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Updated: Dec 27, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric
Sirpa Tölli1,2, Raija Kontio3,4,5, Pirjo Partanen1
1Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Purpose:
This study aimed to describe the perceptions and lived experiences of former psychiatric patients of their own and/or co-patients' behavior that nursing staff has regarded as challenging and that has resulted in behavior management.
Design And Methods:
An explorative-descriptive qualitative design with video vignettes, semistructured interviews, and abductive content analysis.
Findings:
Many reasons for different kinds of patient behavior that were considered challenging by staff were identified. Delivering care based on patients' needs was identified as core staff competence.
Practice Implications:
Findings can be utilized when pursuing restraint reduction in psychiatric care by enhancing staff competence.
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