Background And Purpose: The prevention of aggression and violence of patients is part of the challenge for the psychiatric inpatient care. Resources needed are a systematic risk assessment and taking preventive measures according to the risk. The extended Brøset Violence Checklist (BVC-CH) is an assessment instrument for the short-term assessment of the risk of violence for physical attacks toward medical staff and other patients.
View Article and Find Full Text PDFIntroduction: Agitation is a major problem in acute schizophrenia. Only a few studies have tested antipsychotic agents in severely agitated patients, mainly because of legal issues. Furthermore, most studies were limited to the first 24 hours.
View Article and Find Full Text PDFBackground: Non-adherence with antipsychotic medication is common in patients with schizophrenia.
Aims: To establish the efficacy of adherence therapy (AT) compared to treatment as usual (TAU) in improving medication compliance in patients following an acute episode of schizophrenia.
Method: The study was designed as a parallel group, single blind, randomised controlled trial.
Objective: To assess needs for care rated by clients and their community mental health nurses and their agreement on needs.
Methods: 47 randomly selected clients and their care professionals completed the Camberwell Assessment of Need.
Results: Psychiatric nurses indicate a higher number of total and met need than their clients.
Employing a naturalistic multiple case study approach, we investigated the current clinical practice in the treatment and care of VDB among a convenience sample of 85 patients cared for in specialized old age psychiatric clinics and nursing homes in French and German-speaking Switzerland. We wished to clinically characterize VDB patients, to identify common approaches used to treat VDB in everyday practice, and to explore how the efficiency of the interventions employed was judged by the responsible carers. Data were collected by means of a questionnaire.
View Article and Find Full Text PDFNetwork activities and publications show a rising interest in nursing care delivery systems like primary nursing. There are aspects in quality and outcomes attributed to primary nursing to answer the changes in health care. To assign outcomes in nursing to different kinds of nursing care delivery systems and for systematic developing of primary nursing in a unit one needs a special assessment instrument.
View Article and Find Full Text PDFInt J Ment Health Nurs
February 2010
This paper describes the development of an adherence therapy intervention in schizophrenia and synthesizes the results to date of a collaborative international programme of research. Sticking to treatment is essential to control symptoms and prevent relapse, but as with other long-term conditions, medication adherence is poor. Adherence therapy seeks to facilitate a process of shared decision making, where both parties work towards agreed goals.
View Article and Find Full Text PDFKrankenpfl Soins Infirm
February 2010
In many Anglo-Saxon and North European countries nursing research agendas have been developed to address priorities in nursing research in accordance with a nationally defined health policy. In Switzerland, due to lack of a nationwide governmental health policy, co-ordination of nursing research so far was scarce. The "Swiss Research Agenda for Nursing (SRAN)" project developed an agenda for clinical nursing research between 2005 and 2007.
View Article and Find Full Text PDFBackground: There is a lack of research on the possible contribution of a structured risk assessment to the reduction of aggression in psychiatric in-patient care.
Aims: To assess whether such risk assessments decrease the incidence of violence and coercion.
Method: A cluster randomised controlled trial was conducted with 14 acute psychiatric admission wards as the units of randomisation, including a preference arm.
In many Anglo-Saxon and North European countries nursing research agendas have been developed to address priorities in nursing research in accordance with a nationally defined health policy. In Switzerland, due to lack of a nationwide governmental health policy, co-ordination of nursing research so far was scarce. The "Swiss Research Agenda for Nursing (SRAN)" project developed an agenda for clinical nursing research between 2005 and 2007.
View Article and Find Full Text PDFBackground: Vocally disruptive behavior (VDB) in the elderly is a common condition, especially in people with dementia, but difficult to treat. It may occur in as many as 40% of nursing home residents. This study is a review of the existing literature on this condition.
View Article and Find Full Text PDFClin Pract Epidemiol Ment Health
December 2007
Background: Aggression and violence and negative consequences thereof are a major concern in acute psychiatric inpatient care globally. Variations in study designs, settings, populations, and data collection methods render comparisons of the incidence of aggressive behaviour in high risk settings difficult.
Objective: To describe the frequency and severity of aggressive incidents in acute psychiatric wards in the German speaking part of Switzerland.
In Austria and Switzerland, nursing diagnoses in psychiatric nursing have been used increasingly over the last few years. To date, few empirical studies on the clinical use of nursing diagnoses in psychiatric nursing have been conducted. The purpose of this study was to examine the frequency and content of documented nursing diagnoses and to compare the utilization of nursing diagnoses in Austria and Switzerland.
View Article and Find Full Text PDFBackground: Patient aggression is a common problem in acute psychiatric wards and calls for preventive measures. The timely use of preventive measures presupposes a preceded risk assessment. The Norwegian Brøset-Violence-Checklist (BVC) is one of the few instruments suited for short-time prediction of violence of psychiatric inpatients in routine care.
View Article and Find Full Text PDFPatient aggression is a problem in many health care settings, and nursing students are among the most vulnerable to experiencing such aggression. Training courses have been suggested to help nurses better manage patient aggression. Such courses can lead to changes in attitudes toward and perceptions of, as well as greater confidence in managing, aggression.
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