A Quality Improvement Project Using Verbal De-Escalation to Reduce Seclusion and Patient Aggression in an Inpatient Psychiatric Unit

References

• Agency of Healthcare Research and Quality (AHRQ). (2015). Comparative effectiveness of strategies to de-escalate aggressive behavior in psychiatric patients in acute care settings. https://effectivehealthcare.ahrq.gov/topics/aggression/research-protocol
   Google Scholar
• Allen, M. H., Currier, G. W., Hughes, D. H., Reyes-Harde, M., & Docherty, J. P. (2005). The expert consensus guideline series: Treatment of behavioral emergencies. Journal of Psychiatric Practice, 11(suppl 1), 110–112.
   Google Scholar
• Carlson, K., & Hall, J. M. (2014). Preventing restraint and seclusion: A multilevel grounded theory analysis. Sage Open, 4(4), 1–12. https://doi.org/10.1177/2158244014556641
   Google Scholar
• Chieze, M., Hurst, S., Kaiser, S., & Sentissi, O. (2019). Effects of seclusion and restraint in adult psychiatry: A systematic review. Frontiers in Psychiatry, 10, 491–419. https://doi.org/10.3389/fpsyt.2019.00491
   PubMed Web of Science ®Google Scholar
• Clark, C. S. (2016). Watson’s human caring theory: Pertinent transpersonal and humanities concepts for educators. Humanities, 5(2), 21. https://doi.org/10.3390/h5020021
   Google Scholar
• Edward, K., Stephenson, J., Ousey, K., Lui, S., Warelow, P., & Giandinoto, J. (2015). A systematic review and meta-analysis of factors that relate to aggression perpetrated against nurses by patients/relatives or staff. Journal of Clinical Nursing, 25, 289–299. https://doi.org/10.1111/jocn.13019
   PubMed Web of Science ®Google Scholar
• Gabriel, E. J., Lopez, E. F., Nunez-Gonzalez, E., Gandoy-Crego, M, Calvo-Frances, F., & Capezuti, E. (2017). The use of physical restraints in long-term care in Spain: A multi-center cross-sectional study. BioMed Central, (17) 29.
   Google Scholar
• Gaynes, B. N., Brown, C. L., Lux, L. J., Brownley, K. A., Van Dorn, R. A., Edlund, M. J., & Viswanathan, M. (2017). Preventing and de-escalating aggressive behavior among adult psychiatric patients: A systematic review of the evidence. Psychiatric Services, 68(8), 819–831. https://doi.org/10.1176/appi.ps.201600314
   PubMed Web of Science ®Google Scholar
• Hallett N. & Dickens G.L. (2017) De-escalation: A survey of clinical staff in a secure mental health inpatient service. International Journal of Mental Health Nursing, 24, 324–333. https://doi.org/10.1111/inm.12136
   Web of Science ®Google Scholar
• Huckshorn, K. A., LeBel, J., & Caldwell B (Eds). (2016). Six core strategies: Preventing violence, conflict and the use of seclusion and restraint in inpatient behavioral health settings. An evidence-based practice curriculum training manual. National Association of State Mental Health Program Directors, 2018. https://www.nasmhpd.org/content/six-core-strategies-reduce-seclusion-and-restraint-use
   Google Scholar
• Jayaram, G., Samuels, J., & Konrad, S. S. (2016). Prediction and prevention of aggression and seclusion by early screening and comprehensive seclusion documentation. Innovations in Clinical Neuroscience, 9(7–8), 30–38.
   Google Scholar
• Jovanovic, G., & Johnson, M. (2006). Restraint and seclusion: Can they be obsolete practices? Center for Mental Health Services Research University of Massachusetts Medical School Issue Brief, 3(2).
   Google Scholar
• Keski-Valkama, A., Sailas, E., Eronen, M., Koivisto, A. M., Lönnqvist, J., & Kaltiala-Heino, R. (2010). The reasons for using restraint and seclusion in psychiatric in-patient care: A nationwide 15-year study. Nordic Journal of Psychiatry, 64(2), 136–144. https://doi.org/10.3109/08039480903274449
   PubMed Web of Science ®Google Scholar
• Knox, D. K., & Holloman, G. H. (2012). Use and avoidance of seclusion and restraint: Consensus statement of the American Association for Emergency Psychiatry Project BETA Seclusion and Restraint Workgroup. The Western Journal of Emergency Medicine, 13(1), 35–40. https://doi.org/10.5811/westjem.2011.9.6867
   PubMedGoogle Scholar
• Kuivalainen, S., Vehvilainen-Julkunen, K., Louheranta, O., Putkonen, Repo-Tiihonen, E., & Jari Tiihonen, J. (2017). De-escalation techniques used and reasons for seclusion and restraint, in a forensic psychiatric hospital. International Journal of Mental Health Nursing, 26, 513–524. https://doi.org/10.1111/inm.12389
   PubMed Web of Science ®Google Scholar
• Livingston, J. D., Verdun-Jones, S., Brink, J., Lussier, P., & Nicholls, T. (2010). A narrative review of the effectiveness of aggression management training programs for psychiatric hospital staff. Journal of Forensic Nursing, 6(1), 15–28.
   PubMedGoogle Scholar
• Mahoney, J. S., Ellis, T. E., Garland, G., Palyo, N., & Greene, P. K. (2012). Supporting a psychiatric hospital culture of safety. Journal of the American Psychiatric Nurses Association, 18(5), 299–306. https://doi.org/10.1177/1078390312460577
   PubMed Web of Science ®Google Scholar
• Miodownik, C., Friger, M. D., Gansburg, Y., Reis, N., & Lerner, V. (2019). Clinical and demographic characteristics of secluded and mechanically restrained mentally ill patients: A retrospective study. Israel Journal of Health Policy Research, 8(9). https://doi.org/10.1186/s13584-018-0274-4
   PubMed Web of Science ®Google Scholar
• Moran, A., Cocoman, A., Scott, P. A., Matthews, A., Staniuliene, V., & Valimaki, M. (2009). Restraint and seclusion: A distressing treatment option? Journal of Psychiatric and Mental Health Nursing, 16, 599–605. https://doi.org/10.1111/j.1365-2850.2009.01419.x
   PubMed Web of Science ®Google Scholar
• Parker, A. L., Forsythe, L. L., & Kohlmorgen, I. K. (2019). TeamSTEPPS™: An evidence‐based approach to reduce clinical errors threatening safety in outpatient settings: An integrative review. Journal of Healthcare Risk Management, 38(4), 19–31. https://doi.org/10.1002/jhrm.21352
   PubMedGoogle Scholar
• Peters, V. K., Harvey, E. M., Wright, A., Bath, J., Freeman, D., & Collier, B. (2018). Impact of a TeamSTEPPS™ trauma nurse academy at a level 1 trauma center. Journal of Emergency Nursing, 44(1), 19–25. https://doi.org/10.1016/j.jen.2017.05.007
   PubMed Web of Science ®Google Scholar
• Richmond, J., Berlin, J., Fishkind, A., Holloman, G., Zeller, S., Wilson, M., Rifai, M. A., & Ng, A. (2012). Verbal de-escalation of the agitated patient: Consensus statement of the American Association for Emergency Psychiatry Project BETA De-escalation Workgroup. Western Journal of Emergency Medicine, 13(1), 17–25. https://doi.org/10.5811/westjem.2011.9.6864
   PubMedGoogle Scholar
• Ryan, J. B., Peterson, R., Tetreault, G., & Vander Hagen, E. (2007). Reducing seclusion timeout and restraint procedures with at-risk youth. The Journal of At-Risk Issues, 13(1), 7–12.
   Google Scholar
• Shaw, B. (2015). Evaluation of the impact of TeamSTEPPS™ training on perceptions of teamwork and resilience in the intensive care and perioperative units in a tertiary care hospital. All Regis University Theses. 682. https://epublications.regis.edu/theses/682
   Google Scholar
• Spector, P. E., Zhou, Z. E., & Che, X. X. (2014). Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. International Journal of Nursing Studies, 51(2014), 72–84. https://doi.org/10.1016/j.ijnurstu.2013.01.010
   PubMed Web of Science ®Google Scholar
• Stead, K., Kumar, S., Schultz, T. J., Tiver, S., Pirone, C. J., Adams, R. J., & Wareham, C. A. (2009). Teams communicating through STEPPS. The Medical Journal of Australia, 190(Suppl 1), S128–S132. https://doi.org/10.5694/j.1326-5377.2009.tb02619.x
   PubMed Web of Science ®Google Scholar
• Substance Abuse and Mental Health Services Administration (SAMHSA). (2003, May). A national call to action: Eliminating the use of seclusion and restraint: Summary report. U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. http://www.samhsa.gov/seclusion/SRMay5report1.htm
   Google Scholar
• Substance Abuse and Mental Health Services Administration (SAMHSA). (2009). Alternatives to seclusion and restraint. https://www.samhsa.gov/trauma-violence/seclusion
   Google Scholar
• Substance Abuse and Mental Health Services Administration (SAMHSA). (2011). Promoting alternatives to the use of seclusion and restraint issue brief #4: Making the business case. https://www.samhsa.gov/sites/default/files/topics/trauma_and_violence/seclusion-restraints-4.pdf
   Google Scholar
• Suc, J., Prokosch, H.-U. & Ganslandt, T. (2009). Applicability of Lewins change management model in a hospital setting. https://www.semanticscholar.org/paper/Applicability-of-Lewin-s-change-management-model-in-Suc-Prokosch/912ed329d26a64f006eed66ee41457afff45b3da
   Google Scholar
• Watson, J. (2012). Human caring science: A theory of nursing (2nd ed.). Jones & Bartlett Learning.
   Google Scholar
• Weld, L. R., Stringer, M. T., Ebertowski, J. S., Baumgartner, T. S., Kasprenski, M. C., Kelley, J. C., Cho, D. S., Tieva, E. A., & Novak, T. E. (2016). TeamSTEPPS™ improves operating room efficiency and patient safety. American Journal of Medical Quality, 31(5), 408–414. https://doi.org/10.1177/1062860615583671
   PubMed Web of Science ®Google Scholar
• World Health Organization (WHO). (2017). Strategies to end the use of seclusion, restraint and other coercive practices. Training to act, unite and empower for mental health (PILOT VERSION). https://extranet.who.int/iris/restricted/handle/10665/329605
   Google Scholar