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Use of coercion prevention tools in Finnish psychiatric wards

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Item embargoed until 2021-07-07. Restrictions imposed by the publisher
Self archived version
final draft
Date
2020
Author(s)
Asikainen, Jaana
Louheranta, Olavi
Vehviläinen-Julkunen, Katri
Repo-Tiihonen, Eila
Unique identifier
10.1016/j.apnu.2020.07.013
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Self-archived article

Citation
Asikainen, Jaana. Louheranta, Olavi. Vehviläinen-Julkunen, Katri. Repo-Tiihonen, Eila. (2020). Use of coercion prevention tools in Finnish psychiatric wards.  Archives of psychiatric nursing, [Epub ahead of print 8 July 2020], 10.1016/j.apnu.2020.07.013.
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© 2020 Elsevier Inc.
Licensed under
CC BY-NC-ND https://creativecommons.org/licenses/by-nc-nd/4.0/
Abstract

Inpatient violence is a widespread problem in psychiatric wards and has often serious consequences. Literature indicates that de-escalation techniques are the recommended first-line intervention for managing violence, are widely used to reduce it, and restrictive practices in mental health settings. However, these techniques and models are not used at the optimum frequency and/or important factors are limiting their use and effectiveness. We aimed to determine what kind of de-escalation methods are used to reduce violence and coercion in Finnish psychiatric hospitals. Descriptive qualitative research using semi-structured questionnaires and Framework Analysis was used. The results of the study are reported in quantitative terms. A survey of psychiatric wards (N = 65) in Finland's hospital districts (n = 16) was conducted in the Autumn of 2019 to find out which de-escalation models are used. Finnish psychiatric wards use both the Safewards and Six Core Strategies models to reduce violence and the use of restrictive practices. Half of the hospitals used interventions and strategies from both models. Violence preventive methods are widely used in mental health settings in Finland. These interventions and models cover the organization, leadership, and patient perspectives to improve safety and decrease coercion actions in psychiatric wards.

Subjects
Safewards   Six Core strategies   restrictive practice prevention   
URI
https://erepo.uef.fi/handle/123456789/23662
Link to the original item
http://dx.doi.org/10.1016/j.apnu.2020.07.013
Publisher
Elsevier BV
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  • Terveystieteiden tiedekunta [1293]
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