Behavioral Health Issues Within Inpatient Psychiatric Treatment

Kelly et al. (2015) continued with the statement that staff who are insulted tend to be younger, less experienced or educated, provide more direct care and spend more time with patients, receive lower pay, and possess low levels of qualifications (Kelly et al., 2015). The most common injuries on psychiatric units are kicking, hitting, shoving, and beating (Occupational Safety and Health Administration, 2015). The most common health complaints reported by staff that were involved in a physical assault are headaches, muscle soreness, and headaches; other complaints that are more serious include dizziness, shortness of breath, and numbness and tingling of the extremities (Kelly et al., 2015). These aggressive behaviors of patients are preceded by many things. Patients may be upset about being admitted to the unit or feel as if their control has been taken away. Literature suggested that poor medication compliance, positive symptoms (such as command hallucinations), and substance misuse makes act of violence (Graham, 2012). Graham (2012) stated that it should not be assumed that there is a direct relationship between a specific disease (or symptoms) and acts of violence. The reason for patient violence is varying and sometimes unknown. It was reported

The John Hopkins Nursing Evidence-Based Practice Model is a powerful problem-solving approach to clinical decision making and is used in research. The model is designed to meet the needs of the practicing bedside nurses and used a three step process called a PET, facilitating nurses in translating evidence to clinical, administrative and education based on evidence. According to Melnyk and Overholt (2015), there are three steps to the JHNEBP model. The first phrase is practice questions: Identification of an EBP question and defines its scope. The second phrase is evidence of internal and external evidence team determine if its feasibility to implement. The final phase is a translation which includes recommended practice for changes and dissemination of findings.

Behaviors of horizontal violence include name calling, spreading rumors and making threats to someone (Echevarria, 2013). These activities may cause mayhem for the victim of horizontal violence and can drastically reduce patient safety. When a nurse is being bullied through horizontal violence, a patients’ safety is put at a great risk of being affected. Effective communication is necessary for nurses to provide safe and reliable care.

Evidence-based practice is an approach used by health care professionals to continually use current best evidence-based research to make ethical and reliable decisions regarding patient care. “Research to promote evidence-based practice is becoming more and more a part of the regular work of health care leaders” (Grand Canyon University, 2015, p. 1). However, it is important to determine the difference between solid research and flawed research that provides unreliable inferences. Evidence-based research includes focusing on a clinical question; and includes the review and incorporation of several studies to strengthen the results of the new study (Grand Canyon University, 2015). Roddy et al. and Ganz et al. articles will be assessed to determine if the recommended changes were backed by solid research that warrants changes in a hospital.

Slutsky, J. (2005). Using evidence-based guidelines: Tools for improving practice. In B. F.-O. Melnyk, Evidence-based practice in nursing & healthcare. A guide to best practice (pp. 221-236). Philadelphia, PA: Lippincott, Williams & Wilkins.

The purpose of this quasi-experimental pilot project is to determine if providing training for mental health nurses on assessing assault risk in geriatric psychiatric patients will help improve the nurse’s knowledge and assessment of assault risk for this population during their inpatient stay. According to the World Health Organization, “between 8% and 38% of health workers suffer physical violence at some point in their careers”. Violence against health care workers has been extensively studied and research indicates that some areas are more prone to violence towards the staff than other areas of the hospital. The areas that are known for high incidence of assault are emergency rooms and inpatient psychiatric units. It also has the highest

As part of the literature review, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Google Scholar, Cochrane, and EBSCOhost databases were used in the search for sources to be utilized in this DNP project. Evaluative criteria were used to determine quality, suitability, and coverage of selected articles. For instance, the aspect of

The definition of patient abuse is the mistreatment or neglect of individuals who are under the care of a health care organization (Pozgar, 2013). In the United States, the vulnerable populations for this abuse are the elderly and children. Patient abuse is not only in an institutional setting, but also at home. The rise of elderly patients has increased in recent years due to the aging of the baby boomers. Currently, 13% of the population is over the age of 65 (NCEA, 2014). Many cases of elder abuse is caused by their own family (NCEA, 2014), this in turn reflects underreporting and insufficient data. The elderly also experience higher levels of physical and mental disability, which impair their abilities to report (CDC, 2014). Children are at high risk as well due to their vulnerability because of age and mental age (CDC, 2014). Health care workers are required by law to report suspected abuse (Pozgar, 2013). There is a strong ethical duty to acknowledge abuse of any patient. There are also legal ramifications compelling health care workers to be aware of suspected abuse. Each state has enacted laws to report abused patients as well as protect and at times penalize the reporter.

Evidence Based Practice Nursing is the utilization by nurses of Evidence Based Research findings that, according to Houser (2012), steer the nurse toward integration of clinical expert opinion and experience with an unbiased exhaustive review of the best scientific evidence professional nursing care literature can provide while incorporating patient values and preferences. Evidence Based Practice Nursing entails adopting a systematic critical thinking decision making process guided by a deliberate and defined chosen Evidence Based Nursing model path that involves searching,

Horizontal violence is a hidden pattern of individual behavior in controlling other individual that risk health and safety (Hinchberger, 2009). According to Roche, Duffield and Catling-Paull, violence can be describe as emotional abuse, threat, or actual violence in any health care setting. Although the definition varies according to situations and practice settings, there is agreement that workplace violence has a negative impact on the health and wellbeing of nurses and the delivery of quality nursing care (Hinchberger, 2009). Violence mostly occur in any health care setting, However, it mostly occur in emergency department, waiting room, psychiatric ward and geriatric unit on which people involved psychological situations.

Houser, J. (2012). Nursing research: reading, using, and creating evidence. (2nd ed.). Boston: Jones & Bartlett.

In order to perform a critical appraisal of the selected articles, I would utilize the Critical Appraisal Guide, such as the one provided in the article Evidence-based Practice Step by Step: Critical Appraisal of the Evidence: Part 1, (2010). First by looking

Borges, G & Cherpitel, CJ& Medina-Mora, ME& Mondragon, L 2004, “Violence Related Injuries in the Emergency Room: Alcohol, Depression, and Conduct Problems”, Substance Use & Misuse, Vol. 39, No. 6, pp. 911-930.

Evidence-based practice (EBP) in nursing means making decisions about patient care on the basis of best, current, standardized practice and guidelines. According to an article, written by Dr. Kathleen Stevens, the development of evidence-based practice (EBP) is fueled by the increasing public and professional demand for accountability in safety and quality improvement in health care (Stevens, 2013). The author also mentioned in her article that the intended effect of EBP is to standardize healthcare practices to science and best evidence and to reduce illogical variation in care,

Throughout the past ten weeks, I have grown in my understanding of nursing research on all levels. I feel that the most essential knowledge I have gained is the ability to critically review a research article. Because of this class, I have a better grasp on the necessary components to include, as well as how to determine rigor and validity in research. This is a valuable skill which I will utilize throughout my career as a nurse practitioner. I anticipate applying this knowledge as I review articles to determine which intervention is best to incorporate into management plans for my patients. As an example, if I am