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Published on: November 21, 2013
Risk factors for coercion length at psychiatric hospitals in Israel: Relationship with staff
Chanoch Miodownik1, Michael D Friger2, Alexander Teitelbaum3
1Be'er Sheva Mental Health Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Background:
Coercive interventions continue to be applied frequently in psychiatric care when patients are at imminent risk of harming themselves and/or others.
Aim:
The purpose of this study was to demonstrate the relationship between the length of coercion and a variety of factors, including the sociodemographic background of patients, their diagnoses and the characteristics of hospital staff.
Methods:
This is a one-year cross-sectional retrospective study, including records of 298 patients who underwent restraint and/or seclusion interventions in male acute, closed wards in two psychiatric hospitals in Israel.
Results:
A higher proportion of academic nurses to nonacademic nurses on duty leads to a shorter coercion time (P < 0.000). The number of male staff on duty, without any relation to their level of education, also leads to the shortening of the coercion time.
Conclusion:
The presence of registered, academic female nurses, male staff on duty and the administration of medication before coercive measures can reduce the length of restriction.
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