Care zoning in a psychiatric intensive care unit: strengthening ongoing clinical risk assessment

Mullen, Antony; Drinkwater, Vincent; Lewin, Terry J.

doi:10.1111/jocn.12493

Cited by 10 publications

(31 citation statements)

References 32 publications

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“…However, there are limits to this approach. Documentation has been noted to be vague in relation to the recording of the specific details of interventions provided (Hale, Thomas, Bond, & Todd, ; Martin & Street, ; Mullen, Drinkwater, & Lewin, ). Furthermore, the rationale for choosing and enacting the intervention, and outcomes arising from the intervention may be unclear or absent (Curtis, Baker, & Reid, ; O'Brien & Cole, ).…”

Section: Introductionmentioning

confidence: 99%

Risk assessment and subsequent nursing interventions in a forensic mental health inpatient setting: Associations and impact on aggressive behaviour

Maguire

Daffern

Bowe

et al. 2018

Journal of Clinical Nursing

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Section: Introductionmentioning

confidence: 99%

Risk assessment and subsequent nursing interventions in a forensic mental health inpatient setting: Associations and impact on aggressive behaviour

Maguire

Daffern

Bowe

et al. 2018

Journal of Clinical Nursing

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“…Information displayed was consistent with a visual system known as ‘care zoning’ (Mullen et al . ; Taylor et al . ) utilized across that site.…”

Section: Resultsmentioning

confidence: 99%

Developing a guideline for structured content and process in mental health nursing handover

Cowan¹,

Brunero

Luo³

et al. 2017

Int J Mental Health Nurs

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The process of handover has received recent attention within Australian health care, as evidence linking patient safety with the quality of handover emerges. Such links between clinical handover and patient safety have been reported elsewhere in the literature, where it is posited that the safe care of patients relies not only on the expertise and judgment of individual clinicians, teamwork, and effective management, but hinges to a large extent on the quality of information transferred from team to team. The present qualitative, descriptive study used participant observations, focus groups, and interviews to investigate the nursing handover in two acute mental health inpatient units in New South Wales, Australia. Data collected as part of that investigation contributed to the development of a handover guideline that incorporates the key components of structure, content, and leadership. The research indicated a link between these components, and further revealed the necessity to have other forums, such as supervision and clinical review, to ensure that handover serves its intended purpose in an efficient manner.KEY WORDS: leadership, mental health, patient handover, patient safety, qualitative research.

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“…The process of selecting and the characteristics of the implementation object itself, as well as engaging stakeholders are initially important to the implementation of an SRAI (Young et al, 2006;Mullen et al, 2013). Aspects related to the users of the instrument and the importance of providing information and education on the SRAI as well as continuous support has been found to facilitate implementation (Wright and Webster, 2011).…”

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confidence: 99%

The challenges of using structured risk assessment instruments in forensic psychiatric care

Levin

2019

Linköping University Medical Dissertations

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Background: The purpose of psychiatric forensic care is to provide treatment for mentally ill offenders and to prevent future acts of violence and other adverse events. During care, the type of restrictions of freedom, the patient's continuous need for involuntary treatment and readiness for discharge, are continuously evaluated based on the assessment of risk the patient pose to themselves and others as well as the progress achieved with treatment. The use of structured risk assessment instruments is recommended in clinical guidelines to assess such risks. However, unstructured clinical assessments, considered to be less valid, are often used in clinical practice. There is insufficient research evidence concerning several aspects related to the clinical use of structured risk assessment instruments in terms of guiding the planning and realization of care and risk management interventions. There is also a lack of knowledge about what patients themselves perceive to be mediating factors for their use of violence. The challenges of using structured risk assessment instruments 8 al care givers. Patients are often actively striving and struggling to understand and manage their own risk of acting out in violence. Real-life experiences in forensic psychiatric care sparked my interest in trying to understand more about the barriers and facilitators of the clinical use of structured risk assessments to prevent violence and other adverse events as well as the patient perspectives on factors that contribute to or inhibit violence. This PhD thesis is the product of this endeavour. NICE, 2007; Risk Management Authority, 2006). SRAIs have been developed for and implemented and used in forensic mental health services, secure psychiatric in-care services and correctional services to assess the risk of adverse events. Much of the research of risk assessment instruments comes from these different types of services.

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Care zoning in a psychiatric intensive care unit: strengthening ongoing clinical risk assessment

Abstract: Care zoning remains a highly applicable model for the psychiatric intensive care unit environment and is a useful tool in guiding nurses to carry out routine patient risk assessments.

Cited by 10 publications

References 32 publications

Risk assessment and subsequent nursing interventions in a forensic mental health inpatient setting: Associations and impact on aggressive behaviour

Risk assessment and subsequent nursing interventions in a forensic mental health inpatient setting: Associations and impact on aggressive behaviour

Developing a guideline for structured content and process in mental health nursing handover

The challenges of using structured risk assessment instruments in forensic psychiatric care

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