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Reducing aggression in psychiatric wards using Safewards-A Polish study.

Jakub Lickiewicz1, Natalia Adamczyk2, Patricia Paulsen Hughes3

  • 1Department of Health Psychology, Jagiellonian University Medical College, Krakow, Poland.

Perspectives in Psychiatric Care
|May 5, 2020
PubMed
Summary

Implementing Safewards in a Polish psychiatric hospital significantly reduced mechanical restraint use by 24% and patient numbers by 34%. This highlights the effectiveness of simple, positive staff-patient interactions in improving safety.

Keywords:
restraintsviolence

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Area of Science:

  • Psychiatry
  • Mental Health Nursing
  • Patient Safety

Background:

  • Mechanical restraints are a common intervention in psychiatric settings.
  • Reducing the use of restraints is a key goal for improving patient care and safety.
  • The Safewards framework offers strategies to de-escalate conflict and enhance therapeutic relationships.

Purpose of the Study:

  • To evaluate the impact of implementing the Safewards framework on the use of mechanical restraints in a psychiatric hospital ward.
  • To assess changes in the frequency and duration of restraint episodes.

Main Methods:

  • The Safewards framework, comprising three key aspects, was implemented on a psychiatric ward for an 8-month period.
  • Data on mechanical restraint use was collected during the intervention period and compared to the same 8-month period in the previous year.

Main Results:

  • Overall restraint use decreased by 24% during the Safewards intervention.
  • The number of individual patients subjected to restraint dropped by 34%.
  • The average duration of restraint episodes remained consistent at 2.8 days.

Conclusions:

  • The Safewards framework, through simple techniques fostering positive staff-patient interactions, effectively reduced the frequency of mechanical restraint use.
  • These findings suggest that a focus on therapeutic engagement can lead to significant improvements in patient safety and a reduction in restrictive practices.