Keeping the Unit Safe: Mapping Psychiatric Nursing Skills

    loading  Checking for direct PDF access through Ovid

Abstract

BACKGROUND

The de-escalation skills of inpatient psychiatric nurses are considered key to violence prevention. Yet their efficacy and translation into practice remains in question.

OBJECTIVE

The aim of this study is to describe the de-escalation skills of psychiatric nurses. In the process, the investigators uncover ways nurses interact with patients to create and maintain a safe environment.

STUDY DESIGN

Grounded theory methods are used to collect and analyze data derived from staff interviews and direct observation of milieu interactions.

RESULTS

Staff behaviors are seen to create a safe milieu and promote a positive unit culture. Skills critical to maintaining a safe environment center on nurses' awareness, attending, caring, and connecting.

CONCLUSIONS

The behaviors identified in this study are at the heart of managing the clinical context of acute psychiatric units. Attention to these behaviors is especially critical in light of the staff expertise needed to keep the unit safe.

Related Topics

    loading  Loading Related Articles