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Does the position of restraint of disturbed psychiatric patients have any association with staff and patient injuries?

Research output: Contribution to Journal/MagazineJournal articlepeer-review

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Does the position of restraint of disturbed psychiatric patients have any association with staff and patient injuries? / Lancaster, Gillian A.; Whittington, R.; Lane, S. et al.
In: Journal of Psychiatric and Mental Health Nursing, Vol. 15, No. 4, 05.2008, p. 306-312.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Lancaster, GA, Whittington, R, Lane, S, Riley, D & Meehan, C 2008, 'Does the position of restraint of disturbed psychiatric patients have any association with staff and patient injuries?', Journal of Psychiatric and Mental Health Nursing, vol. 15, no. 4, pp. 306-312. https://doi.org/10.1111/j.1365-2850.2007.01226.x

APA

Lancaster, G. A., Whittington, R., Lane, S., Riley, D., & Meehan, C. (2008). Does the position of restraint of disturbed psychiatric patients have any association with staff and patient injuries? Journal of Psychiatric and Mental Health Nursing, 15(4), 306-312. https://doi.org/10.1111/j.1365-2850.2007.01226.x

Vancouver

Lancaster GA, Whittington R, Lane S, Riley D, Meehan C. Does the position of restraint of disturbed psychiatric patients have any association with staff and patient injuries? Journal of Psychiatric and Mental Health Nursing. 2008 May;15(4):306-312. doi: 10.1111/j.1365-2850.2007.01226.x

Author

Lancaster, Gillian A. ; Whittington, R. ; Lane, S. et al. / Does the position of restraint of disturbed psychiatric patients have any association with staff and patient injuries?. In: Journal of Psychiatric and Mental Health Nursing. 2008 ; Vol. 15, No. 4. pp. 306-312.

Bibtex

@article{a164c972853749bfa725f5197c1eb637,
title = "Does the position of restraint of disturbed psychiatric patients have any association with staff and patient injuries?",
abstract = "The aim of this study was to examine the risk of injury among patients and staff following involvement in a restraint episode in relation to restraint position (standing, supine or prone) and other aspects of the pre-incident behaviour including perceived causation. Mixed effects logistic regression was used to estimate the relative odds of injury to staff or patient in a series of 680 restraint episodes involving 260 patients in an adult mental health service in England between 1999 and 2001. There was no statistically significant association between patient injury and restraint position in this sample, but a prone restraint position was weakly associated with staff injury. Staff injury was most likely when an actual assault had occurred prior to the incident. Patient injury was more likely when the patient had self-harmed, had been abusing substances and had used a weapon prior to the incident, and less likely when the patient was showing signs of frustration with their environment. The use of prone restraint may be weakly associated with an increased risk of injury to staff. However, other aspects of the incident are stronger predictors and should be considered when planning training for front line staff.",
keywords = "Adult mental health service, aggressive incident, patient injusry, restraint position, staff injury",
author = "Lancaster, {Gillian A.} and R. Whittington and S. Lane and D. Riley and C. Meehan",
year = "2008",
month = may,
doi = "10.1111/j.1365-2850.2007.01226.x",
language = "English",
volume = "15",
pages = "306--312",
journal = "Journal of Psychiatric and Mental Health Nursing",
issn = "1351-0126",
publisher = "Wiley-Blackwell",
number = "4",

}

RIS

TY - JOUR

T1 - Does the position of restraint of disturbed psychiatric patients have any association with staff and patient injuries?

AU - Lancaster, Gillian A.

AU - Whittington, R.

AU - Lane, S.

AU - Riley, D.

AU - Meehan, C.

PY - 2008/5

Y1 - 2008/5

N2 - The aim of this study was to examine the risk of injury among patients and staff following involvement in a restraint episode in relation to restraint position (standing, supine or prone) and other aspects of the pre-incident behaviour including perceived causation. Mixed effects logistic regression was used to estimate the relative odds of injury to staff or patient in a series of 680 restraint episodes involving 260 patients in an adult mental health service in England between 1999 and 2001. There was no statistically significant association between patient injury and restraint position in this sample, but a prone restraint position was weakly associated with staff injury. Staff injury was most likely when an actual assault had occurred prior to the incident. Patient injury was more likely when the patient had self-harmed, had been abusing substances and had used a weapon prior to the incident, and less likely when the patient was showing signs of frustration with their environment. The use of prone restraint may be weakly associated with an increased risk of injury to staff. However, other aspects of the incident are stronger predictors and should be considered when planning training for front line staff.

AB - The aim of this study was to examine the risk of injury among patients and staff following involvement in a restraint episode in relation to restraint position (standing, supine or prone) and other aspects of the pre-incident behaviour including perceived causation. Mixed effects logistic regression was used to estimate the relative odds of injury to staff or patient in a series of 680 restraint episodes involving 260 patients in an adult mental health service in England between 1999 and 2001. There was no statistically significant association between patient injury and restraint position in this sample, but a prone restraint position was weakly associated with staff injury. Staff injury was most likely when an actual assault had occurred prior to the incident. Patient injury was more likely when the patient had self-harmed, had been abusing substances and had used a weapon prior to the incident, and less likely when the patient was showing signs of frustration with their environment. The use of prone restraint may be weakly associated with an increased risk of injury to staff. However, other aspects of the incident are stronger predictors and should be considered when planning training for front line staff.

KW - Adult mental health service

KW - aggressive incident

KW - patient injusry

KW - restraint position

KW - staff injury

U2 - 10.1111/j.1365-2850.2007.01226.x

DO - 10.1111/j.1365-2850.2007.01226.x

M3 - Journal article

VL - 15

SP - 306

EP - 312

JO - Journal of Psychiatric and Mental Health Nursing

JF - Journal of Psychiatric and Mental Health Nursing

SN - 1351-0126

IS - 4

ER -