Publications & Presentations
Die Resultaten eine Studien der Früherkennung Methoden von Gewaltsituationen
Author: F.A.J. Fluttert, B. Van Meijel, H. Nijman, S. Bjørkly, G. Grypdonck
Asbtract: Ziel der ist die Entwicklung/ Förderung der Selbstmanangementfähigkeiten der Patienten hinsichtlich der Rückfallprävention von Gewalt. Pflegende und Patienten besprechen, beschreiben und beobachten die Frühwarnzeichen für risikoreiches Verhalten.
In den Niederlanden kam die Intervention bei 189 Maßregelvollzugspatienten zum Einsatz. Die Studie dauerte 30 Monate. Ein quasi-experimentelles Design mit zeitverzögerter Implementation der Intervention wurde gewählt. Hauptzielvariable waren die Schwere der Gewalt sowie Isolierungen. Die Ergebnisse zeigen unter anderem einen signifikanten Rückgang von Isolierungen und weniger schwere Gewaltereignisse bei Patienten, die mit der Methode arbeiteten verglichen mit den Patienten unter `care as usual´ Bedingungen. Der Effekt war bei Patienten mit Persönlichkeitsstörungen äußerst bemerkenswert.
In: Eickelborner Fachtagungband. Vol.7, Germany.Risk management by early recognition of warning signs in
Author: Fluttert F., B. Van Meijel, H. Nijman, C. Webster & M. Grypdonck
Asbtract: This article explains the concept of “early recognition” for the field of forensic nursing. The concept is based upon the proposition that patient behavior deteriorating towards aggression is idiosyncratic but nevertheless reconstructable like a “signature.” Once reconstructed, this signature can be used to detect and recognize early signs of deterioration and thus prevent aggression.
Early recognition is approached from the perspective of deteriorating behavior. Special attention is paid to the social and interpersonal factors. From this perspective, the thoughts, feelings, and behavior of the patient can indicate the onset of aggression and early recognition of these warning signs can help thwart such deterioration. The aviation metaphor of a black box is used to emphasize the importance of attention to early warning signs. Patients in forensic care must draw upon their previous experiences (i.e., their own black boxes) in order to gain insight into their violent behavior and the warning signals for this. The emphasis is on the collaboration between the patient and the nurse in the application of risk management strategies. The Early Recognition Method provides an approach in which patients and nurses also gradually attune their perspectives on aggressive behavior.
The concept of early recognition is important because it extends the idea of early intervention to include enabling patients to monitor and control their own behavior. Early recognition has strong practical implications for forensic nurses as it allows them to attenuate aggression by assisting patients with the detection of early warning signs.
Archives of Psychiatric Nursing Occurrence of post traumatic stress symptoms and their relationship to professional quality of life (ProQoL) in nursing staff at a forensic psychiatric security unit: a cross-sectional study
Author: Lauvrud C, Nonstad K, Palmstierna T
Asbtract: Background: Violence is frequent towards nurses in forensic mental health hospitals. Implications of this high risk environment have not been systematically explored. This paper explores occurrence of symptoms on post traumatic stress and their relationship to professional quality of life.
Methods: Self report questionnaires assessing symptoms of post traumatic stress and professional quality of life were distributed among psychiatric nurses in a high security forensic psychiatric unit with high frequency of violent behaviour. Relationships between post traumatic stress symptoms, forensic nursing experience, type of ward and compassion satisfaction, burnout and compassion fatigue were explored.
Results: The prevalence of post traumatic stress symptoms was low. Low scores were found on compassion satisfaction. Length of psychiatric nursing experience and low scores on compassion satisfaction were correlated to increased post traumatic stress symptoms.
Conclusion: Although high violence frequency, low rate of post traumatic stress symptoms and low compassion satisfaction scores was found. High staff/patient ratio and emotional distance between staff and patients are discussed as protective factors.
http://www.hqlo.com/content/7/1/31 Violence in Mental Health Settings: Causes, Consequences, Management
Author: Richter, Dirk; Whittington, Richard; Eds.
Asbtract: This book brings together contributions from many EViPRG members across Europe to examine the problem of violence from a variety of perspectives. The book links theory and empirical research with practical clinical applications in order to drive forward the evidence base in this area. It covers a wide range of topics including measurement issues, psychological and sociological theories, user perspectives, legal issues, physical and non-physical management, training, organisational approaches and post-incident reactions.
ISBN-10: 0-387-33964-7 / ISBN-13: 978-0-387-33964-1
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