[Influence of staffing levels on conflicts in inpatient psychiatric care].

[Influence of staffing levels on conflicts in inpatient psychiatric care]. Nervenarzt. 2018 Apr 17;: Authors: Nienaber A, Heinz A, Rapp MA, Bermpohl F, Schulz M, Behrens J, Löhr M Abstract Acute psychiatric wards are an important element in the mental healthcare of people at risk for acute harm to others or self-harm. Unfortunately, aggression, violence (conflict) and the use of coercion (containment) are still part of psychiatric care. The decisive factor for the correct handling of these situations is the quantity as well as the quality of the employees. Therefore, the present study dealt with the care situation on acute psychiatric wards. The hypothesis is that both the number of beds on the acute psychiatric ward and the number of caregivers have an impact on the occurrence of conflict and containment. For this purpose, data were collected in 6 clinics on a total of 12 acute psychiatric wards. The Patient Staff Conflict Checklist - Shift Report (PCC-SR) was used as the data entry tool. A total of 2026 shifts (early, late and night shifts) were recorded and evaluated. The staffing of the wards with nursing personnel varied considerably. The results show that both the size of the ward and also the number of caregivers on acute psychiatric wards have a significant impact on the occurrence of conflicts. The results also show that the incidence of conflicting behavior of patients differs both in terms of the wards of the hospita...
Source: Der Nervenarzt - Category: Neurology Authors: Tags: Nervenarzt Source Type: research