The RCN has published a report outlining the evidence behind its calls for specific legal responsibilities for workforce planning and supply across the health and care system.
The report, titled Standing Up for Patient and Public Safety, follows the release of recent NHS figures showing there are now a record 43,617 vacant nursing posts in the NHS in England.
After 9 months of the 18-month Reducing Restrictive Practice programme, staff on Nostell ward reduced their use of ‘restrictive practices’ by 56%. The reductions have been achieved using innovative methods of care, including changing access rules to areas that were previously restricted by time or location, such as the patient’s therapy area. The national programme, which launched in November 2018 and concludes in March 2020, aims to reduce the use of restrictive practices by one third in 41 wards across 25 mental health trusts.
To gain a deeper understanding of the differences in patients and staff perspectives in response to aggression and to explore recommendations on prevention.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
This study aims to explore and understand factors influencing the decisions of mental health professionals releasing service users from seclusion.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Krysia Canvin looks at the outcome of a restraint reduction programme (‘REsTRAIN YOURSELF’) to minimise physical restraint in acute mental health services.
This report gives the interim findings from our review of the use of restrictive interventions in places that provide care for people with mental health problems, a learning disability and/or autism.
Safe staffing and coercive practices are of pressing concern for mental health services. These are inter‐dependent and the relationship is under‐researched.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Open access. Use of physical restraint is a common practice in mental healthcare, but is controversial due to risk of physical and psychological harm to patients and creating ethical dilemmas for care providers. Post-incident review (PIR), that involve patient and care providers after restraints, have been deployed to prevent harm and to reduce restraint use. However, this intervention has an unclear scientific knowledge base. Thus, the aim of this scoping review was to explore the current knowledge of PIR and to assess to what extent PIR can minimize restraint-related use and harm, support care providers in handling professional and ethical dilemmas, and improve the quality of care in mental healthcare.
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One of the five overarching principles of the Mental Health Act: Code of Practice is to provide patients with care and treatment which is least restrictive whilst encouraging recovery and promoting independence. However, there is limited research which explores the application of these principles within a medium secure unit. The aims of the research were to explore what are patient’s experiences of least restrictive practices and to what extent do they perceive that least restrictive practices maximise their independence and recovery.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
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Speaking up is important for patient safety, but healthcare professionals often hesitate to voice their concerns. Direct supervisors have an important role in influencing speaking up. However, good insight into the relationship between managers’ behaviour and employees’ perceptions about whether speaking up is safe and worthwhile is still lacking.. To read the full article, log in using your NHS OpenAthens details.
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Mental health care personnel have one of the highest rates of workplace violence of any occupational class in the United States, with psychiatric aides having a rate that is 69 times higher than the national mean; furthermore, aggression on the part of psychiatric patients that targets other patients is a substantial component of morbidity and even mortality rates in inpatient psychiatric institutions. Much research has focused on such topics as the demographic characteristics of staff most likely to be victimized and the identification of patients most likely to become aggressive, but very little attention has been devoted to the temporal architecture of aggressive behavior. This study examined the temporal patterning of violent and aggressive behavior on an inpatient psychiatric ward over a one-year period. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The new technology has been successfully adopted by staff in dementia wards to reduce fall rates. 100% of ward staff reported that the system had improved patient safety on the ward at night, with 79% reporting it has directly enabled them to prevent a fall.1
The recently installed security and safety screening device provides a non-intrusive reliable system that can effectively detect lighters, small blades, needles and mobile phones.
Harm‐reduction approaches for self‐harm in mental health settings have been under‐researched.. To read the full article, log in using your MPFT NHS OpenAthens details.
This report shares our findings and recommendations after reviewing incidents related to sexual safety on mental health wards.
In 2017, following concerns raised on an inspection of a mental health trust, we carried out a review of reports on patient safety incidents that staff had submitted through the NHS National Reporting and Learning System. We found that many reports described sexual safety incidents, including sexual assault and harassment.
In its Sexual Safety on Mental Health Wards report published today (Tuesday 11 September) the CQC shares its findings and recommendations after reviewing patient safety incidents reported to the NHS National Reporting and Learning System (NRLS). The report follows engagement with trusts, national bodies, organisations representing people who use services and individuals with direct experience of sexual safety incidents.