[Formative needs of the professional staff in psychiatric division. The project open doors]

On national territory, the psychiatric divisions "open doors" that are using not restraint methods (not key closed) are still a minority. Most psychiatric divisions in Italy have their doors closed and use methods of physical restraint. To work in psychiatric divisions "open doors" the nursing staff needs advanced preparation levels. They have to use relational techniques to build an empathic relationship with the patient even in situations of acute crisis.

In this study has been explored and analyzed formative needs of the professional staff in psychiatric division "open doors" with the aim to understand which skills are requested to work in these structures.

Were used a questionnaire and an interviews that have involved 78 nurses in psychiatric division.

The subjects on which staff would be trained are: psychiatric nursing, aggressiveness management, legal risks in psychiatric divisions "open doors", cognitive-behavioural therapy, empowerment.

Where are practiced the "no restraint methods" and the "open doors", physical aggressions are more rare and also escapes don't happen frequently. Working with the "open doors" means more humanity and a more relaxed atmosphere, less dangerous situations and less aggressive behaviour.