A psychiatric intensive care unit in a medium-security unit

Dolan, Mairead; Lawson, Alan

doi:10.1080/09585180110057145

Cited by 10 publications

(11 citation statements)

References 11 publications

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“…Also noted in the literature is that patients in PICUs differ from general acute 255 psychiatric patients as they are younger, predominantly male (Brown & Bass, 2004;Cohen & Khan, 1990), and score higher on the Global Assessment of Functioning Symptoms (GAF-S) (Vaaler et al, 2006). One specific issue to consider in PICUs is the dimension of violence, which is the most common reason for admission (Dolan & Lawson, 2001;Pereira et al, 2005), and patients should be considered as high risk (Wynaden et al, 2001). Earlier research focuses in large part on managing violent behavior using pharmacological intervention (Pilowsky et al, 1992), seclusion rooms (El-Badri & Mellsop, 2002;Tunde-Ayinmode & Little, 2004), and mechanical restraints (Kaltiala-Heino et al, 2003).…”

Section: Introductionmentioning

confidence: 98%

Achieving Equilibrium within a Culture of Stability—Cultural Knowing in Nursing Care on Psychiatric Intensive Care Units

Salzmann‐Erikson

Lützén

Ivarsson

et al. 2011

Issues in Mental Health Nursing

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This article presents intensive psychiatric nurses' work and nursing care. The aim of the study was to describe expressions of cultural knowing in nursing care in psychiatric intensive care units (PICU). Spradley's ethnographic methodology was applied. Six themes emerged as frames for nursing care in psychiatric intensive care: providing surveillance, soothing, being present, trading information, maintaining security and reducing. These themes are used to strike a balance between turbulence and stability and to achieve equilibrium. As the nursing care intervenes when turbulence emerges, the PICU becomes a sanctuary that offers tranquility, peace and rest.

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Section: Introductionmentioning

confidence: 98%

Achieving Equilibrium within a Culture of Stability—Cultural Knowing in Nursing Care on Psychiatric Intensive Care Units

Salzmann‐Erikson

Lützén

Ivarsson

et al. 2011

Issues in Mental Health Nursing

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“…Nevertheless the following groups crop up with some regularity: personality disorder and substance/alcohol use (see Table 1). Some reported PICUs have significantly different diagnostic profiles, (Birnie & Natsuna 1988;Coldwell & Naismith 1989;Dolan & Lawson 2001a;Dolan & Lawson 2001b;Hyde, Waller, & Wyn-Pugh 1992;Jones 1985;Warneke 1986;Werner et al 1983), although the majority of these are in non-UK countries or forensic units.…”

Section: Diagnosismentioning

confidence: 99%

“…Specialist settings tended to show a different diagnostic emphasis (Coldwell & Naismith 1989;Dolan & Lawson 2001a;Dolan & Lawson 2001b;Gordon, Hammond, & Veeramani 1998), although most still report an over representation of schizophrenia on the PICU. Two studies at the same hospital showed no diagnostic differences between PICU and general patients (Khan, Cohen, Chiles, Stowell, Hyde, & Robbins 1987;Rachlin 1973).…”

Section: Diagnosismentioning

confidence: 99%

Psychiatric Intensive Care Units: a Literature Review

Bowers

Jeffery

Bilgin

et al. 2008

Int J Soc Psychiatry

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“…In 4 of the cases entry into the acute room occurred due to lack of availability of beds elsewhere in the unit. In 3 other cases the patients were pregnant and considered inappropriate to be placed in the main ward (Dolan & Lawson, 2014). Many effects that occur on nurses due to decreased behavior and mental conditions in the psychiatric ward.…”

Section: Introductionmentioning

confidence: 99%

Nurses' Stress and Anxiety in Acute and Intermediete Ward at Mental Health Hospital Riau

Salny¹,

Malfasari²

2019

IJNS

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Psychiatric health nurses work with patients who experience ineffective coping mechanisms for the illness they are experiencing. This makes psychiatric nurses often deal with patients who show different types of symptoms with behavioural problems such as violence, assault, and suicide when hospitalized for anxiety and stress for nurses. The purpose of this study was to determine the difference of anxiety level and stress on nurses in acute room and intermediate room. The type of this study was quantitative with comparative analytic design using cross sectional study approach. The sample in this study were 19 acute room nurses and 90 intermediate room nurses. This research was conducted in April 2018 in the treatment room at RSJ Riau Province. The measuring tool used the DASS 42 questionnaire using anxiety and stress questionnaires. The analysis used univariate and bivariate analysis using independent t test statistic for stress variable and Mann Whitney Test for anxiety variable. The results of this study showed there was no difference in the level of anxiety on the nurses in the acute room and intermediate room seen from p value of 0.952 (> 0.05). And there is a difference of stress level on nurses in acute room and intermediate room seen from p value 0,000 (<0,005). Based on the results of this study, nurses are expected to recognize the response level of anxiety and stress experienced by nurses.

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A psychiatric intensive care unit in a medium-security unit

Cited by 10 publications

References 11 publications

Achieving Equilibrium within a Culture of Stability—Cultural Knowing in Nursing Care on Psychiatric Intensive Care Units

Achieving Equilibrium within a Culture of Stability—Cultural Knowing in Nursing Care on Psychiatric Intensive Care Units

Psychiatric Intensive Care Units: a Literature Review

Nurses' Stress and Anxiety in Acute and Intermediete Ward at Mental Health Hospital Riau

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