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Effects of a Regulatory Protocol for Mechanical Restraint and Coercion in a S panish Psychiatric Ward
Author(s) -
GuzmanParra Jose,
GarciaSanchez Juan A.,
PinoBenitez Isabel,
AlbaVallejo Mercedes,
MayoralCleries Fermin
Publication year - 2015
Publication title -
perspectives in psychiatric care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.538
H-Index - 35
eISSN - 1744-6163
pISSN - 0031-5990
DOI - 10.1111/ppc.12090
Subject(s) - coercion (linguistics) , psychiatry , protocol (science) , psychology , medicine , alternative medicine , philosophy , linguistics , pathology
Purpose There is still limited information on what type of measures are most efficient to reduce coercion. The aim of this study was to determine if the introduction of a new regulatory protocol in a specific psychiatric ward in A ndalusia ( S pain) contributed to reducing the use of mechanical restraint. Design and Methods The study included a comparison of two time periods: 2005 (one year before the implementation of the new regulatory protocol) and 2012, in all hospitalized patients ( N = 1,094). The study also analyzes with logistic regression the variables related to a shorter duration of mechanical restraint. Findings Mechanical restraint rate per year was reduced, not significantly, from 18.2% to 15.1%. The average duration of each mechanical restraint episode was significantly reduced from 27.91 to 15.33 hr. The following variables have been associated with a shorter period of coercion: being female and the year of restraint (2012). Practice Implications Specific plans are required, including different interventions, in order to achieve marked reduction in the use of coercive measures.