<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Unn Elisabeth Hammervold</style></author><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author><author><style face="normal" font="default" size="100%">Hildegunn Sagvaag</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Post-incident reviews after restraints—Potential and pitfalls. Patients’ experiences and considerations</style></title><secondary-title><style face="normal" font="default" size="100%">Journal of Psychiatric and Mental Health Nursing</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Ettersamtaler</style></keyword><keyword><style  face="normal" font="default" size="100%">Post-incident review</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2021</style></year><pub-dates><date><style  face="normal" font="default" size="100%">06/2021</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://onlinelibrary-wiley-com.mime.uit.no/doi/full/10.1111/jpm.12776</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h3 id=&quot;jpm12776-sec-0004-title&quot;&gt;4.1 Introduction&lt;/h3&gt;&lt;section id=&quot;jpm12776-sec-0005&quot;&gt;&lt;p&gt;Post-incident reviews (PIRs), including patients, nurses and other care providers, following incidents of restraints are recommended in mental health services. Few studies have examined patients&amp;rsquo; experiences and considerations concerning PIRs.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;jpm12776-sec-0006&quot;&gt;&lt;h3 id=&quot;jpm12776-sec-0006-title&quot;&gt;4.2 Aim&lt;/h3&gt;&lt;p&gt;The study aims to explore patients&amp;rsquo; perspectives on PIRs in relation to how they experience participation in PIRs and further view PIRs&amp;rsquo; potential for care improvement and restraint prevention.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;jpm12776-sec-0007&quot;&gt;&lt;h3 id=&quot;jpm12776-sec-0007-title&quot;&gt;4.3 Method&lt;/h3&gt;&lt;p&gt;We conducted a qualitative study based on individual interviews. Eight current and previous inpatients from two Norwegian mental health services were interviewed.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;jpm12776-sec-0008&quot;&gt;&lt;h3 id=&quot;jpm12776-sec-0008-title&quot;&gt;4.4 Results&lt;/h3&gt;&lt;p&gt;The patients experienced PIRs as variations on a continuum from being strengthened, developing new coping strategies and processing the restraint event to at the other end of the continuum; PIRs as meaningless, feeling objectified and longing for living communication and closeness.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;jpm12776-sec-0009&quot;&gt;&lt;h3 id=&quot;jpm12776-sec-0009-title&quot;&gt;4.5 Discussion&lt;/h3&gt;&lt;p&gt;PIRs&amp;rsquo; beneficial potential is extended in the study. The findings highlight however that personal and institutional conditions influence whether patients experience PIRs as an arena for recovery promotion or PIRs as continuation of coercive contexts.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;jpm12776-sec-0010&quot;&gt;&lt;h3 id=&quot;jpm12776-sec-0010-title&quot;&gt;4.6 Implications for practice&lt;/h3&gt;&lt;p&gt;We recommend patients&amp;rsquo; active participation in planning the PIR. PIRs should be conducted in a supportive atmosphere, including trusted persons, emphasizing and acknowledging a dialogical approach.&lt;/p&gt;&lt;/section&gt;</style></abstract><work-type><style face="normal" font="default" size="100%">PhD thesis</style></work-type><label><style face="normal" font="default" size="100%">etikk</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Unn E. Hammervold</style></author><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author><author><style face="normal" font="default" size="100%">Randi W. Aas</style></author><author><style face="normal" font="default" size="100%">Hildegunn Sagvaag</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Post-incident review after restraint in mental health care -a potential for knowledge development, recovery promotion and restraint prevention. A scoping review.</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Health Services Research (Open Access)</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Debriefing</style></keyword><keyword><style  face="normal" font="default" size="100%">Mental</style></keyword><keyword><style  face="normal" font="default" size="100%">Post-incident review</style></keyword><keyword><style  face="normal" font="default" size="100%">Recovery-oriented care</style></keyword><keyword><style  face="normal" font="default" size="100%">Reflection</style></keyword><keyword><style  face="normal" font="default" size="100%">Restraint reduction</style></keyword><keyword><style  face="normal" font="default" size="100%">Restraints</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2019</style></year><pub-dates><date><style  face="normal" font="default" size="100%">04/2019</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6480590/</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">19</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h3 id=&quot;__sec1title&quot;&gt;Background&lt;/h3&gt;&lt;p id=&quot;Par1&quot;&gt;Use of physical restraint is a common practice in mental healthcare, but is controversial due to risk of physical and psychological harm to patients and creating ethical dilemmas for care providers. Post-incident review (PIR), that involve patient and care providers after restraints, have been deployed to prevent harm and to reduce restraint use. However, this intervention has an unclear scientific knowledge base. Thus, the aim of this scoping review was to explore the current knowledge of PIR and to assess to what extent PIR can minimize restraint-related use and harm, support care providers in handling professional and ethical dilemmas, and improve the quality of care in mental healthcare.&lt;/p&gt;&lt;h3 id=&quot;__sec2title&quot;&gt;Methods&lt;/h3&gt;&lt;p id=&quot;Par2&quot;&gt;Systematic searches in the MEDLINE, PsychInfo, Cinahl, Sociological Abstracts and Web of Science databases were carried out. The search terms were derived from the population, intervention and settings.&lt;/p&gt;&lt;h3 id=&quot;__sec3title&quot;&gt;Results&lt;/h3&gt;&lt;p id=&quot;Par3&quot;&gt;Twelve studies were included, six quantitative, four qualitative and two mixed methods. The studies were from Sweden, United Kingdom, Canada and United States. The studies&amp;rsquo; design and quality varied, and PIR s&amp;rsquo; were conducted differently. Five studies explored PIR s&amp;rsquo; as a separate intervention after restraint use, in the other studies, PIR s&amp;rsquo; were described as one of several components in restraint reduction programs. Outcomes seemed promising, but no significant outcome were related to using PIR alone. Patients and care providers reported PIR to: 1) be an opportunity to review restraint events, they would not have had otherwise, and 2) promote patients&amp;rsquo; personal recovery processes, and 3) stimulate professional reflection on organizational development and care.&lt;/p&gt;&lt;h3 id=&quot;__sec4title&quot;&gt;Conclusion&lt;/h3&gt;&lt;p id=&quot;Par4&quot;&gt;Scientific literature directly addressing PIR s&amp;rsquo; after restraint use is lacking. However, results indicate that PIR may contribute to more professional and ethical practice regarding restraint promotion and the way restraint is executed. The practice of PIR varied, so a specific manual cannot be recommended. More research on PIR use and consequences is needed, especially PIR&amp;rsquo;s potential to contribute to restraint prevention in mental healthcare.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">235</style></issue><label><style face="normal" font="default" size="100%">Tvangsmidler</style></label></record></records></xml>