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Open Access Incidents in a Psychiatric Forensic Setting: Association with Patient and Staff Characteristics Les incidents dans un contexte de psychiatrie légale: association des caractéristiques des patients et du personnel

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Abstract:

Patient-related incidents are of particular concern for those working with forensic psychiatric populations. Evidence suggests that personality, stress, and burnout of nursing staff are predictive of incidents. However, the exact relationship of these factors with staff-patient interactions and the incidents that occur within these interactions have not been thoroughly explored. The authors collected data on the nature of incidents on a forensic unit within a psychiatric hospital over a 1-year period, as well as data on the characteristics of 13 staff members. They found that 10% of patients were responsible for 58% of the incidents. Patients with a diagnosis of schizophrenia were disproportionately involved in incidents. The frequency of non-violent incidents varied among nursing teams to an extent greater than that expected by chance. A relationship between incidents and some staff characteristics was also found. These results highlight the need for further research into the incidents that occur in situations where patient attributes, nurse attributes, and environmental factors produce complex interactions.

French
Les incidents liés aux patients sont d'un intérêt particulier pour les personnes qui travaillent avec les populations recevant des services de psychiatrie légale. Les témoignages suggèrent que la personnalité, le stress et l'épuisement professionnel du personnel infirmier permettent de prédire certains incidents. Cependant, la relation existant entre ces facteurs et les interactions personnel-patient et les incidents qui se produisent dans ces interactions n'a pas fait l'objet d'une étude approfondie. Les auteurs ont recueilli des données sur la nature des incidents survenus dans un service de médecine légale d'un hôpital psychiatrique pendant un an, ainsi que des données sur les caractéristiques des 13 membres du personnel. Ils ont trouvé que 10 % des patients étaient responsables de 58 % des incidents. Les patients souffrant de schizophrénie étaient ceux qui étaient les plus impliqués dans les incidents. La fréquence d'incidents non violents variait d'une équipe de soins infirmiers à l'autre d'une façon plus importante que ne peut l'expliquer le hasard. Il a également été constaté qu'il existait une relation entre les incidents et certaines caractéristiques du personnel. Ces résultats mettent en lumière la nécessité de faire de plus amples recherches sur les incidents qui se produisent dans les situations où les attributs des patients, ceux du personnel soignant et les facteurs environnementaux produisent des interactions complexes.

Keywords: FORENSIC; HOSPITAL NURSING STAFF; INSTITUTIONALIZED PERSONS; MENTAL INSTITUTIONS; PATIENT INCIDENTS; PSYCHIATRIC

Document Type: Research Article

Publication date: September 1, 2006

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