Implementation of the guidelines on the prevention of violence and coercion: pre-post analysis of the randomized controlled PreVCo study

被引：0

作者：

Hirsch, Sophie ^{[1
,2
,7
]}

Baumgardt, Johanna ^{[3
,4
]}

Bechdolf, Andreas ^{[3
]}

Buehling-Schindowski, Felix ^{[3
]}

Cole, Celline ^{[5
]}

Flammer, Erich ^{[1
,2
]}

Jaeger, Susanne ^{[1
,2
]}

Junghanss, Julia ^{[5
]}

Kampmann, Marie ^{[1
,2
]}

Sauter, Dorothea ^{[1
,2
]}

Muche, Rainer ^{[6
]}

Vandamme, Angelika ^{[5
]}

Steinert, Tilman ^{[1
,2
]}

Mahler, Lieselotte ^{[8
]}

机构：

[1] ZfP Sudwurttemberg, Versorgungsforschung Weissenau, Weingartshofer Str 2, D-88214 Ravensburg, Germany

[2] Univ Ulm, Klin Psychiat & Psychotherapie, Ulm, Germany

[3] Vivantes Klinikum Urban, Klin Psychiat Psychotherapie & Psychosomatik, Berlin, Germany

[4] Wissenschaftl Inst AOK, Betriebl Gesundheitsforderung Heilmittel, Berlin, Germany

[5] Charite Univ Med Berlin, Arbeitsgruppe Sozialpsychiatrie, Berlin, Germany

[6] Univ Ulm, Inst Epidemiol & Med Biometrie, Ulm, Germany

[7] ZfP Sudwurttemberg, Biberach, Germany

[8] Klin Theodor Wenzel Werk, Psychiat & Psychotherapie, Berlin, Germany

来源：

PSYCHIATRISCHE PRAXIS | 2025年 / 52卷 / 03期

关键词：

Coercion; Violence; Implementation; REDUCING SECLUSION; RESTRAINT; CARE; STATE; MODEL;

D O I：

10.1055/a-2440-8795

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Aim of the study This study examines the extent to which a structured implementation of guidelines for the prevention of coercion leads to an improvement in guideline-compliant work and the reduction of coercion in routine clinical practice. Methods This is a secondary analysis of the shift of outcomes in the PreVCo study, which was conducted on 55 psychiatric wards throughout Germany. Results The number of coercive measures decreased significantly during the observation period. The degree of implementation of the guidelines increased significantly. This was achieved without an increase in aggressive assaults. Conclusion The structured implementation of guideline-compliant work is possible in routine operations on psychiatric wards.

引用

页码：141 / 149

页数：9

共 24 条

[1] Long Term Evaluation of the Implementation of the Safewards Model - Results of a Follow-Up-Study Among Patients and Staff in Acute Psychiatric Wards [J].

Al-Wandi, Mohammed S., I ;

Baumgardt, Johanna ;

Jaeckel, Dorothea ;

Helber-Boehlen, Heike ;

Voigt, Andre ;

Mc Cutcheon, Ann-Kathrin ;

Schoeppe, Enrico ;

Lecca, Edwin Emilio Velasquez ;

Loehr, Michael ;

Schulz, Michael ;

Weinmann, Stefan ;

Bechdolf, Andreas .

PSYCHIATRISCHE PRAXIS, 2023, 50 (02) :98-102

[2]

AWMF, AUFTRAG AWMF BEZUG L

[3] Preventing and Reducing Coercive Measures-An Evaluation of the Implementation of the Safewards Model in Two Locked Wards in Germany (vol 10, 340, 2019) [J].

Baumgardt, Johanna ;

Jaeckel, Dorothea ;

Helber-Boehlen, Heike ;

Stiehm, Nicole ;

Morgenstern, Karin ;

Voigt, Andre ;

Schoeppe, Enrico ;

Mc Cutcheon, Ann-Kathrin ;

Lecca, Edwin Emilio Velasquez ;

Loehr, Michael ;

Schulz, Michael ;

Bechdolf, Andreas ;

Weinmann, Stefan .

FRONTIERS IN PSYCHIATRY, 2020, 11

[4]

Bechdolf A, 2022, NERVENARZT, V93, P450, DOI 10.1007/s00115-021-01242-6

[5] The Engagement Model for Reducing Seclusion and Restraint 13 Years Later [J].

Blair, Martha ;

Moulton-Adelman, Fletcher .

JOURNAL OF PSYCHOSOCIAL NURSING AND MENTAL HEALTH SERVICES, 2015, 53 (03) :39-47

[6]

Borckardt JJ, 2011, PSYCHIAT SERV, V62, P477, DOI 10.1176/ps.62.5.pss6205_0477

[7] Reducing conflict and containment rates on acute psychiatric wards: The Safewards cluster randomised controlled trial [J].

Bowers, Len ;

James, Karen ;

Quirk, Alan ;

Simpson, Alan ;

Stewart, Duncan ;

Hodsoll, John .

INTERNATIONAL JOURNAL OF NURSING STUDIES, 2015, 52 (09) :1412-1422

[8] Effects of the Psychiatric Care Concept "Weddinger Modell" on Mechanical Coercive Measures [J].

Czernin, Klara ;

Bermpohl, Felix ;

Heinz, Andreas ;

Wullschleger, Alexandre ;

Mahler, Lieselotte .

PSYCHIATRISCHE PRAXIS, 2020, 47 (05) :242-248

[9]

DGPPN, 2018, S3 LEITLINIE VERHIND

[10] Impact of COVID-19 pandemic on involuntary and urgent inpatient admissions for psychiatric disorders in a German-wide hospital network [J].

Fasshauer, Jonathan Mathias ;

Bollmann, Andreas ;

Hohenstein, Sven ;

Mouratis, Konstantinos ;

Hindricks, Gerhard ;

Meier-Hellmann, Andreas ;

Kuhlen, Ralf ;

Broocks, Andreas ;

Schomerus, Georg ;

Stengler, Katarina .

JOURNAL OF PSYCHIATRIC RESEARCH, 2021, 142 :140-143

← 1 2 3 →