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      Women’s experiences of restrictive interventions within inpatient mental health services: A qualitative investigation

      1 , 2 , 3 , 1 , 4
      International Journal of Mental Health Nursing
      Wiley

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          Applying critical realism in qualitative research: methodology meets method

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            Trauma-informed or trauma-denied: Principles and implementation of trauma-informed services for women

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              Reducing conflict and containment rates on acute psychiatric wards: The Safewards cluster randomised controlled trial

              Background Acute psychiatric wards manage patients whose actions may threaten safety (conflict). Staff act to avert or minimise harm (containment). The Safewards model enabled the identification of ten interventions to reduce the frequency of both. Objective To test the efficacy of these interventions. Design A pragmatic cluster randomised controlled trial with psychiatric hospitals and wards as the units of randomisation. The main outcomes were rates of conflict and containment. Participants Staff and patients in 31 randomly chosen wards at 15 randomly chosen hospitals. Results For shifts with conflict or containment incidents, the experimental condition reduced the rate of conflict events by 15% (95% CI 5.6–23.7%) relative to the control intervention. The rate of containment events for the experimental intervention was reduced by 26.4% (95% CI 9.9–34.3%). Conclusions Simple interventions aiming to improve staff relationships with patients can reduce the frequency of conflict and containment. Trial registration IRSCTN38001825.
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                Author and article information

                Contributors
                Journal
                International Journal of Mental Health Nursing
                Int J Mental Health Nurs
                Wiley
                1445-8330
                1447-0349
                April 2022
                December 24 2021
                April 2022
                : 31
                : 2
                : 379-389
                Affiliations
                [1 ]School of Health Sciences University of Manchester Manchester UK
                [2 ]Greater Manchester Mental Health Foundation NHS Trust Manchester UK
                [3 ]Division of Nursing, Midwifery & Social Work University of Manchester Manchester UK
                [4 ]Complex Trauma and Resilience Research Unit Greater Manchester Mental Health Foundation NHS Trust Manchester UK
                Article
                10.1111/inm.12966
                7fa6dda7-d4e0-4847-bbd7-9ffedef80a51
                © 2022

                http://creativecommons.org/licenses/by-nc-nd/4.0/

                http://doi.wiley.com/10.1002/tdm_license_1.1

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