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

Bowers, Len, James, Karen, Quirk, Alan, Simpson, Alan, Stewart, Duncan and Hodsoll, John (2015) Reducing conflict and containment rates on acute psychiatric wards: The Safewards cluster randomised controlled trial. International Journal of Nursing Studies, 52(9), pp. 1412-1422. ISSN (print) 0020-7489

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Abstract

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

Item Type: Article
Additional Information: This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research programme (RP-PG-0707-10081).
Uncontrolled Keywords: Violence
Research Area: Health services research
Nursing and midwifery
Faculty, School or Research Centre: Faculty of Health, Social Care and Education
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Depositing User: Karen James
Date Deposited: 08 Jun 2016 07:32
Last Modified: 08 Jun 2016 09:04
URI: http://eprints.kingston.ac.uk/id/eprint/35259

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