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This observational study assesses whether the use of the QPGE has an impact on the rates of isolation and mechanical restraint in adult psychiatric admission units. It is supplemented by a qualitative survey that will collect the experience of caregivers using the QPGE.
The use of isolation and mechanical restraint in psychiatry has deleterious consequences for the patient. Caregivers also testify to their dissatisfaction with using these methods. The Coping Agreement Questionnaire (CAQ) is a form presented to the patient admitted to a psychiatric unit in the United States that has shown a significant effect on the reduction of coercive measures. It has been translated into French under the name Questionnaire Préventif de la Gestion des Emotions (QPGE). In France, the Haute Autorité de Santé has been recommending this type of tool since 2016 in the form of shared prevention plans to better prevent moments of violence.
The main objective is to assess whether the use of a shared prevention plan based on the Preventive Emotions Management Questionnaire (QPGE) can reduce the rates of isolation measures and mechanical restraint in hospitalized people. in a sectoral admission unit receiving patients in care without consent.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Epidemiology | The study will compare the rates of isolation and restraint of the two sectoral admission units welcoming people in care without consent for a period of one year. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Questionnaire | Other | The study will compare the rates of isolation and restraint of the two sectoral admission units welcoming people in care without consent for a period of one year. The impact of the QPGE on the satisfaction scores will be systematically evaluated by a self-questionnaire for patients at the end of hospitalization. The QPGE is administered by a nurse during the reception interview of the patient in the unit. |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of isolation measures.(%) | Isolation and/or restraint notified in the registers dedicated to the monitoring of measures restricting liberty in the admission units during the study period | up to 1 year |
| Rate of restraint measures.(%) | Isolation and/or restraint notified in the registers dedicated to the monitoring of measures restricting liberty in the admission units during the study period | up to 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of isolation measures not associated with an episode of mechanical restraint (%) | up to 1 year | |
| Duration of isolation measures not associated with an episode of mechanical restraint. (hours) | up to 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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People with psychiatric disorders and hospitalized in a sectoral admission unit receiving patients in care without consent
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| Name | Affiliation | Role |
|---|---|---|
| Vincent BILLE | Advanced Practice Nurse | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier Charles Perrens | Bordeaux | Gironde | 33000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23438697 | Result | Beghi M, Peroni F, Gabola P, Rossetti A, Cornaggia CM. Prevalence and risk factors for the use of restraint in psychiatry: a systematic review. Riv Psichiatr. 2013 Jan-Feb;48(1):10-22. doi: 10.1708/1228.13611. | |
| 26809740 | Result | Riahi S, Thomson G, Duxbury J. An integrative review exploring decision-making factors influencing mental health nurses in the use of restraint. J Psychiatr Ment Health Nurs. 2016 Mar;23(2):116-28. doi: 10.1111/jpm.12285. Epub 2016 Jan 26. |
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|
| Rate of mechanical restraint measures (%) | up to 1 year |
| Duration of mechanical restraint measures (hours) | up to 1 year |
| User satisfaction score at the end of hospitalization | up to 1 year |
| 17333953 | Result | Bowers L, Allan T, Simpson A, Nijman H, Warren J. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study. Int J Soc Psychiatry. 2007 Jan;53(1):75-84. doi: 10.1177/0020764007075011. |
| 24460906 | Result | Bowers L, Alexander J, Bilgin H, Botha M, Dack C, James K, Jarrett M, Jeffery D, Nijman H, Owiti JA, Papadopoulos C, Ross J, Wright S, Stewart D. Safewards: the empirical basis of the model and a critical appraisal. J Psychiatr Ment Health Nurs. 2014 May;21(4):354-64. doi: 10.1111/jpm.12085. Epub 2014 Jan 24. |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D011795 | Surveys and Questionnaires |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
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