FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4288049697> ?p ?o ?g. }

• W4288049697 abstract "Abstract Background Violence and other harms that result from conflict in forensic inpatient mental health settings are an international problem. De-escalation approaches for reducing conflict are recommended, yet the evidence-base for their use is limited. For the first time, the present study uses implementation science and behaviour change approaches to identify the specific organisational and individual behaviour change targets for enhanced de-escalation in low and medium secure forensic inpatient settings. The primary objective of this study was to identify and describe individual professional, cultural and system-level barriers and enablers to the implementation of de-escalation in forensic mental health inpatient settings. The secondary objective was to identify the changes in capabilities, opportunities and motivations required to enhance de-escalation behaviours in these settings. Methods Qualitative design with data collection and analysis informed by the Theoretical Domains Framework (TDF). Two medium secure forensic mental health inpatient wards and one low secure mental health inpatient ward participated. 12 inpatients and 18 staff participated across five focus groups and one individual interview (at participant preference) guided by a semi-structured interview schedule informed by the TDF domains. Data were analysed via Framework Analysis, organised into the 14 TDF domains then coded inductively within each domain. Results The capabilities required to enhance de-escalation comprised relationship-building, emotional regulation and improved understanding of patients. Staff opportunities for de-escalation are limited by shared beliefs within nursing teams stigmatising therapeutic intimacy in nurse-patient relationships and emotional vulnerability in staff. These beliefs may be modified by ward manager role-modelling. Increased opportunity for de-escalation may be created by increasing service user involvement in antipsychotic prescribing and modifications to the physical environment (sensory rooms and limiting restrictions on patient access to ward spaces). Staff motivation to engage in de-escalation may be increased through reducing perceptions of patient dangerousness via post-incident debriefing and advanced de-escalation planning. Conclusions Interventions to enhance de-escalation in forensic mental health settings should enhance ward staff’s understanding of patients and modify beliefs about therapeutic boundaries which limit the quality of staff-patient relationships. The complex interactions within the capabilities-opportunities-motivation configuration our novel analysis generated, indicates that de-escalation behaviour is unlikely to be changed through knowledge and skills-based training alone. De-escalation training should be implemented with adjunct interventions targeting: collaborative antipsychotic prescribing; debriefing and de-escalation planning; modifications to the physical environment; and ward manager role-modelling of emotional vulnerability and therapeutic intimacy in nurse-patient relationships." @default.
• W4288049697 created "2022-07-27" @default.
• W4288049697 creator A5007023083 @default.
• W4288049697 creator A5018563301 @default.
• W4288049697 creator A5020278901 @default.
• W4288049697 creator A5029402809 @default.
• W4288049697 creator A5033510249 @default.
• W4288049697 creator A5038485730 @default.
• W4288049697 creator A5055239600 @default.
• W4288049697 creator A5088050495 @default.
• W4288049697 date "2022-02-15" @default.
• W4288049697 modified "2023-10-18" @default.
• W4288049697 title "De-escalation of conflict in forensic mental health inpatient settings: a Theoretical Domains Framework-informed qualitative investigation of staff and patient perspectives" @default.
• W4288049697 cites W1517837731 @default.
• W4288049697 cites W1829634234 @default.
• W4288049697 cites W1884137727 @default.
• W4288049697 cites W1899724582 @default.
• W4288049697 cites W1916420644 @default.
• W4288049697 cites W1922657584 @default.
• W4288049697 cites W1976770755 @default.
• W4288049697 cites W1990087635 @default.
• W4288049697 cites W2032652368 @default.
• W4288049697 cites W2045794370 @default.
• W4288049697 cites W2068075020 @default.
• W4288049697 cites W2074170965 @default.
• W4288049697 cites W2077109464 @default.
• W4288049697 cites W2085028749 @default.
• W4288049697 cites W2087022569 @default.
• W4288049697 cites W2099499127 @default.
• W4288049697 cites W2105753560 @default.
• W4288049697 cites W2123937752 @default.
• W4288049697 cites W2124098695 @default.
• W4288049697 cites W2136608905 @default.
• W4288049697 cites W2138758666 @default.
• W4288049697 cites W2144307583 @default.
• W4288049697 cites W2144560638 @default.
• W4288049697 cites W2159790296 @default.
• W4288049697 cites W2326266076 @default.
• W4288049697 cites W2375864427 @default.
• W4288049697 cites W2599998100 @default.
• W4288049697 cites W2674995983 @default.
• W4288049697 cites W2732224827 @default.
• W4288049697 cites W2884432587 @default.
• W4288049697 cites W2913325226 @default.
• W4288049697 cites W2945470313 @default.
• W4288049697 cites W2946319482 @default.
• W4288049697 cites W3104085542 @default.
• W4288049697 cites W3175854810 @default.
• W4288049697 doi "https://doi.org/10.1186/s40359-022-00735-6" @default.
• W4288049697 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35168682" @default.
• W4288049697 hasPublicationYear "2022" @default.
• W4288049697 type Work @default.
• W4288049697 citedByCount "1" @default.
• W4288049697 countsByYear W42880496972023 @default.
• W4288049697 crossrefType "journal-article" @default.
• W4288049697 hasAuthorship W4288049697A5007023083 @default.
• W4288049697 hasAuthorship W4288049697A5018563301 @default.
• W4288049697 hasAuthorship W4288049697A5020278901 @default.
• W4288049697 hasAuthorship W4288049697A5029402809 @default.
• W4288049697 hasAuthorship W4288049697A5033510249 @default.
• W4288049697 hasAuthorship W4288049697A5038485730 @default.
• W4288049697 hasAuthorship W4288049697A5055239600 @default.
• W4288049697 hasAuthorship W4288049697A5088050495 @default.
• W4288049697 hasBestOaLocation W42880496971 @default.
• W4288049697 hasConcept C118552586 @default.
• W4288049697 hasConcept C134362201 @default.
• W4288049697 hasConcept C144024400 @default.
• W4288049697 hasConcept C144133560 @default.
• W4288049697 hasConcept C15744967 @default.
• W4288049697 hasConcept C159110408 @default.
• W4288049697 hasConcept C162853370 @default.
• W4288049697 hasConcept C190248442 @default.
• W4288049697 hasConcept C2779456903 @default.
• W4288049697 hasConcept C3017944768 @default.
• W4288049697 hasConcept C36289849 @default.
• W4288049697 hasConcept C38652104 @default.
• W4288049697 hasConcept C41008148 @default.
• W4288049697 hasConcept C509550671 @default.
• W4288049697 hasConcept C545542383 @default.
• W4288049697 hasConcept C56995899 @default.
• W4288049697 hasConcept C71924100 @default.
• W4288049697 hasConcept C95713431 @default.
• W4288049697 hasConceptScore W4288049697C118552586 @default.
• W4288049697 hasConceptScore W4288049697C134362201 @default.
• W4288049697 hasConceptScore W4288049697C144024400 @default.
• W4288049697 hasConceptScore W4288049697C144133560 @default.
• W4288049697 hasConceptScore W4288049697C15744967 @default.
• W4288049697 hasConceptScore W4288049697C159110408 @default.
• W4288049697 hasConceptScore W4288049697C162853370 @default.
• W4288049697 hasConceptScore W4288049697C190248442 @default.
• W4288049697 hasConceptScore W4288049697C2779456903 @default.
• W4288049697 hasConceptScore W4288049697C3017944768 @default.
• W4288049697 hasConceptScore W4288049697C36289849 @default.
• W4288049697 hasConceptScore W4288049697C38652104 @default.
• W4288049697 hasConceptScore W4288049697C41008148 @default.
• W4288049697 hasConceptScore W4288049697C509550671 @default.
• W4288049697 hasConceptScore W4288049697C545542383 @default.
• W4288049697 hasConceptScore W4288049697C56995899 @default.
• W4288049697 hasConceptScore W4288049697C71924100 @default.
• W4288049697 hasConceptScore W4288049697C95713431 @default.

• next