Increased use of security personnel in Irish psychiatric hospitals: 2008–2012

Shannon, Stephen; Devitt, Patrick; Murphy, K. C.

doi:10.1017/ipm.2015.8

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…In a review of the literature on violence in the ED setting, research reported around 50% of EDs had security personnel present, with security provisions in the United States (US) generally reported as greater than in the United Kingdom (UK) (Stirling, Higgins, & Cooke, 2001). A more recent study in the UK reported an increase in the use of security personnel in Irish psychiatric hospitals between 2008 and 2012 (Shannon, Devitt, & Murphy, 2015).…”

Section: Introductionmentioning

confidence: 99%

Role of security guards in Code Black events in medical and surgical settings: A retrospective chart audit

Muir‐Cochrane

Müller

et al. 2020

Nursing & Health Sciences

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The prevalence of security guards in health care settings is growing worldwide. There is a need to explore and understand their role and actions to inform policy and training and support least restrictive practices in health care. The aim of this study was to conduct a retrospective chart audit of security guard logs to investigate security guard involvement in Code Blacks, called in emergency situations of personal threats including patient and/or visitor violence, in medical and surgical wards in a large metropolitan health network in South Australia. Security guards attended 1664 Code Blacks (0.63% of admissions) over the 2.5‐year study period. Events were more frequently reported in medical than surgical wards. The most common reasons for security guard attendance were patients threatening/harming staff and patients threatening/harming themselves. The most frequent security guard actions were “Attend only/standby,” “Physical restraint,” and “Patient located and returned to the ward.” The most frequent outcomes were physical restraint, chemical restraint, and de‐escalation respectively. Results highlight the imperative that health services maintain and increase efforts to support least restrictive practice through policy directives and staff training.

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Section: Introductionmentioning

confidence: 99%

Role of security guards in Code Black events in medical and surgical settings: A retrospective chart audit

Muir‐Cochrane

Müller

et al. 2020

Nursing & Health Sciences

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“…Many healthcare facilities employ security guards as part of their security strategy 1. Adeniyi and Puzi2 attribute this to violent and aggressive behaviours that are not uncommon in many healthcare institutions, including hospitals and psychiatric and emergency units 3–6. Such behaviours are among the key reasons for the employment of security guards 7.…”

Section: Introductionmentioning

confidence: 99%

Role of security guards in healthcare settings: a protocol for a systematic review

et al. 2023

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IntroductionThere is a paucity of literature on the comprehensive roles of security guards in healthcare, regardless of day-to-day observations of security guards playing an extensive role in this field. Thus, this review will systematically explore the roles of security guards in healthcare contexts to create a centred body of evidence.Methods and analysisThe study will systematically review existing quantitative and qualitative peer-reviewed literature on security guards in institutional healthcare so as to understand their roles. We will conduct the systematic review on 10 electronic databases: BioMed Central, SocIndex, ScienceDirect, Google Scholar, JSTOR, PsycARTICLES, PsycINFO, Scopus, Web of Science and PubMed. Data extraction will be in the form of a word document. Mendeley software will be used to keep track of references, while the systematic review software, Rayyan, will be used for the screening, inclusion and exclusion of articles. If necessary, reviewer number 3 will conduct a third review should any disputes arise between the two initial reviewers. Quality assessment of the articles will be measured with the Critical Appraisal Skills Programme tool for articles in terms of the research aims, methodology used, sample, data analysis, presentation of findings, values of the research, as well as trustworthiness if it is a qualitative study or reflexiveness if it is a quantitative study. Studies dating back 32 years will be incorporated for a comprehensive review.Ethics and disseminationThis systematic review will use publicly available peer-reviewed data from electronic databases and will, therefore, not require an ethical review, but rather, an ethics waiver. The systematic review protocol will be submitted for ethics waiver clearance from the Stellenbosch University Health Research Ethics Committee. The findings from this review will be disseminated through peer-reviewed publications and conferences.PROSPERO registration numberCRD42022353653.

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Qualitative Evaluation of a Novel Security Role to Reduce Occupational Violence in Inpatient Hospital Settings

Duff,

Jeffries,

Griffiths

et al. 2024

Workplace Health Saf

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Background: Occupational violence (OV) is a priority issue that significantly affects the safety of nurses, leading to staff burnout and poor retention issues. Security personnel are common in inpatient settings, yet there is limited research on their role, function, and impacts. The study aims to qualitatively evaluate a novel security role to reduce OV in inpatient settings. Methods: This qualitative study was conducted in a tertiary hospital in Brisbane, Queensland. A novel security role (Ambassador) was piloted in three inpatient wards over 6 months in 2020 to mitigate OV risk. Semi-structured in-depth interviews were conducted. All interviews were audio recorded. Interview transcripts were transcribed. Deductive analysis based on the Consolidated Framework for Implementation Research (CFIR) was used to identify the experiences and perceptions of the participants. Findings: 17 participants were interviewed. Five themes were identified including program characteristics, internal drivers, external drivers, individual experience, and implementation process. An Ambassador proactively engages with patients and visitors and employs behavioral strategies to de-escalate or redirect persons of concern. Participants considered Ambassadors to be important members of the health care team who supported the provision of patient and family-centered care. Successful implementation was said to require collaboration between clinical and security services and a small agile project team with authority and autonomy. Conclusion/Application to practice: This study provides many insights into the successful implementation of a novel security role in acute hospital settings. More research is needed on the effectiveness, appropriateness, feasibility, and cost of different security models.

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Increased use of security personnel in Irish psychiatric hospitals: 2008–2012

Abstract: Activity of security personnel in psychiatric hospitals may not be role appropriate, compliant with legislation or conducive to treatment. Best practice guidelines should be developed in consultation with multiple stakeholders.

Cited by 3 publications

References 9 publications

Role of security guards in Code Black events in medical and surgical settings: A retrospective chart audit

Role of security guards in Code Black events in medical and surgical settings: A retrospective chart audit

Role of security guards in healthcare settings: a protocol for a systematic review

Qualitative Evaluation of a Novel Security Role to Reduce Occupational Violence in Inpatient Hospital Settings

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