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Related Experiment Videos

Managing aggression in a psychiatric hospital using a behaviour plan: a case study.

S W Bisconer1, M Green, J Mallon-Czajka

  • 1Eastern State Hospital, Williamsburg, VA 23185, USA. sarah.bisconer@esh.dmhmrsas.virginia.gov

Journal of Psychiatric and Mental Health Nursing
|September 13, 2006
PubMed
Summary

This study demonstrates how nursing interventions effectively reduced aggression and restrictive measures in a psychiatric hospital. The behavior plan improved patient safety and therapeutic environment, enabling positive patient outcomes.

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Area of Science:

  • Psychiatric Nursing
  • Behavioral Interventions
  • Patient Safety

Background:

  • Aggression in psychiatric settings poses significant challenges to patient care and staff safety.
  • Implementing structured behavior plans is crucial for managing aggressive behaviors in individuals with a history of violence.
  • Nursing staff play a pivotal role in the successful execution of these behavior plans.

Observation:

  • A 40-year-old male patient with a history of aggression was the subject of this single-subject (AB Design) study.
  • Data collection focused on aggression frequency, use of restrictive interventions (restraints, PRN medication, 1:1 observation), and staff injury.
  • The study employed a baseline and intervention phase to evaluate the behavior plan's effectiveness.

Findings:

Related Experiment Videos

  • The behavior plan led to a significant decrease in the patient's aggressive incidents towards self and others.
  • There was a concurrent reduction in the utilization of restrictive interventions for managing aggression.
  • The implementation of the behavior plan resulted in a decrease in staff injuries.
  • Implications:

    • This behavior plan facilitated a safer and more therapeutic milieu within the psychiatric hospital.
    • The patient gained opportunities to learn and practice positive replacement behaviors and skills.
    • The successful implementation suggests potential for patients to transition to less restrictive community living.