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Adult↗
Biomedical subjects
L Sims
Publications and source records attributed to L Sims.
Perceptions of seclusion and restraint by patients and staff in an intermediate-term care facility.
PROBLEM: Little of clinical relevance has been derived from research studies conducted on seclusion and restraint. Most studies elicit staff, as opposed to patient, views of the restraint event. METHODS: Content analysis, descriptive statistics of debriefing incidents (N = 81) following the initiation of seclusion and restraint from both patient and staff perspectives. FINDINGS: Patients and staff had varied views of the restraint incidents, but overall they were closer in their perceptions of precipitants and what could have been done to prevent the incident. CONCLUSIONS: Debriefing incidents can be used as learning tools for staff and patients, to track staff and patient progress, and as a way to change the culture of psychiatric settings.
Adolescent↗
Psychiatric nurses' satisfaction with a patient classification system for staffing.
The nursing literature is replete with patient classification (PC) tools that are reported to be valid and reliable. Most of our knowledge about these tools is derived from studies conducted in general hospitals. Little is known about the few psychiatric PC tools that exist or how satisfied nurses are with them. The purpose of this study was to survey nurses' satisfaction with the validity, reliability, and general use of a PC tool for psychiatric patients. A convenience sample of nurses at one mental health hospital participated in the study. After selecting a PC system, all subjects received an extensive PC inservice. Content validity was confirmed by a panel of experts. The nurses surveyed indicated they were satisfied with the tool as a valid and reliable assessment of patient staffing needs. Furthermore, they were satisfied with its ease and overall adequacy. The alpha coefficient for the survey questionnaire was high, indicating reliability.
Attitude of Health Personnel↗