住院精神卫生单位的外门被锁定:一个范围审查
Adam Searby1, Russell James2, Jim Snipe3
1Institute for Health Transformation, School of Nursing & Midwifery, Deakin University, Geelong, Victoria, Australia.
International journal of mental health nursing
|July 6, 2023
概括
锁定精神卫生部门的门缺乏安全证据,并损害治疗关系. 需要研究在住院精神卫生机构中提供最不严格的护理选择.
科学领域:
- 心理健康护理 心理健康护理
- 精神病学护理 精神病学护理
- 医疗保健政策 医疗保健政策
背景情况:
- 当代心理健康护理强调最少限制性护理和重点恢复的实践.
- 锁定住院精神卫生单位与这些原则相冲突,反映了过时的监护方法.
- 之前的审查表明,急性精神卫生部门不喜欢锁门.
研究的目的:
- 审查现有证据,以锁定精神卫生单位的门.
- 评估门锁与以恢复为重点的护理的兼容性.
- 确定自从之前的审查以来,门锁的做法是否发生了变化.
主要方法:
- 使用Arksey和O'Malley的框架进行范围审查.
- 最初的搜索确定了1377项研究,20项被纳入最终分析.
- 包括的研究包括12个定量,5个定性和3个混合方法设计.
主要成果:
- 有限的证据支持将门锁定以减轻逃跑,侵略或物质进口等风险.
- 锁上门会对治疗关系和护士工作满意度产生负面影响.
- 门锁与护士离开职业的意图增加有关.
结论:
- 迫切需要进行研究,以解决根深蒂固的精神卫生部门锁定门的做法.
- 需要替代风险管理策略来促进治疗环境.
- 住院精神卫生单位必须过渡到真正最不严格的护理模式.
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