Mechanical restraint and characteristics of patient, staff and shifts in a psychiatric ward

Johanne Sofie Kodal*, Jesper Nørgaard Kjær, Erik Roj Larsen

*Kontaktforfatter for dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Background: The use of coercion is a balance between depriving the patients’ autonomy and dignity and preventing endangerment of the body or health of self or others. It is of importance to obtain more knowledge about mechanisms leading to mechanical restraint in the attempt of reducing it. Objective: To analyse for associations between incidence of mechanical restraint (MR) and staffing level, staff demographics, patient characteristics, type of shift (day/evening/night) and change of shifts. Method: A naturalistic descriptive method was used to study cases of MR in a psychiatric ward. Data for each case of MR was obtained from an electronic reporting system. Care workers from each shift were identified using duty rosters. Analyses included binary logistic regression analyses. Results: In 82% of the 114 cases of MR, the patient was diagnosed with personality disorders. In the multiple regression analysis, a significant association was found between the use of MR and the presence of male care workers on the ward (OR:1.44, 95% CI: 1.01–2.05; p = .04). Moreover, MR was associated with evening shifts, compared with day and night shifts (OR =1,29, 95% CI: 1.14–2.57, p = .01). Besides, months from January to December was associated with a decrease in MRs (OR: 0.88, 95% CI: 0.83–0.94; p = 7.3 E-6). No significant associations were found between MR and staffing level or experience. Conclusions: MR was associated with evening shifts, higher number of male care workers on duty and a decrease from January to December.

OriginalsprogEngelsk
BogserieNordic Journal of Psychiatry
Vol/bind72
Udgave nummer2
Sider (fra-til)103-108
ISSN0803-9488
DOI
StatusUdgivet - 17. feb. 2018
Udgivet eksterntJa

Fingeraftryk

Regression Analysis
Coercion
Logistic Models
Incidence
Health

Citer dette

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title = "Mechanical restraint and characteristics of patient, staff and shifts in a psychiatric ward",
abstract = "Background: The use of coercion is a balance between depriving the patients’ autonomy and dignity and preventing endangerment of the body or health of self or others. It is of importance to obtain more knowledge about mechanisms leading to mechanical restraint in the attempt of reducing it. Objective: To analyse for associations between incidence of mechanical restraint (MR) and staffing level, staff demographics, patient characteristics, type of shift (day/evening/night) and change of shifts. Method: A naturalistic descriptive method was used to study cases of MR in a psychiatric ward. Data for each case of MR was obtained from an electronic reporting system. Care workers from each shift were identified using duty rosters. Analyses included binary logistic regression analyses. Results: In 82{\%} of the 114 cases of MR, the patient was diagnosed with personality disorders. In the multiple regression analysis, a significant association was found between the use of MR and the presence of male care workers on the ward (OR:1.44, 95{\%} CI: 1.01–2.05; p = .04). Moreover, MR was associated with evening shifts, compared with day and night shifts (OR =1,29, 95{\%} CI: 1.14–2.57, p = .01). Besides, months from January to December was associated with a decrease in MRs (OR: 0.88, 95{\%} CI: 0.83–0.94; p = 7.3 E-6). No significant associations were found between MR and staffing level or experience. Conclusions: MR was associated with evening shifts, higher number of male care workers on duty and a decrease from January to December.",
keywords = "coercion (MeSH), nursing Staff (MeSH), personality disorder (MeSH), Physical (MeSH), psychiatry (MeSH), Restraint, Restraint, Physical/psychology, Humans, Middle Aged, Male, Psychiatric Department, Hospital, Coercion, Health Personnel, Sex Factors, Adult, Female, Personality Disorders/nursing",
author = "Kodal, {Johanne Sofie} and Kj{\ae}r, {Jesper N{\o}rgaard} and Larsen, {Erik Roj}",
year = "2018",
month = "2",
day = "17",
doi = "10.1080/08039488.2017.1393560",
language = "English",
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pages = "103--108",
journal = "Nordic Journal of Psychiatry. Supplement",
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Mechanical restraint and characteristics of patient, staff and shifts in a psychiatric ward. / Kodal, Johanne Sofie; Kjær, Jesper Nørgaard; Larsen, Erik Roj.

I: Nordic Journal of Psychiatry, Bind 72, Nr. 2, 17.02.2018, s. 103-108.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Mechanical restraint and characteristics of patient, staff and shifts in a psychiatric ward

AU - Kodal, Johanne Sofie

AU - Kjær, Jesper Nørgaard

AU - Larsen, Erik Roj

PY - 2018/2/17

Y1 - 2018/2/17

N2 - Background: The use of coercion is a balance between depriving the patients’ autonomy and dignity and preventing endangerment of the body or health of self or others. It is of importance to obtain more knowledge about mechanisms leading to mechanical restraint in the attempt of reducing it. Objective: To analyse for associations between incidence of mechanical restraint (MR) and staffing level, staff demographics, patient characteristics, type of shift (day/evening/night) and change of shifts. Method: A naturalistic descriptive method was used to study cases of MR in a psychiatric ward. Data for each case of MR was obtained from an electronic reporting system. Care workers from each shift were identified using duty rosters. Analyses included binary logistic regression analyses. Results: In 82% of the 114 cases of MR, the patient was diagnosed with personality disorders. In the multiple regression analysis, a significant association was found between the use of MR and the presence of male care workers on the ward (OR:1.44, 95% CI: 1.01–2.05; p = .04). Moreover, MR was associated with evening shifts, compared with day and night shifts (OR =1,29, 95% CI: 1.14–2.57, p = .01). Besides, months from January to December was associated with a decrease in MRs (OR: 0.88, 95% CI: 0.83–0.94; p = 7.3 E-6). No significant associations were found between MR and staffing level or experience. Conclusions: MR was associated with evening shifts, higher number of male care workers on duty and a decrease from January to December.

AB - Background: The use of coercion is a balance between depriving the patients’ autonomy and dignity and preventing endangerment of the body or health of self or others. It is of importance to obtain more knowledge about mechanisms leading to mechanical restraint in the attempt of reducing it. Objective: To analyse for associations between incidence of mechanical restraint (MR) and staffing level, staff demographics, patient characteristics, type of shift (day/evening/night) and change of shifts. Method: A naturalistic descriptive method was used to study cases of MR in a psychiatric ward. Data for each case of MR was obtained from an electronic reporting system. Care workers from each shift were identified using duty rosters. Analyses included binary logistic regression analyses. Results: In 82% of the 114 cases of MR, the patient was diagnosed with personality disorders. In the multiple regression analysis, a significant association was found between the use of MR and the presence of male care workers on the ward (OR:1.44, 95% CI: 1.01–2.05; p = .04). Moreover, MR was associated with evening shifts, compared with day and night shifts (OR =1,29, 95% CI: 1.14–2.57, p = .01). Besides, months from January to December was associated with a decrease in MRs (OR: 0.88, 95% CI: 0.83–0.94; p = 7.3 E-6). No significant associations were found between MR and staffing level or experience. Conclusions: MR was associated with evening shifts, higher number of male care workers on duty and a decrease from January to December.

KW - coercion (MeSH)

KW - nursing Staff (MeSH)

KW - personality disorder (MeSH)

KW - Physical (MeSH)

KW - psychiatry (MeSH)

KW - Restraint

KW - Restraint, Physical/psychology

KW - Humans

KW - Middle Aged

KW - Male

KW - Psychiatric Department, Hospital

KW - Coercion

KW - Health Personnel

KW - Sex Factors

KW - Adult

KW - Female

KW - Personality Disorders/nursing

U2 - 10.1080/08039488.2017.1393560

DO - 10.1080/08039488.2017.1393560

M3 - Journal article

C2 - 29073823

AN - SCOPUS:85032379481

VL - 72

SP - 103

EP - 108

JO - Nordic Journal of Psychiatry. Supplement

JF - Nordic Journal of Psychiatry. Supplement

SN - 0803-9496

IS - 2

ER -