<?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%">Hammervold, U.E.</style></author><author><style face="normal" font="default" size="100%">Norvoll, R</style></author><author><style face="normal" font="default" size="100%">Vevatne, K.</style></author><author><style face="normal" font="default" size="100%">Saagvaag, H.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Post-incident reviews-a gift to the Ward or just another procedure? Care providers' experiences and considerations regarding post-incident reviews after restraint in mental health services. A qualitative study</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%">Ettersamtaler</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsbehandling</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsmidler</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2020</style></year><pub-dates><date><style  face="normal" font="default" size="100%">06/2020</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05370-8</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">20</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Public guidelines in many western countries recommend post-incident reviews (PIRs) with patients after restraint use in mental health care. PIRs are one of several elements of seclusion and restraint reduction in internationally used programmes. PIRs may improve restraint prevention, patients&amp;#39; recovery processes and care providers&amp;#39; ethical mindfulness. The knowledge base on PIRs is, however, vague. This qualitative study explores professional care providers&amp;#39; experiences and considerations regarding PIRs that included patients after restraint use in a Norwegian context.&lt;/p&gt;&lt;h4&gt;METHODS:&lt;/h4&gt;&lt;p&gt;Within a phenomenological hermeneutical framework, 19 multidisciplinary care providers were interviewed about their experiences and views regarding PIRs that included patients after restraint events. The interviews were performed over the period 2015-2016. Data analysis followed a data-driven stepwise approach in line with thematic content analysis. A group of two patient consultants in mental health services, and one patient&amp;#39;s next of kin, contributed with input regarding the interview guide and analysis process.&lt;/p&gt;&lt;h4&gt;RESULTS:&lt;/h4&gt;&lt;p&gt;Care providers experienced PIRs as having the potential to improve the quality of care through a) knowledge of other perspectives and solutions; b) increased ethical and professional awareness; and c) emotional and relational processing. However, the care providers considered that PIRs&amp;#39; potential could be further exploited as they struggled to get hold on the patients&amp;#39; voices in the encounter. The care providers considered that issue to be attributable to the patients&amp;#39; conditions, the care providers&amp;#39; safety and skills and the characteristics of institutional and cultural conditions.&lt;/p&gt;&lt;h4&gt;CONCLUSION:&lt;/h4&gt;&lt;p&gt;Human care philosophies and a framework of care ethics seem to be preconditions for promoting patients&amp;#39; active participation in PIRs after restraints. Patients&amp;#39; voices strengthen PIRs&amp;#39; potential to improve care and may also contribute to restraint prevention. To minimise the power imbalance in PIRs, patients&amp;#39; vulnerability, dependency and perceived dignity must be recognised. Patients&amp;#39; individual needs and preferences should be assessed and mapped when planning PIRs, particularly regarding location, time and preferred participants. Care providers must receive training to strengthen their confidence in conducting PIRs in the best possible way. Patients&amp;#39; experiences with PIRs should be explored, especially if participation by trusted family members, peers or advocates may support the patients in PIRs.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">499</style></issue><label><style face="normal" font="default" size="100%">Tvangsbehandling, Tvangsinnleggelse, Tvangsmidler</style></label></record></records></xml>