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Related Experiment Videos

On conflict, containment and the relationship between them.

Len Bowers1

  • 1Psychiatric Nursing, St Bartholomew School of Nursing and Midwifery, City University, London, UK. l.bowers@city.ac.uk

Nursing Inquiry
|August 22, 2006
PubMed
Summary

This study defines psychiatric conflict as patient threats to safety and containment as staff maintenance of safety. Analyzing total rates of conflict and containment is statistically valid, challenging perceptions of restraint severity.

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Area of Science:

  • Psychiatry
  • Mental Health Research
  • Clinical Psychology

Background:

  • A decade of research at City University, London, explored conflict and containment in inpatient psychiatry.
  • Ongoing projects highlighted the need for conceptual clarity on 'conflict' and 'containment'.

Purpose of the Study:

  • To analyze common characteristics underlying 'conflict' and 'containment' in psychiatric settings.
  • To establish clear definitions and inclusions/exclusions for these concepts.
  • To validate the analysis of total conflict and containment rates.

Main Methods:

  • Conceptual analysis of research findings on conflict and containment.
  • Statistical analysis of associations between behaviors and events.
  • Weighting exercise to assess the severity of containment measures.

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Main Results:

  • Conflict is defined as patient threats to safety; containment is defined as staff maintenance of safety.
  • Moderate statistical associations support analyzing total conflict and containment rates.
  • A weighting exercise revealed potentially underestimated severity of common containment measures.

Conclusions:

  • The conceptual framework provides a basis for analyzing conflict and containment.
  • Analyzing aggregate rates of conflict and containment is statistically legitimate.
  • Current perceptions of the severity of some containment strategies may need revision.