Staff burnout and staff turnover on inpatient wards

2019 ◽  
pp. 277-284
Author(s):  
Helen Robson ◽  
Caroline Attard
Keyword(s):  
Mental Health ◽  
Occupational Stress ◽  
Situational Factors ◽  
Standards Of Care ◽  
Staff Retention ◽  
Organizational Responses ◽  
Mental Health Nurses ◽  
Staff Burnout ◽  
Inpatient Mental Health ◽  
High Standards

This chapter examines a range of personal, organizational, and contextual causes of occupational stress affecting inpatient mental health nurses, and offers a range of potential interventions which may help to reduce stress and burnout, and improve staff retention. It examines the consequences of burnout, its effects on patient care, and the situational factors which contribute to stress. It goes on to explore supportive factors which reduce burnout in nurses and to outline interventions and potential organizational responses which could improve the resilience of the workforce and support retention of staff and high standards of care.

The physical health of residents of long-stay wards in Carlow/Kilkenny

2011 ◽  
Vol 28 (4) ◽  
pp. 209-212
Author(s):  
Itoro Udo ◽  
Mary Mooney
Keyword(s):  
Mental Health ◽  
Physical Examination ◽  
Physical Health ◽  
Specific Antigen ◽  
Standards Of Care ◽  
Policy Document ◽  
Standard Of Practice ◽  
Quality Framework ◽  
High Standards

AbstractObjectives: This audit is supported by regulations within the Mental Health Act 2001. It is in response to the Mental Health Commission Strategic Priority Number One, Quality Framework, 2002-2008 which aims to promote high standards of physical examination in the care of long-stay residents of psychiatric facilities. It is based on improved awareness of adverse effects of mental illness or its treatment on physical health. This awareness informs better practice.Method: Physical examination proforma and case notes of all long-stay residents in wards in Carlow and Kilkenny were assessed over a six month period to examine the quality of physical examination. Following departmental meetings and literature review, standards of care as recommended by the Royal College of Psychiatrists in Occasional Paper 67 and Irish statutory documents were agreed to be the appropriate benchmark.Results: Areas of strength were the examination of ‘routine’ systems (> 92%), ie. cardiovascular, respiratory, alimentary, central nervous, genitourinary and the frequency of clinical review by treating psychiatric team. Areas needing improvement were eye (8%) and ear (3%) examinations, measurements of weight (58%), height (1.6%), body mass index (1.6%), waist circumference (0%), investigating for prostatic specific antigen (50%), discussion of results of physical examination and investigations with the residents (both 0%) and referral to BreastCheck (36%).Conclusion: A new physical examination form has been created for long-stay residents to correct these deficiencies and a new departmental policy document setting out a standard of practice consistent with recommended practice and general statutory requirements has been put into place.

scholarly journals Recognition and management of agitation in acute mental health services: a qualitative evaluation of staff perceptions

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Joshua Tucker ◽  
Lisa Whitehead ◽  
Peter Palamara ◽  
Josephine Xenia Rosman ◽  
Karla Seaman
Keyword(s):  
Mental Health ◽  
Focus Group ◽  
Best Practice ◽  
Qualitative Methodology ◽  
Qualitative Evaluation ◽  
Mental Health Nurses ◽  
Inpatient Mental Health ◽  
First Choice ◽  
Group Interviews ◽  
Care Nursing

Abstract Background Agitation among patients is a common and distressing behaviour across a variety of health care settings, particularly inpatient mental health. Unless recognised early and effectively managed it can lead to aggression and personal injury. The aim of this paper is to explore the experiences of mental health nurses in recognising and managing agitation in an inpatient mental health setting and the alignment of these experiences with best practice and person-centred care. Methods This study used a descriptive qualitative methodology. Semi-structured focus group interviews were conducted with 20 nurses working in a mental health unit in 2018. Nursing staff described their experiences of assessing and managing agitation. Descriptive and Thematic Analysis were undertaken of the transcribed focus group dialogue. Results Nurses combined their clinical knowledge, assessment protocols and training with information from patients to make an individualised assessment of agitation. Nurses also adopted an individualised approach to management by engaging patients in decisions about their care. In keeping with best practice recommendations, de-escalation strategies were the first choice option for management, though nurses also described using both coercive restraint and medication under certain circumstances. From the perspective of patient-centred care, the care provided aligned with elements of person-centred care nursing care. Conclusion The findings suggest that clinical mental health nurses assess and manage agitation, with certain exceptions, in line with best practice and a person-centred care nursing framework.

Accreditation of inpatient mental health services

2019 ◽  
pp. 237-242
Author(s):  
Rob Chaplin
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Standards Of Care ◽  
Inpatient Ward ◽  
Inpatient Mental Health ◽  
Accreditation Programme ◽  
Local Use ◽  
Inpatient Units

This chapter outlines how a programme of accreditation can help improve the standards of care on inpatient units by describing the Accreditation for Inpatient Mental Health Services (AIMS). The development of and need for accreditation are outlined with evidence of how accreditation adds value to the process of audit. There is a discussion of how data obtained from national audits of inpatient care and accreditation have been used to describe the quality of inpatient mental health services. There follows a report of the local use of the accreditation programme for an acute mental health inpatient ward for men in Oxford. Finally, some key standards are provided in order to describe what a high-quality inpatient unit may look like.

scholarly journals Recognition and management of agitation in acute mental health services: A qualitative evaluation of staff perceptions

2020 ◽  
Author(s):  
Joshua Tucker ◽  
Lisa Whitehead ◽  
Peter Palamara ◽  
Josephine Rosman ◽  
Karla Seaman
Keyword(s):  
Mental Health ◽  
Focus Group ◽  
Best Practice ◽  
Qualitative Methodology ◽  
Qualitative Evaluation ◽  
Mental Health Nurses ◽  
Inpatient Mental Health ◽  
First Choice ◽  
Group Interviews ◽  
Care Nursing

Abstract Background: Agitation among patients is a common and distressing behaviour across a variety of health care settings, particularly inpatient mental health. Unless recognised early and effectively managed it can lead to aggression and personal injury. The aim of this paper is to explore the experiences of mental health nurses in recognising and managing agitation in an inpatient mental health setting and the alignment of these experiences with best practice and person-centred care. Methods: This study used a descriptive qualitative methodology. Semi-structured focus group interviews were conducted with twenty nurses working in a mental health unit in 2018. Nursing staff described their experiences of assessing and managing agitation. Descriptive and Thematic Analysis were undertaken of the transcribed focus group dialogue. Results: Nurses combined their clinical knowledge, assessment protocols and training with information from patients to make an individualised assessment of agitation. Nurses also adopted an individualised approach to management by engaging patients in decisions about their care. In keeping with best practice recommendations, de-escalation strategies were the first choice option for management, though nurses also described using both coercive restraint and medication under certain circumstances. From the perspective of patient-centred care, the care provided aligned with elements of person-centred care nursing care. Conclusion: The findings suggest that clinical mental health nurses assess and manage agitation, with certain exceptions, in line with best practice and a person-centred care nursing framework. Keywords: Agitation; assessment; management; mental health; nurses, person-centred care; qualitative research

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