Breaking away from violence

Southcott, John

doi:10.7748/ns.14.27.24.s38

Cited by 2 publications

(2 citation statements)

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“…CVPPP is a comprehensive program to deal with violence effectively and appropriately, which adapts some techniques developed in the UK for use in Japan. The program includes breaking away and control and restraint training, as well as the prediction and prevention skills mentioned in the clinical guideline of the National Institute for Health and Clinical Excellence (NICE) . The program is steadily growing in Japan: as of 2010, 2764 individuals (4.3% of the 63 556 full‐time nurses working in psychiatric hospitals as of 2007) have attended a 4‐day program for training the trainers to be able to disseminate the techniques within their own facilities.…”

Section: Discussionmentioning

confidence: 99%

Influence of patient characteristics on duration of seclusion/restrain in acute psychiatric settings in Japan

Noda

Sugiyama

Sato

et al. 2013

Psychiatry Clin Neurosci

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Aim:The aim of this study was to investigate the current state of duration of seclusion/restraint in acute psychiatric settings in Japan and the effect of patient characteristics on duration of seclusion/ restraint. Methods:During an 8-month period starting from November 2008, duration of seclusion/restraint and patient characteristics were investigated in 694 psychiatric inpatients who experienced seclusion/ restraint in three emergency and three acute wards at four psychiatric hospitals. Reasons for starting seclusion/restraint were also assessed. Analysis was performed using generalized linear models, with the duration of seclusion/restraint as the dependent variable and patient characteristics and reasons for starting seclusion/restraint as independent variables.Results: Of the patients secluded/restrained, 58.6% had a primary diagnosis of schizophrenia (F20-F29) and a large proportion (37.9%) were secluded/ restrained due to hurting others. Median hours of seclusion/restraint were 204 and 82 h, respectively. The duration of seclusion was longer for patients with F20-F29 than those with disorders due to psychoactive substance use (F10-F19) or other diagnoses (F40-F99), and when the reason was danger of hurting others. In contrast, the duration of restraint in female patients and in patients with F10-F19 diagnosis was shorter. Conclusion:The duration of seclusion/restraint at acute psychiatric care wards in Japan are much longer than those reported by previous overseas studies. Although Japanese structure issues such as more patients per ward and a lower ratio of nurses need to be considered, skills for dealing with patients with primary diagnosis of F20-F29 secluded due to danger posed to others should be improved.

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Section: Discussionmentioning

confidence: 99%

Influence of patient characteristics on duration of seclusion/restrain in acute psychiatric settings in Japan

Noda

Sugiyama

Sato

et al. 2013

Psychiatry Clin Neurosci

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“…Interestingly, students are barred from participating in required clinical experience (by the clinical sector, The Bradford Community Trust) if they have not completed basic training in personal safety (Taylor 2000), therefore creating an incentive and motivation for the university to provide resources, and for the students to participate in the workshops. Southcott (2000) also raises the issue of nurses being taught breakaway techniques as part of training programmes to protect against aggression and violence.…”

Section: Responses To High Levels Of Workplace Violence Against Nursesmentioning

confidence: 99%

Who would want to be a nurse? Violence in the workplace - a factor in recruitment and retention

Jackson¹,

2002

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In a climate of a declining nursing workforce where violence and hostility is a part of the day-to-day lives of most nurses, it is timely to name violence as a major factor in the recruitment and retention of registered nurses in the health system. Workplace violence takes many forms such as aggression, harassment, bullying, intimidation and assault. Violent acts are perpetrated against nurses from various quarters including patients, relatives, other nurses and other professional groups. Research suggests that nurse managers are implicated in workplace violence and bullying. Furthermore, there may be a direct link between episodes of violence and aggression towards nurses and sick leave, burnout and poor recruitment and retention rates. This paper explores what is known about workplace violence as it affects nurses, and calls for managerial support and policy to act to improve work environments for all nurses.

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Breaking away from violence

Cited by 2 publications

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Influence of patient characteristics on duration of seclusion/restrain in acute psychiatric settings in Japan

Influence of patient characteristics on duration of seclusion/restrain in acute psychiatric settings in Japan

Who would want to be a nurse? Violence in the workplace - a factor in recruitment and retention

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