Staff and patient experiences of decision-making about continuous observation in psychiatric hospitals

Social Psychiatry and Psychiatric Epidemiology

Volumn 52, Issue 4, 2017, Pages 473-483

  Barnicot, Kirsten ^a   Insua Summerhayes, Bryony ^b   Plummer, Emily ^a   Hart, Alice ^b   Barker, Chris ^b   Priebe, Stefan ^c  

^a IMPERIAL COLLEGE LONDON   (United Kingdom)

^b UNIVERSITY COLLEGE LONDON   (United Kingdom)

^c QUEEN MARY UNIVERSITY OF LONDON   (United Kingdom)

Author keywords

Inpatients; Patient rights; Psychiatric hospitals; Qualitative; Risk management

Indexed keywords

CLINICAL ARTICLE; DECISION MAKING; DOCTOR PATIENT RELATION; HIGH RISK BEHAVIOR; HUMAN; INTERPERSONAL COMMUNICATION; INTERVIEW; MENTAL HOSPITAL; PATIENT RIGHT; PRIVACY; RISK MANAGEMENT; SAFETY; STAFF TRAINING; STRESS; THEMATIC ANALYSIS; ADOLESCENT; ADULT; AGED; CLINICAL DECISION MAKING; ETHICS; FEMALE; HOSPITAL PATIENT; MALE; MEDICAL STAFF; MIDDLE AGED; NURSING STAFF; PATIENT SAFETY; PSYCHOLOGY; STANDARDS; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; CLINICAL DECISION-MAKING; FEMALE; HOSPITALS, PSYCHIATRIC; HUMANS; INPATIENTS; MALE; MEDICAL STAFF, HOSPITAL; MIDDLE AGED; NURSING STAFF, HOSPITAL; PATIENT RIGHTS; PATIENT SAFETY; PRIVACY; YOUNG ADULT;

EID: 85011546061     PISSN: 09337954     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00127-017-1338-4     Document Type: Article

References (39)

1. Bowers L, Gournau K, Duffy D (2000) Suicide and self-harm in inpatient psychiatric units: a national survey of observation policies. J Adv Nurs 32(2):437–444
2. Standing Nursery and Midwifery Advisory Committe (1999) Safe and supportive observation of patients at risk. Mental health nursing: addressing acute concerns. Department of Health, UK. http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4066779.pdf
3. National Institute for Health and Care Excellence (2015) Violence and aggression: short-term management in mental health, health and community settings. NICE, United Kingdom. https://www.nice.org.uk/guidance/ng10/resources/violence-and-aggression-shortterm-management-in-mental-health-health-and-community-settings-1837264712389
4. Moore P, Berman K, Knight M, Devine J (1995) Constant observation: implications for nursing practice. J Psychosoc Nurs 33(3): 46–50
5. Flood C, Bowers L, Parkin D (2008) Estimating the costs of conflict and containment on adult acute inpatient psychiatric wards. Nurs Econ 26(5):325–330
6. Bowles N, Dodds P, Hackney D, Sunderland C, Thomas P (2002) Formal observations and engagement: a discussion paper. J Psychiatr Ment Health Nurs 9:255–260
7. Cardell R, Pitula CR (1999) Suicidal inpatients perceptions of therapeutic and nontherapeutic aspects of constant observations. Psychiatr Serv 50:81066–81070
8. Cleary M, Jordan R, Horfsall J, Mazoudier P, Delaney J (1999) Suicidal patients and special observation. J Psychiatr Ment Health Nurs 6:461–467
9. Pereira S, Woollaston J (2007) Therapeutic engagement in acute psychiatric inpatient services. J Psychiatr Intens Care 3:3–11
10. Rooney C (2009) The meaning of mental health nurses experience of providing one-to-one observations: a phenomenological study. J Psychiatr Ment Health Nurs 16:76–86
11. Sun FK, Long A, Bore J, Tsao LI (2005) Nursing people who are suicidal on psychiatric wards in Taiwan: action/interaction strategies. J Psychiatr Ment Health Nurs 12:275–282
12. Fletcher RF (1999) The process of constant observation: perspectives of staff and suicidal patients. J Psychiatr Ment Health Nurs 6:9–14
13. MacKay I, Paterson B, Cassells C (2005) Constant or special observations of inpatients presenting a risk of aggression or violence: nurses’ perceptions of the rules of engagement. J Psychiatr Mental Health Nurs 12:464–471
14. Vrale GB, Steen E (2005) The dynamics between structure and flexibility in constant observation of psychiatric inpatients with suicidal ideation. J Psychiatr Ment Health Nurs 12:513–518
15. East London NHS Foundation Trust (2016) Observation policy. https://www.elft.nhs.uk/uploads/files/1/Policies%20and%20Procedures/Clinical%20Policies/Observation%20Policy%20(V5.0%20April%202016)%20(4).pdf
16. West London Mental Health Trust (2012) Enhanced engagement and observation policy. http://www.wlmht.nhs.uk/wp-content/uploads/2013/02/O1-Enhanced-Engagement-and-Observation-Policy.pdf
17. Greengalgh T, Annandale E, Aschcroft R, et al (2016) An open letter to The BMJ editors on qualitative research. BMJ 352: i.563
18. Greater London Authority (2010) Greater English indices of deprivation 2010: a London perspective. Intelligence Briefing 2011–2016. http://data.london.gov.uk/dataset/indices-deprivation-2010
19. Greater London Authority (2011) 2011 Census snapshot: ethnic diversity indices. http://data.london.gov.uk/census/themes/diversity/
20. Patton MQ (1990) Qualitative evaluation and research methods, 2nd edn. Sage, Beverly Hills, CA
21. Corbin J, Srauss A (2008) Basics of qualitative research: techniques and procedures for developing grounded theory. Sage, Thousand Oaks, CA
22. McEvoy P, Richards D (2003) Critical realism: a way forward for evaluation research in nursing? J Adv Nurs 43(4):411–420
23. Stiles WB (1999) Evaluating qualitative research. Evid Based Ment Health (Lond) 2:99–101
24. Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3(2):77–101.
25. NVIVO 10, QSR International. http://www.qsrinternational.com/products_nvivo.aspx
26. Elliot R, Fischer CT, Rennie DL (1999) Evolving guidelines for publication of qualitative research studies in psychology and related fields. BJ Clin Psychol 38(3):215–229
27. Tong A, Sainsbury P, Craig J (2007) Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 19(6):349–357
28. Bentz VM, Shapiro JJ (1998) Mindful inquiry in social research. Sage, Thousand Oaks, CA
29. Buetow S (2010) Thematic analysis and its reconceptualization as ‘saliency analysis’. J Health Serv Res Policy 15(2):123–125
30. Sandelowski M (2001) Real qualitative researchers do not count: the use of numbers in qualitative research. Res Nurs Health 24:230–240
31. Stewart D, Bilgin H, Bowers L (2010) Special observation in psychiatric hospitals: a literature review. Report from the Conflict and Containment Reduction Research Programme. London: Institute of Psychiatry, Maudsley Hospital. http://www.kcl.ac.uk/ioppn/depts/hspr/research/ciemh/mhn/projects/litreview/LitRevSpecObs.pdf
32. National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (NCISH) (2015) In-patient Suicide Under Observation. Manchester: University of Manchester. http://www.bbmh.manchester.ac.uk/cmhr/research/centreforsuicideprevention/nci/reports/ipobsreport.pdf
33. Department of Health (2009) Best practice in managing risk: principles and management for best practice in the assessment and management of risk to self and others in mental health services. London: Department of Health, National Mental Health Risk Management Programme. http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_076512.pdf
34. Bowers L (2014) Safewards: a new model of conflict and containment on psychiatric wards. J Psych Ment Health Nurs 21:499–508
35. Allen C, Jones J (2002) Acute wards: problems and solutions. Nursing matters in acute care. BJ Psych Bull 26(12):458–459
36. Royal College of Nursing. Front line first. Turning back the clock? RCN Report on Mental Health Services in the UK. London: Royal College of Nursing; 2014. https://www2.rcn.org.uk/__data/assets/pdf_file/0004/600628/004772.pdf
37. The Kings Fund. Briefing: Mental health under pressure. London: The Kings Fund; 2015. http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/mental-health-under-pressure-nov15_0.pdf
38. Morgan JF. Giving up the culture of blame. Risk assessment and risk management in psychiatric practice. Briefing Document for the Royal College of Psychiatrists; 2007. http://www.rcpsych.ac.uk/pdf/Risk%20Assessment%20Paper%20-%20Giving%20up%20the%20Culture%20of%20Blame.pdf
39. Baguley I, Alexander J, Middleton H, Hope R (2007) New ways of working in acute inpatient care: a case for change. J Ment Health Train Ed Pract 2(2):43–52