Strategies for the Prevention of Violence in Institutional Care: A Qualitative Interview Study With Ward Managers.

adolescents coercive measures prevention qualitative content analysis residential homes values violence ward manager

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2022
Historique:
received: 12 01 2022
accepted: 07 03 2022
entrez: 25 4 2022
pubmed: 26 4 2022
medline: 26 4 2022
Statut: epublish

Résumé

The presence of violence within psychiatric and residential settings remains a challenge. Research on this problem has often focused on describing violence prevention strategies from either staffs' or service users' perspectives, and the views of ward managers has been largely overlooked. The aim of the present study was therefore to identify ward managers' strategies to prevent violence in institutional care, focusing on safety and values. Data were collected using semi-structured interviews with 12 ward managers who headed four different types of psychiatric wards and two special residential homes for adolescents. Qualitative content analysis was applied, first using a deductive approach, in which quotes were selected within a frame of primary, secondary, and tertiary prevention, then by coding using an inductive approach to create themes and subthemes. Ward managers' strategies were divided into the four following themes: (1) Ward managers described ethical challenges surrounding violence and coercive measures. These were often described as practical problems, so there seems to be a need for a development of higher ethical awareness based on a common understanding regarding central ethical values to be respected in coercive care. The ward managers seem to have a high awareness of de-escalation and the work with secondary prevention, however, there is a need to develop the work with primary and tertiary prevention. The service user group or user organizations were not considered as resources in violence prevention, so there is a need to ensure that all stakeholders are active in the process of creating violence prevention strategies.

Sections du résumé

Background UNASSIGNED
The presence of violence within psychiatric and residential settings remains a challenge. Research on this problem has often focused on describing violence prevention strategies from either staffs' or service users' perspectives, and the views of ward managers has been largely overlooked. The aim of the present study was therefore to identify ward managers' strategies to prevent violence in institutional care, focusing on safety and values.
Methods UNASSIGNED
Data were collected using semi-structured interviews with 12 ward managers who headed four different types of psychiatric wards and two special residential homes for adolescents. Qualitative content analysis was applied, first using a deductive approach, in which quotes were selected within a frame of primary, secondary, and tertiary prevention, then by coding using an inductive approach to create themes and subthemes.
Results UNASSIGNED
Ward managers' strategies were divided into the four following themes: (1)
Conclusions UNASSIGNED
Ward managers described ethical challenges surrounding violence and coercive measures. These were often described as practical problems, so there seems to be a need for a development of higher ethical awareness based on a common understanding regarding central ethical values to be respected in coercive care. The ward managers seem to have a high awareness of de-escalation and the work with secondary prevention, however, there is a need to develop the work with primary and tertiary prevention. The service user group or user organizations were not considered as resources in violence prevention, so there is a need to ensure that all stakeholders are active in the process of creating violence prevention strategies.

Identifiants

pubmed: 35463501
doi: 10.3389/fpsyt.2022.853260
pmc: PMC9024355
doi:

Types de publication

Journal Article

Langues

eng

Pagination

853260

Informations de copyright

Copyright © 2022 Lindow, Kjellin, Engström and Pelto-Piri.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Martin Lindow (M)

University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Lars Kjellin (L)

University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Ingemar Engström (I)

University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Veikko Pelto-Piri (V)

University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Classifications MeSH