2.50
Hdl Handle:
http://hdl.handle.net/10755/182988
Category:
Abstract
Type:
Presentation
Title:
Reduction of Seclusion & Restraint Activity on Psychiatric Units: Moving Research into Practice
Author(s):
Strenio, Joan
Author Details:
Joan Strenio, MSN, APRN, BC, Humility of Mary Health Partners, Youngstown, Ohio, USA, email: joan_strenio@hmis.org
Abstract:
Poster Presentation: The purpose of this study is to demonstrate the methods used by two acute inpatient psychiatric units to reduce the incidence of seclusion by 85% and restraint by 85% between 2000 and 2004. Baseline data was collected in 2000, while regulatory and performance monitoring processes imposed by HCFA and JCAHO were implemented. All staff were taught the "least restrictive alternative" philosophy. Therapeutic programming was shifted from a recreation leisure model to a psycho-educational model. Progress was tracked and reported to all disciplines at regular intervals. After two years of suboptimal results, a unit based descriptive research study was begun to explore the use of medication for emergency sedation in a behavioral crisis. The BARS Agitation Scale was used to quantify patient response. The insights obtained in 2003, were then applied to practice in 2004. As a result, there was a further decrease in seclusion/restraint activity by 31-32% respectively. The results stabilized in 2005. This study demonstrates the practical application of evidenced based practices and the use of unit based nursing research. References: The Pennsylvania Department of Public Welfare, Office of Mental Health and Substance Abuse Services, "Leading the Way Toward a Seclusion and Restraint-Free Environment- Pennsylvania's Seclusion and Restraint Reduction Initiative: Harrisburg Office of Mental Health and Substance Abuse Services, 2000.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2006
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Denver, Colorado, USA
Description:
10th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 4-6 October, 2006 at the Colorado Convention Center in Denver, Colorado, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleReduction of Seclusion & Restraint Activity on Psychiatric Units: Moving Research into Practiceen_GB
dc.contributor.authorStrenio, Joanen_US
dc.author.detailsJoan Strenio, MSN, APRN, BC, Humility of Mary Health Partners, Youngstown, Ohio, USA, email: joan_strenio@hmis.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182988-
dc.description.abstractPoster Presentation: The purpose of this study is to demonstrate the methods used by two acute inpatient psychiatric units to reduce the incidence of seclusion by 85% and restraint by 85% between 2000 and 2004. Baseline data was collected in 2000, while regulatory and performance monitoring processes imposed by HCFA and JCAHO were implemented. All staff were taught the "least restrictive alternative" philosophy. Therapeutic programming was shifted from a recreation leisure model to a psycho-educational model. Progress was tracked and reported to all disciplines at regular intervals. After two years of suboptimal results, a unit based descriptive research study was begun to explore the use of medication for emergency sedation in a behavioral crisis. The BARS Agitation Scale was used to quantify patient response. The insights obtained in 2003, were then applied to practice in 2004. As a result, there was a further decrease in seclusion/restraint activity by 31-32% respectively. The results stabilized in 2005. This study demonstrates the practical application of evidenced based practices and the use of unit based nursing research. References: The Pennsylvania Department of Public Welfare, Office of Mental Health and Substance Abuse Services, "Leading the Way Toward a Seclusion and Restraint-Free Environment- Pennsylvania's Seclusion and Restraint Reduction Initiative: Harrisburg Office of Mental Health and Substance Abuse Services, 2000.en_GB
dc.date.available2011-10-28T15:49:18Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:49:18Z-
dc.conference.date2006en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationDenver, Colorado, USAen_US
dc.description10th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 4-6 October, 2006 at the Colorado Convention Center in Denver, Colorado, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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