Konflikte lindern – Partizipation ermöglichen

Zusammenfassung

Spannungsgeladene Situationen in der psychiatrischen Versorgung können durch unterschiedliche Faktoren ausgelöst werden. Um Konflikte und mögliche Einschränkungen der Patienten zu vermeiden, haben Len Bowers und Kollegen das Safewards-Modell entwickelt. Hiermit können Mitarbeiter das Auftreten von herausfordernden Situationen beeinflussen. Wir stellen Ihnen das Modell und die daraus resultierenden Interventionen vor.

• Literatur

• 1 Bowers L, Ross J, Nijman H et al. The scope for replacing seclusion with time out in acute inpatient psychiatry in England. Journal of Advanced Nursing 2012; 68: 826-835
• 2 Bowers L, Nijman H, Banda T. Suicice inside: a literature review on inpatient suicide (2009). Im Internet: http://www.kcl.ac.uk/iop/depts/hspr/research/ciemh/MHNprojects/Litreview/LitRevSuicide.pdf Stand: 07.12.2013
• 3 Kingston J, Clarke S, Ritchie T et al. Developing and validating the composite measure of problem behaviors. Journal of Clinical Psychiatrie 2011; 67: 736-751
• 4 Bowers L. Incident data from mental health wards: Tower Hamlets Trust. Statistical analysis (descriptive and ANOVA) of incidents of all types by ward over one year. Produced at the request of the Hospital Services Manager, Tower Hamlets Trust. 1998
• 5 Nijman H, Palmstierna T, Almvik R et al. Fifteen years of research with the Staff Observation Aggression Scale: a review. Actra Psychiatrica Scandinavica 2005; 111: 12-21
• 6 Bowers L, Douzenis A, Galeazzi G et al. Disruptive and dangerous behaviour by patients on acute psychiatric wards in three european centres. Social Psychiatry and Psychiatric Epidemiology 2005; 40: 822-828
• 7 Bowers L, Alexander J, Bilgin H et al. Safewards: the empirical basis of the model and a critical appraisal. Journal of Psychiatric and Mental Health Nursing 2014; 21: 365-364
• 8 Bowers L, Allan T, Simpson A et al. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: The Tomkins Acute Ward Study. International Journal of Social Psychiatry 2007; 53: 75-84
• 9 Nijman H, Bowers L, Haglund K et al. Door locking and exit security measures on acute psychiatric admission wards. Jourcal of Psychiatric and Mental Health Nursing 2011; 18: 614-621
• 10 Appleby L, Shaw J, Kapur N et al. Avoidable deaths: five year report of the national confidential inquiry into suicice and homicide by people with mental illness (2006). Im Internet: http://www.medicine.manchester.ac.uk/suicideprevention/nci Stand: 15.12.2013
• 11 Janssen WA, Noorthoorn EO, Nijman H et al. Differences in seclusion rates between admissi-on wards: does patient compilation explain?. Psychiatric Quarterly 2012; 39-52
• 12 Safewards.net. The evidence behind the Safewards Model. Results of the Safewards Trial. Im Internet: http://www.safewards.net/managers/evidence Stand: 13.12.2013
• 13 Safewards.net. Model Lay. Im Internet: http://www.safewards.net/model/model-diagram Stand: 13.12.2013
• 14 Safewards.net. Model Technical. Im Internet: http://www.safewards.net/model/technical Stand: 13.12.2013