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Case study evaluating the impact of de‐escalation and physical intervention training
Author(s) -
LAKER C.,
GRAY R.,
FLACH C.
Publication year - 2010
Publication title -
journal of psychiatric and mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 63
eISSN - 1365-2850
pISSN - 1351-0126
DOI - 10.1111/j.1365-2850.2009.01496.x
Subject(s) - psychological intervention , poisson regression , intervention (counseling) , medicine , mental health , poison control , occupational safety and health , injury prevention , suicide prevention , unit (ring theory) , human factors and ergonomics , medical emergency , psychology , nursing , psychiatry , environmental health , population , pathology , mathematics education
Accessible summary• The de‐escalation and physical interventions training used to management violence requires careful examination to ensure its efficacy in acute inpatient settings. • However, the evaluation of interventions to improve the safety of the inpatient services is difficult when data is recorded inconsistently or inaccurately. • This study shows no significant differences in the number or severity of incidents before and after training in de‐escalation and physical interventions.Abstract Violence and aggression is acknowledged as a serious issue in the mental health services. The aims are to explore whether de‐escalation and physical intervention training is effective in reducing incidents and incident severity on a Psychiatric Intensive Care Unit (PICU) and to consider the cost impact. Poisson regression analysis was used to compare the number and severity of incidents on a PICU before and after de‐escalation and restraint training. This study shows no significant differences in the number or severity of incidents before and after training. Objective assessment in the evaluation of interventions to improve the safety of the inpatient services is difficult when data is recorded inconsistently or inaccurately. The severity of incidents needs to be defined more fully to allow accurate measurement of the efficiency of techniques employed to resolve violence. The cost impact of training in the management of violence in relation to the benefits remains unclear in the absence of accurate data being recorded.