Safe and supportive observation in practice: a clinical governance project

Reynolds, Trish; O’Shaughnessy, Margaret; Walker, Lucy; Pereira, Stephen

doi:10.7748/mhp2005.05.8.8.13.c1859

Cited by 14 publications

(22 citation statements)

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“…Such practices have been found elsewhere to have significant positive effects on patient satisfaction (Reynolds et al, 2005), suggesting that both staff and patients find these practices favourable. However, with the authority to adjust observation levels comes accountability and some nurses may not feel comfortable with this level of responsibility.…”

Section: Discussionmentioning

confidence: 96%

“…Disturbingly, Whittington & McLaughlin (2000) found that 80% of the time nurses spend 'doing' constant observations can be classed as 'noninteractional'. Reynolds et al (2005) described the implementation of an observation policy which involved working collaboratively with patients regarding their risk assessments and level of observation. This policy gave nurses the authority to adjust observation levels and stated that they should be reviewed on a daily basis.…”

Section: Introductionmentioning

confidence: 99%

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Therapeutic engagement in acute psychiatric inpatient services

Pereira¹,

Woollaston

2007

JPI

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Therapeutic engagement involves healthcare professionals spending quality time with patients and aims to empower the patient to actively participate in their care. This project was commissioned by the National Institute for Mental Health in England (NIMHE) Acute Care Programme in order to gain a greater understanding of how this process is successfully achieved and maintained on psychiatric wards. The NIMHE acute care lead in each regional development centre was asked to nominate wards that they thought were accomplishing a high level of therapeutic engagement. From this selection, a steering group identified seven 'positive practice units' that were suitable for inclusion in the study.Representatives of the multidisciplinary teams (MDT) who worked on the positive practice units took part in focus groups, which discussed the practices employed on the units to engage patients. Thematic analysis was used to code the data and raise themes. The themes that emerged from this analysis were: Respecting and empowering patients; Staff being 'available'; Engagement-focused observation; Good MDT working; Therapeutic work; Services for discharged patients; Embracing change. The study concluded that the positive practice on the units was the result of having a dynamic ward culture which was grounded in having empathy for patients and supporting staff.

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Therapeutic engagement in acute psychiatric inpatient services

Pereira¹,

Woollaston

2007

JPI

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“…It did not make a difference whether qualified nurses were regular or bank staff, as both of these variables were negatively correlated with constant SO. Previous research has found SO to be regarded as an unpleasant and low status activity that can be delegated to junior or untrained staff (Reynolds, O'Shaughnessy, Walker, & Pereiram, 2005), sometimes against official hospital policy (Gournay & Bowers, 2000). SO use is only likely for patients posing the highest risk to themselves or others, yet this practice contrasts sharply with the delegation of intensive psychiatric nursing care to those least well trained to conduct it.…”

Section: Discussionmentioning

confidence: 99%

Under the Gaze of Staff: Special Observation as Surveillance

Stewart

Bowers

2011

Perspectives in Psychiatric Care

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“…; Reynolds et al . ; Vrale & Steen ). However, the evidence base also highlights that nurses might struggle to fully realize such engagement (James et al .…”

Section: Introductionmentioning

confidence: 99%

Therapeutic engagement between consumers in suicidal crisis and mental health nurses

Lees

Procter

Fassett

2014

Int J Mental Health Nurs

124

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Registered nurses within public mental health services play crucial roles in helping people recover from suicidal crisis. However, there is a lack of understanding of how care is experienced in this context, and available evidence suggests that nurses and consumers are often dissatisfied with the quality of care. There is thus an imperative to generate understanding of needs and experiences of both groups with a view to informing practice development. This article summarizes qualitative findings from a multimethod study undertaken in Australia, which surveyed and interviewed mental health nurses who had recent experience of caring for consumers in suicidal crisis in a hospital setting, and interviewed consumers who had recovered from a recent suicidal crisis. A framework was developed to guide the study and support ethical imperatives; in particular, the promotion of consumer well-being. The findings highlight that therapeutic interpersonal engagement between nurses and consumers was central to quality care. This was particularly noted, as engagement could help reduce consumer isolation, loss of control, distress, and objectification of the delivery of potentially-objectifying common interventions. Of concern, the results indicate a lack of therapeutic engagement from the perspective of both consumers and nurses. Recommendations to promote fuller therapeutic engagement are presented.

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Safe and supportive observation in practice: a clinical governance project

Cited by 14 publications

References 0 publications

Therapeutic engagement in acute psychiatric inpatient services

Therapeutic engagement in acute psychiatric inpatient services

Under the Gaze of Staff: Special Observation as Surveillance

Therapeutic engagement between consumers in suicidal crisis and mental health nurses

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