlex.fi/fi/laki/kaannokset/1990/en19901116.pdf. Accessed 27 May 2019.
Pettit, S. A., Bowers, L., Tulloch, A., Cullen, A. E., Moylan, L. B., Sethi, F., … Stewart, D. (2017). Acceptability and use of coercive methods across differing service configurations with and without seclusion and/or psychiatric intensive care units. Journal of Advanced Nursing, 73, 966-976. https://doi.org/10.1111/jan.13197
Price, O., Baker, J., Bee, P., Grundy, A., Scott, A., Butler, D., … Lovell, K. (2017). Patient perspectives on barriers and enablers to the use and effectiveness of de-escalation techniques for the management of violence and aggression in mental health settings. Journal of Advanced Nursing, 2017, 1-12. https://doi.org/10.1111/jan.13488
Reisch, T., Beeri, S., Klein, G., Meier, P., Pfeifer, P., Buehler, E., … Jaeger, M. (2018). Comparing Attitudes to containment measures of patients, health care professionals and next of kin. Frontiers in Psychiatry, 9, 529. https://doi.org/10.3389/fpsyt.2018.00529
Steinert, T., Lepping, P., Bernhardsgrütter, R., Conca, A., Hatling, T., Janssen, W., … Whittington, R. (2010). Incidence of seclusion and restraint in psychiatric hospitals: A literature review and survey of international trends. Social Psychiatry and Psychiatric Epidemiology, 45, 889-897. https://doi.org/10.1007/s00127-009-0132-3
Väkiparta, L., Suominen, T., Paavilainen, E., & Kylmä, J. (2019). Using interventions to reduce seclusion and mechanical restraint use in adult psychiatric units: An integrative review. Scandinavian Journal of Caring Sciences, 33(4), 765-778. https://doi.org/10.1111/scs.12701
Van der Merwe, M., Muir-Cochrane, E., Jones, J., Tziggili, M., & Bowers, L. (2013). Improving seclusion practice: Implications of a review of staff and patient views. Journal of Psychiatric and Mental Health Nursing, 20, 203-215. https://doi.org/10.1111/j.1365-2850.2012.01903.x
Whittington, R., Bowers, L., Nolan, P., Simpson, A., & Neil, L. (2009). Approval ratings of inpatient coercive interventions in a national sample of mental health service users and staff in England. Psychiatric Services, 60, 792-798. https://doi.org/10.1176/ps.2009.60.6.792
Wong, C., Cummings, G., & Ducharme, L. (2013). The relationship between nursing leadership and patient outcomes: A systematic review update. Journal of Nursing Management, 21, 709-724. https://doi.org/10.1111/jonm.12116