<?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%">Diane E. Allen</style></author><author><style face="normal" font="default" size="100%">Susan J. Fetzer</style></author><author><style face="normal" font="default" size="100%">Kathleen S. Cummings</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Decreasing Duration of Mechanical Restraint Episodes by Increasing Registered Nurse Assessment and Surveillance in an Acute Psychiatric Hospital</style></title><secondary-title><style face="normal" font="default" size="100%">Journal of the American Psychiatric Nurses Association</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">aggression</style></keyword><keyword><style  face="normal" font="default" size="100%">emergency psychiatric nursing</style></keyword><keyword><style  face="normal" font="default" size="100%">engagement</style></keyword><keyword><style  face="normal" font="default" size="100%">seclusion and restraint</style></keyword><keyword><style  face="normal" font="default" size="100%">standards of practice</style></keyword><keyword><style  face="normal" font="default" size="100%">violence</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2020</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://journals.sagepub.com/doi/10.1177/1078390319878776</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">26</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;INTRODUCTION:&amp;nbsp;The application of mechanical restraints is a high-risk emergency measure that requires psychiatric intensive care to assure patient safety and expedite release at the earliest opportunity. While current Centers for Medicare &amp;amp; Medicaid Services regulations require trained staff to continuously observe restrained individuals, assessment by a registered nurse is required only once an hour. The experience of an acute psychiatric hospital demonstrates that more frequent registered nurse assessments can decrease duration of mechanical restraint episodes.&amp;nbsp;AIMS:&amp;nbsp;The aim of this three-part quality improvement project was to decrease duration of mechanical restraint episodes by increasing the frequency of registered nurse assessment and surveillance.&amp;nbsp;METHODS:&amp;nbsp;First, the requirement for frequency of face-to-face registered nurse assessment during episodes of mechanical restraint was increased from once every hour to once every 30 minutes. Second, the frequency of assessment was increased on half the hospital&amp;rsquo;s units, from every 30 minutes to continuous registered nurse presence during restraint. Finally, the remaining units adopted 1:1 registered nurses during restraint. Mean hours of restraint per episode were measured and compared before and after each practice change.&amp;nbsp;RESULTS:&amp;nbsp;Mean duration of restraint episodes decreased 23% in the first change cycle, 12% in the second, and 44% in the third. Overall, there was a statistically significant 30% decrease in mean duration of restraint episodes.&amp;nbsp;CONCLUSIONS:&amp;nbsp;Increased frequency of registered nurse assessment and surveillance can significantly decrease duration of mechanical restraint episodes. Nurses are encouraged to adopt mechanical restraint practice standards that provide continuous psychiatric intensive care by a registered nurse.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">3</style></issue><section><style face="normal" font="default" size="100%">245-249</style></section></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%">Peter de Loof</style></author><author><style face="normal" font="default" size="100%">Henk Nijman</style></author><author><style face="normal" font="default" size="100%">Robert Didden</style></author><author><style face="normal" font="default" size="100%">Petri Embregts</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Burnout symptoms in forensic psychiatric nurses and their associations with personality, emotional intelligence and client aggression: A cross-sectional study</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%">aggresjon</style></keyword><keyword><style  face="normal" font="default" size="100%">aggression</style></keyword><keyword><style  face="normal" font="default" size="100%">assessment</style></keyword><keyword><style  face="normal" font="default" size="100%">forensic</style></keyword><keyword><style  face="normal" font="default" size="100%">health technology</style></keyword><keyword><style  face="normal" font="default" size="100%">occupational mental health</style></keyword><keyword><style  face="normal" font="default" size="100%">social support</style></keyword><keyword><style  face="normal" font="default" size="100%">sosial støtte</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2018</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://pubmed.ncbi.nlm.nih.gov/30199590/</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;p&gt;Introduction Aggressive behaviour of forensic clients is associated with burnout symptoms in nursing staff. The role of staff characteristics as moderators is unclear. Aim We explored the association between type and severity of aggressive behaviour as experienced by nursing staff and staff&amp;#39;s burnout symptoms. In addition, the moderating roles of personality characteristics and emotional intelligence (EI) were studied. Moreover, the usefulness of ambulatory skin conductance assessments in detecting arousal related to burnout symptoms was studied. Method A total of 114 forensic nursing staff members filled out questionnaires and wore an ambulatory device. Results Experiencing physical aggression was positively associated with staff&amp;#39;s burnout symptoms. Stress management skills, a subscale of EI, but not personality, moderated this relationship. Skin conductance was not associated with burnout symptoms. Remarkably, the association between aggression and burnout symptoms was highest for staff reporting a higher number of stress management skills. Discussion Longitudinal research is necessary to establish causality between client aggression and staff burnout symptoms. In addition, further research is necessary on the validity of the aggression measure used in the current study. Implication for practice Nursing staff who experience physical aggression frequently should receive social support for this, and staff who report high stress management skills should be monitored more carefully after having been confronted with aggression.&lt;/p&gt;</style></abstract><section><style face="normal" font="default" size="100%">506-516</style></section><label><style face="normal" font="default" size="100%">Risikovurdering</style></label></record></records></xml>