Location of Power within Psychiatry: A Fifty-Year Journey as Represented in Film.

Over the last half of the twentieth century, many advances in the field of psychiatry and mental health have occurred and continue today. Among these developments are the increasing recognition of patient rights and the expanding role of psychiatric nurses. This paper presents a view of how these changes have been reflected in film over a period of fifty years in both documentary and Hollywood movies.

[Nursing management of sensory overload in psychiatry – Theoretical densification and modification of the framework model].

Background: Within the scope of the research project on the subjects of sensory overload and stimulus regulation, a theoretical framework model of the nursing care of patients with sensory overload in psychiatry was developed. In a second step, this theoretical model should now be theoretically compressed and, if necessary, modified. Aim: Empirical verification as well as modification, enhancement and theoretical densification of the framework model of nursing care of patients with sensory overload in psychiatry.

Outcomes and feasibility of the short transitional intervention in psychiatry in improving the transition from inpatient treatment to the community: A pilot study.

Discharge from psychiatric inpatient care is frequently described as chaotic, stressful, and emotionally charged. Following discharge, service users are vulnerable to becoming overwhelmed by the challenges involved in readapting to their home environments, which could result in serious problems and lead to readmission. The short transitional intervention in psychiatry (STeP) is a bridging intervention that includes pre- and post-discharge sections.

Sensory overload: A concept analysis.

In the context of mental disorders sensory overload is a widely described phenomenon used in conjunction with psychiatric interventions such as removal from stimuli. However, the theoretical foundation of sensory overload as addressed in the literature can be described as insufficient and fragmentary. To date, the concept of sensory overload has not yet been sufficiently specified or analyzed.

[Possible Signs of Sensory Overload].

To identify, synthesize and structure the defining characteristics of overstimulation. The literature search was conducted in relevant international databases (Pubmed, Medline, CINAHL, Psyndex, PsycArticles, PsychINFO). The literature analysis was conducted according to Mayring's method of qualitative content analysis.

[Nursing management of sensory overload in psychiatry – development of a theoretical framework model].

Background: The concept of “removal from stimuli” has already been examined by a Delphi-Study. However, some knowledge gaps remained open, which have now been further investigated. Aim: Examination of the concept “management of sensory overload in inpatient psychiatry” including its sub-concepts and specific measures.

[The Perception of "Reizabschirmung" (Removal from Stimuli) in Inpatient Psychiatry].

Objective: The aim of the study was to narrow down the topic area and to generate a heuristic understanding of "Reizabschirmung" (removal from stimuli) in the German-speaking countries based on clinical expertise.

Methods: The Delphi-Method of consensus building within an expert panel was selected.

Results: The consensus found on some aspects lead to a reduction of the scope of the topic and a first approximation towards a conceptual definition of "Reizabschirmung" was generated.

Nursing Diagnoses in Inpatient Psychiatry.

Purpose: This study explored how well NANDA-I covers the reality of adult inpatient psychiatric nursing care.

Methods: Patient observations documented by registered nurses in records were analyzed using content analysis and mapped with the classification NANDA-I.

Findings: A total of 1,818 notes were examined and contained 46 different patient responses.

Dealing with aggressive behaviour in nursing homes: caregivers' use of recommended measures.

Aims And Objectives: To identify groups of caregivers in terms of their use of measures for dealing with resident aggression and the differences between these groups related to their characteristics.

Background: Caregivers in nursing home are confronted with a major challenge when faced with the aggressive behaviour of residents. Therefore, the application of recommended measures is important in supporting caregivers and promoting safety for residents.

[Nurses' experiences with aggressive behaviour of nursing home residents: a cross sectional study in Swiss nursing homes].

The present exploratory descriptive cross-sectional study with the participation of 814 (51.8%) caregivers in 21 Swiss nursing homes provides insight into caregivers' experiences and handling of residents' aggressive behaviour. Moreover, caregiver burden with regard to resident aggression and the consequences on the caregiver-resident-relationship were investigated.

Factors associated with resident aggression toward caregivers in nursing homes.

Purpose: Caregivers in nursing homes often experience aggressive behavior of residents. The aim of this study was to explore the caregivers' experiences with aggressive behavior from residents and to identify environmental factors as well as caregiver and resident characteristics related to aggressive behavior in Swiss nursing homes.

Design: A retrospective cross-sectional survey was conducted between November 2010 and April 2011 with a sample of caregivers working in various nursing homes in the German-speaking part of Switzerland.

[The association between the patient-nurse relationship and patient perception of substance use control in an addiction therapy setting: a descriptive correlation study].

The aim of this study is to explore the association between the patient-nurse working alliance and the degree of how much substance use control is perceived as burdensome in an addiction therapy setting. Imogene King's theory and the working alliance concept were used as the theoretical framework. The investigation was undertaken using a self-administered questionnaire with the short-form of the working alliance inventory (WAI) translated and validated in French and targeting a convenience sample (n=28).

Influence of single peer interventions on the recovery attitude of persons with a psychiatric disability.

Objective: This study examined the influence of single peer to peer interventions on participants' recovery attitudes.

Methods: Following a 40-hour training, pairs of individuals with a psychiatric disability offered a session (2.5 hour) in outpatient and residential psychiatric institutions.

Patient and visitor violence in the general hospital, occurrence, staff interventions and consequences: a cross-sectional survey.

Unlabelled: AIM.: This study focuses on the experience of healthcare staff with regard to patient and visitor violence in a general hospital. The occurrence of patient and visitor violence, staffs' interventions and the consequences of violence for different professions are investigated.

Measuring patient and visitor violence in general hospitals: feasibility of the SOVES-G-R, internal consistency and construct validity of the POAS-S and the POIS.

Aims: To investigate the feasibility of a survey measuring patient and visitor violence after translation and modification, namely the Survey of Violence Experienced by Staff (German version revised) and to validate the shortened Perception of Aggression Scale (POAS-S) and the Perception of Importance of Intervention Skills Scale (POIS) after adaptation for use in a general hospital setting.

Background: The use of different approaches and research instruments for investigating patient and visitor violence negatively influences the comparability of studies. Typically, general hospitals use self-administered surveys.

Nursing home caregivers' explanations for and coping strategies with residents' aggression: a qualitative study.

Aims And Objectives: This study explored caregivers' perspectives regarding the conditions and situations of resident aggression and practical strategies caregivers use to deal with aggression.

Background: Working in a nursing home is associated with a high risk to experience aggression from residents or patients. Despite existing recommendations for dealing with aggression there is a lack of information about caregivers' ways of dealing with it in practice.

Factors associated with patient and visitor violence experienced by nurses in general hospitals in Switzerland: a cross-sectional survey.

Aims: To explore nurses' experiences with patient and visitor violence, as well as other related factors, in Swiss general hospital settings.

Background: Patient and visitor violence is a complex occupational hazard among health care professions, with nursing in general, experiencing the highest rate of patient and visitor violence. International research has found that staff and patient attributes, interaction between staff and patients, as well as environmental characteristics are important factors associated with the occurrence of patient and visitor violence.

[Psychometric properties of Q-DIO, an instrument to measure the quality of documented nursing diagnoses, interventions and outcomes].

The instrument Q-DIO was developed in the years 2005 till 2006 to measure the quality of documented nursing diagnoses, interventions, and nursing sensitive patient outcomes. Testing psychometric properties of the Q-DIO (Quality of nursing Diagnoses, Interventions and Outcomes.) was the study aim.

Student nurses' de-escalation of patient aggression: a pretest-posttest intervention study.

Background: Experts recommend staff training to prevent and manage aggressive situations involving patients or their relatives. However, in many countries this subject is not covered in pre-registration nursing education. In addition, the evidence regarding its impact on practical placements remains weak.

The De-Escalating Aggressive Behaviour Scale: development and psychometric testing.

Aim: This paper is a report of a study to develop and test the psychometric properties of a scale measuring nursing students' performance in de-escalation of aggressive behaviour.

Background: Successful training should lead not merely to more knowledge and amended attitudes but also to improved performance. However, the quality of de-escalation performance is difficult to assess.

Aggressive behavior of nursing home residents toward caregivers: a systematic literature review.

Aggression challenges and burdens caregivers face when working in nursing homes. The research questions in this review were (1) what types of residents' aggressive behavior do caregivers experience in nursing homes and how often? (2) In what situations does aggressive behavior occur? (3) What strategies do caregivers employ to manage aggressive behavior? Twenty one publications in English and/or German from 1996 to 2006 were identified by search strategies conducted in Medline, CINAHL, PsycINFO, and supplemented by screening citations, references, and unpublished manuscripts. Results show that all types of aggressive behavior occur in nursing homes with verbal and physical aggressive behavior combined.

Development of an instrument to measure the quality of documented nursing diagnoses, interventions and outcomes: the Q-DIO.

Aims And Objectives: This paper aims to report the development stages of an audit instrument to assess standardised nursing language. Because research-based instruments were not available, the instrument Quality of documentation of nursing Diagnoses, Interventions and Outcomes (Q-DIO) was developed.

Background: Standardised nursing language such as nursing diagnoses, interventions and outcomes are being implemented worldwide and will be crucial for the electronic health record.

[Quality of nursing diagnoses, interventions and outcomes: criteria and operationalization of the measurement instrument Q-DIO].

Financial, legal and professional demands require the nursing profession to render its contribution to patient care transparent. Due to the lack of research-based tools, the instrument Quality of Nursing Diagnoses, Interventions and Outcomes (Q-DIO) was developed. The aims of this article are to describe the criteria and the operationalisation of an instrument to measure the quality of documented nursing diagnoses, nursing interventions, and nursing outcomes; and to present the instrument.