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Changes in the occurrences of coercive interventions and staff injuries on a psychiatric intensive care unit
Anna Björkdahl1, Markus Heilig, Tom Palmstierna
1Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institute, Stockholm, Sweden. anna.bjorkdahl@sll.se
Abstract:
The purpose of this study was to compare the occurrences of coercive interventions and violence-related staff injuries before and after a 2-year violence prevention intervention on a psychiatric intensive care unit. The intervention aimed to improve nursing care by addressing patient violence from multiple perspectives. During the study, the unit was reorganized toward a higher concentration of severely disturbed patients. The results showed an increased proportion of coercive interventions without a corresponding increase in staff injuries. Use of coercive interventions is discussed in relation to a safe environment for both patients and staff.
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