Differentiating Therapeutic Responses That Reduce Restrictive Practice Use and Situational Aggression in an Acute Mental Health Unit

Journal of Clinical Nursing, Год журнала: 2025, Номер unknown

Опубликована: Март 14, 2025

ABSTRACT Aim An analysis of mental health nursing de‐escalation logs for 249 days from a regional adult inpatient unit in New South Wales, Australia, was completed to identify groups cooccurring therapeutic responses aggression and examine their associations with reductions restrictive practices situational aggression. Design A single‐centre retrospective study undertaken. Method Hierarchical clustering interventions established responses. Poisson mixed‐effect models were then used determine the intervention clusters practices. Results Two emerged: Cluster 1 involved verbal active listening rapport building, whereas 2 included additional limit setting problem‐solving, distraction, sensory modulation, environmental change individual staff time. linked reduction seclusion use by 83% [IRR = 0.17, 95% CI (0.07, 0.41), p < 0.001], physical restraint 79% 0.21, (0.11, 0.40), 0.001] average judged 1.56 [95% (0.86, 2.25), 0.001]. related statistically insignificant increases three studied outcomes. Conclusions The prove value supplementary tools surfacing nurses' potential. differences practice between signal structure progression forming relationships aid possibility assessing components robustly. Relevance Clinical Practice Acknowledging supporting work support development recovery‐oriented care positive professional identity nurses. Reporting This followed applicable STROBE guidelines. Patient or Public Involvement Due study's nature, there no service user public involvement.

Язык: Английский

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Vicarious Resilience in Mental Health Nursing: A Discursive Review Through Carper’s Fundamental Patterns of Knowing

Issues in Mental Health Nursing, Год журнала: 2025, Номер unknown, С. 1 - 9

Опубликована: Март 25, 2025

Vicarious resilience is a relatively new concept that illustrates the positive effect on professionals who assist trauma survivors; this was recently utilized in mental health nursing. This discursive review aims to show how can be explored and applied through integration of Carper's four fundamental patterns knowing nursing: empirics, ethics, esthetics, personal knowing, determine well it relates nursing clinical practice; showed essential integrate Carper pattern into vicarious resilience. The empirical indicates developed grounded theory based observations patients arising ethical issue transference countertransference, which wrongly paired with Stressing importance involves nurse's self-awareness recognition their values beliefs, reinforces exploration patient narratives nurse self-reflection enhance Moreover, article shows esthetic are reflected listening admiring artwork serve as essence esthetics

Язык: Английский

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Barriers to trauma-informed care include unsafe environments and mental health nurses’ lack of emotional intelligence

Evidence-Based Nursing, Год журнала: 2024, Номер unknown, С. ebnurs - 103998

Опубликована: Апрель 18, 2024

Язык: Английский

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