scholarly journals Nurses’ and Patients’ Perceptions of Nursing Care Provision during the Initial Phase of Involuntary Admission to an Emergency Psychiatric Hospital

2017 ◽  
Vol 37 (0) ◽  
pp. 308-318
Author(s):  
Tomomi Kajiwara ◽  
Yoshimi Endo
Keyword(s):  
Psychiatric Hospital ◽  
Nursing Care ◽  
Initial Phase ◽  
Involuntary Admission ◽  
Care Provision

scholarly journals Coercive Measures and Stigmatization in the Psychiatric Medical Care

2020 ◽  
Vol 11 (3sup1) ◽  
pp. 137-145
Author(s):  
Petronela Nechita ◽  
◽  
Liliana Luca ◽  
Alina-Ioana Voinea ◽  
Codrina Moraru ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Disorders ◽  
Psychiatric Hospital ◽  
Treatment Compliance ◽  
Mental Illnesses ◽  
Internal Conflict ◽  
Involuntary Admission ◽  
Coercive Measures ◽  
Self Harm ◽  
The Law

The involuntary commitment of psychiatric patients has been done for almost a decade under the Law 487/2002, the law of mental health and protection for people with psychiatric disorders. Frequent involuntary psychiatric hospitalizations have led to stigma attitudes and discriminatory acts towards patients with mental disorders. The coercive medical measures are applied in the psychiatric institutions of the mental health protection agencies. Coercion gives rise to serious ethical debates in the psychiatric assistance. The individual who was hospitalized in a psychiatric hospital anticipates social rejection becoming defensive, withdraws socially, experiences a complex internal conflict. The goal for this study is to illustrate aspects linked to coercive measures, mechanical restraint at involuntary admission of patients with mental illnesses in the psychiatric medical assistance. Material and method: This study is a retrospective one, and the data was taken from the charts with involuntary admissions during the period of October 2002 to July 2012. The studied lot was comprised of 202 patients admitted involuntarily in a psychiatric hospital according to the Law 487/2002, the law of mental health and protection for people with psychiatric disorders. Results: Of the 25.7% patients admitted involuntarily, that required coercive measures during admission, 58% were contained for symptoms like self-harm. The mechanical contention measures were especially necessary in the acute cases with symptoms as self-harm and/or harm of others, but also in situations with hallucinatory-delirium symptoms. The ratio of male sex subjects was significantly higher in the subject lot that needed coercive measures during hospitalization, of those admitted involuntarily (86.5% vs. 72%) (p = 0.036). Conclusions: Involuntary admission and mandatory treatment remains in psychiatry a medical, legal and ethical problem. The required measures can lead mainly to clinical benefits, implying a paternal attitude from the psychiatry specialists by defying the patients’ autonomy. Treatment compliance is directly proportional to the overall level of functioning and inversely proportional to the level of self-stigmatization.

Neonatal nursing efficacy: practical standards of nursing care provision in a newborn network

2011 ◽  
Vol 96 (Supplement 1) ◽  
pp. A36-A36 ◽  
Author(s):  
T. Pillay ◽  
P. Nightingale ◽  
S. Owen ◽  
D. Kirby ◽  
S. A. Spencer
Keyword(s):  
Nursing Care ◽  
Care Provision ◽  
Neonatal Nursing

Job satisfaction and associated variables among nurse assistants working in residential care

2012 ◽  
Vol 24 (12) ◽  
pp. 1904-1918 ◽  
Author(s):  
Anneli Orrung Wallin ◽  
Ulf Jakobsson ◽  
Anna-Karin Edberg
Keyword(s):  
Job Satisfaction ◽  
Residential Care ◽  
Nursing Care ◽  
Work Climate ◽  
Care Provision ◽  
Work Situation ◽  
Environmental Support ◽  
Person Centered Care ◽  
Centered Care ◽  
Associated Variables

ABSTRACTBackground: While the work situation for nurse assistants in residential care is strenuous, they themselves often state that they are satisfied with their job. More knowledge is clearly needed of the interrelationship of variables associated with job satisfaction. This study aims to investigate job satisfaction and explore associated variables among nurse assistants working in residential care.Methods: A total of 225 respondents completed a questionnaire measuring general job satisfaction, satisfaction with nursing-care provision and measures concerning person-centered care, work climate, leadership, and health complaints. Job satisfaction was the outcome measure and comparisons were made among those reporting low, moderate, and high levels of job satisfaction; multiple regression analyses were used to explore associated variables.Results: The caring climate and personalized care provision were associated with general job satisfaction. High levels of satisfaction with nursing-care provision were also associated with the general work climate, organizational and environmental support, and leadership. Low job satisfaction was mainly associated with health complaints.Conclusions: Nurse assistants working in a positive work climate, caring climate, with a positive attitude to their leaders, who receive organizational and environmental support, provide person-centered care and experience a higher degree of job satisfaction. It seems essential, however, to include both general and context-specific measures when investigating job satisfaction in this field as they reveal different aspects of the nurse assistant's work situation.

Controlled assessment of alcoholics admitted involuntarily to a general psychiatric hospital

1996 ◽  
Vol 13 (4) ◽  
pp. 140-143
Author(s):  
Fionnula O'Loughlin ◽  
Marcus Webb
Keyword(s):  
Mental Health ◽  
Length Of Stay ◽  
Alcohol Dependence ◽  
Psychiatric Hospital ◽  
Involuntary Admission ◽  
Compulsory Admission ◽  
Mental Health Act ◽  
Mental Treatment

AbstractObjective:As the provision for the involuntary admission to hospital of alcoholics is likely to be discarded in a new Irish Mental Health Act, the characteristics of patients committed under the 1945 Irish Mental Treatment Act were explored and compared with those alcoholics admitted voluntarily.Method:All alcoholics admitted compulsorily from 1989-1992 to a general psychiatrichospital in Dublin were compared retrospectively with voluntarily admitted alcoholics. Data was taken from case notes.Results:Results showed that patients admitted compulsorily were older (t = 3.74, df = 62, p < 0.001) and had more physical complications (X2= 8.4, df = 1, p < 0.004) than those admitted voluntarily. Although results did not reach a statistically significant level, there were proportionately more females in the compulsorily admitted group compared with the voluntary group. The outcome of admission overall was better in those admitted voluntarily, although this was influenced both by length of stay and previous admissions for treatment of alcohol dependence. One particularly interesting finding, regardless of admission category, was that duration of admission was statistically significantly longer for women when compared with men.Conclusions:Compulsory admission of alcoholics to a psychiatric hospital for very brief periods was not shown to be strikingly helpful, but this study cannot decide whether or not longer periods of compulsory admission would be valuable.

scholarly journals Odgovornost za institucionalno pridržane osebe po Zakonu o duševnem zdravju

2021 ◽  
pp. 317-330
Author(s):  
Polona Farmany ◽  
Keyword(s):  
Mental Disorder ◽  
Social Environment ◽  
Psychiatric Hospital ◽  
Social Care ◽  
Institutional Care ◽  
The State ◽  
Hospital Treatment ◽  
Involuntary Admission ◽  
Therapeutic Treatment ◽  
Therapeutic Environment

When state (i.e. court) decides on involuntary admission or placement of persons with a mental disorder in institutional care (either in a ward under the special supervision of a psychiatric hospital or in a secure ward of a social care institution, after the hospital treatment finishes), it pursues in particular the protective objective (i.e. protection from endangering the life or health of the person concerned or the life and health of others). However, with the admission of these persons into institutional care comes the duty and responsibility of the state (and its institutions) to provide to the detained persons an appropriate therapeutic treatment, i.e. an appropriate therapeutic environment that will allow these persons to improve their health to such an extent that they will be able to live independently in their social environment.

JS02-04 - The organisation of emergency psychiatry in The Netherlands

2011 ◽  
Vol 26 (S2) ◽  
pp. 2002-2002
Author(s):  
C. Mulder ◽  
R. de Leeuw
Keyword(s):  
Primary Care ◽  
The Netherlands ◽  
Psychiatric Hospital ◽  
Emergency Services ◽  
Emergency Psychiatry ◽  
Involuntary Admission ◽  
Short Term ◽  
Psychiatric Crisis ◽  
Key Factor ◽  
Crisis Services

IntroductionThe organisation of emergency psychiatry varies between European countries. Our aim is to describe the organisation of emergency psychiatry in the Netherlands, including relevant epidemiological data.MethodsThe organisation of emergency psychiatry in the Netherlands was assessed using written material, official statistics and a recent study about the organisation of outpatient crisis services.ResultsIn the Netherlands, most psychiatric emergency services are being delivered by three levels of care: primary care physicians, outpatient crisis services and inpatient admission units. The outpatient psychiatric crisis services constitute the key factor in the emergency psychiatric care, as they do most assessments (triage), short term crisis interventions and referral. Outpatient crisis services are available 24/7, and are mainly staffed by physicians (including psychiatrists) and psychiatric nurses. Usually, patients first consult a primary care physician in case of a psychiatric crisis situation, which can be followed by a referral to an outpatient emergency crisis service in the local region. Patients can also be referred by mental health clinicians (for example for triage for involuntary admission), the police or emergency departments of general hospitals. The outpatient crisis services perform diagnostic and risk assessments (triage), short term crisis interventions, and decide on referral to other services. These can be specialized outpatient programs or (in)voluntary admission to a psychiatric hospital. The number of crisis contacts per 100.000 inhabitants varies between regions, depending e.g. on population density. For example 400 crisis contacts per 100.000 inhabitants were registered in 2003 in the urban region of The Hague, versus 200 per 100.000 in a surrounding rural area. As a mean 20% of patients are being referred to a psychiatric hospital, half of them involuntarily. The number of crisis contacts, voluntary admissions, as well as involuntary admissions rises steadily in The Netherlands. In 1978, 17 per 100.000 inhabitants were admitted involuntarily, as compared to 50 in 2009. Reasons for involuntary admission include self harm, harm to others and severe self neglect. Involuntary admission for reason of severe self neglect is increasing over the last ten years. As a seperate phenomenon, ethnic minority groups, especially from Antillean, Surinam and Moroccan descent, are over-representated in outpatient as well as inpatient emergency services in the urban areas.ConclusionOutpatient crisis services constitute the key factor in the organisation of emergency psychiatric services in The Netherlands. The last decade, the number of crisiscontacts, as well as the number of (in)voluntary admissions did rise.

scholarly journals The Implementation of Nursing Care for Schizophrenia Patients in Inpatient Units of A Psychiatric Hospital in Yogyakarta

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Fathiyyah Intan Niryani ◽  
Shanti Wardaningsih
Keyword(s):  
Psychiatric Hospital ◽  
Nursing Care ◽  
Medical Records ◽  
Clinical Symptoms ◽  
Study Data ◽  
Care Plan ◽  
Care Process ◽  
Nursing Assessment ◽  
Plan Implementation ◽  
Inpatient Units

<p class="AbstractContent"><strong>Objective:</strong> Schizophrenia is a combination of various clinical symptoms in which the patients suffer cognitive, emotional, perceptional, and behavioral disorders. Nursing care for patients with schizophrenia who are hospitalized is of importance in order to restore patient’s health into the highest possible level. This study aimed to explore the implementation of nursing care for schizophrenia patients in inpatient units of a psychiatric hospital in Yogyakarta.</p><p class="AbstractContent"><strong>Methods: </strong>This was a descriptive quantitative study. Data were collected by observing 78 medical records which were selected using total sampling method. We used checklist form to measure the implementation of nursing care process from assessment, diagnosis, plan, implementation, and evaluation. Data were analyzed using frequency test.</p><p class="AbstractContent"><strong>Results:</strong> Over half of the patients was diagnosed with undetailed schizophrenia (67.9%) with the length of hospitalization was more than 14 days (59%). The implementation of nursing care was good in general (76.9%). The implementation of nursing care was fair (48.7%) for assessment and intervention (94.9), and good for diagnosis (71.8%), care plan (98.7%), evaluation (100%), and documentation (100%).<strong></strong></p><p class="AbstractContent"><strong>Conclusion: </strong>The implementation of nursing assessment and intervention was lower compared to other parts of nursing process. Nurse managers need to encourage their nursing staffs to provide accurate and complete documentation of nursing care, particularly in the assessment and intervention parts.<strong></strong></p><strong>Keywords: </strong>medical records, nursing care, schizophrenia

Who Applies to Regional Review Boards and What are the Outcomes?

1997 ◽  
Vol 42 (1) ◽  
pp. 70-76 ◽  
Author(s):  
Susan J Adams ◽  
Nancy L Pitre ◽  
Rosa Cieszkowski
Keyword(s):  
Small Group ◽  
Median Time ◽  
Psychiatric Hospital ◽  
Small Proportion ◽  
Revolving Door ◽  
Involuntary Admission ◽  
Admission Status ◽  
Regional Review ◽  
Review Boards

Objective: To determine the outcomes for patients following applications to regional review boards at an Ontario provincial psychiatric hospital for 1992 through 1994. Method: A retrospective casenote study examined frequency of readmission, time to next admission, status upon readmission, and episodes of dangerous behaviour perpetrated in the community for patients applying to review boards. Results: Over 3 years, 116 hearings took place to review various certificates. Only 57% of applications reached a hearing. Of those, 69% were confirmed and 31% rescinded. A small group of patients made multiple applications to the review board. Median time to next admission for patients who had certificates of involuntary admission rescinded by the review board was 14 days, compared with 53 days for those who remained in hospital until the time of planned discharge. Conclusion: Review boards consume considerable resources, serve only a small proportion of patients, and contribute to the “revolving door” phenomenon.

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