Richard H. Young Hospital, Good Samaritan Health Systems, Kearney, NE 68845, USA.
J Am Psychiatr Nurses Assoc. 2012 Mar-Apr;18(2):96-103. doi: 10.1177/1078390312439469.
A multilayered implementation of safety measures in an inpatient psychiatric facility created a sustained change in culture related to patient and staff safety. The model was developed over a 5-year period in a freestanding 80-bed behavioral health facility that is part of a Level II trauma center in the Midwest. The model has nine components that the nursing leadership team saw as integral to maintaining a safe environment. The nine elements include trauma-informed care principles, aggression management, code event review, leadership involvement, quality feedback, recovery orientation, patient assessment, education, and collaboration. The metrics collected to determine the effectiveness of the model included patient violence events and staff injuries. This article describes the development of this model and its impact on the reduction of patient violence events and staff injuries at this facility. The recommendations include considerations for the replication of this model at other facilities.
在一家住院精神病院实施多层次的安全措施，使与患者和员工安全相关的文化发生了持续的变化。该模式是在中西部地区的一个二级创伤中心的一家独立的 80 床位行为健康中心，历时 5 年开发的。该模型有 9 个组成部分，护理领导层认为这些组成部分对于维持安全的环境至关重要。这 9 个要素包括创伤知情护理原则、攻击管理、代码事件审查、领导力参与、质量反馈、康复方向、患者评估、教育和协作。为了确定该模型的有效性而收集的指标包括患者暴力事件和员工伤害。本文介绍了该模型的开发及其对减少该设施中患者暴力事件和员工伤害的影响。建议包括在其他设施复制该模型时需要考虑的因素。
