Reduction of adverse events in a psychiatric inpatient eating disorder unit during the COVID-19 pandemic

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TOPIC: Globally, the COVID-19 pandemic had impacted the health care delivery including inpatient psychiatric facilities. Within psychiatric settings, life of inpatients was profoundly altered.

PURPOSE: This paper aimed to understand if pandemic-related changes within an inpatient Eating Disorder Unit in a specialized psychiatric hospital in Ontario, Canada impacted incidence of aggression and use of coercive methods among adolescents.

SOURCE USED: An exploratory study design was used to examine incidence of aggression, self-harm, code whites, staff assist, restraints and seclusion, and nasogastric feeding (NGF) among adolescents with eating disorders before and after the modified service delivery within the inpatient unit. Descriptive analyses were conducted.

RESULTS: Analyses revealed a complete reduction in episodes of self-harm, aggression, staff assists, use of restraint and seclusion as well as an 80.14% reduction on average use of NGF.

CONCLUSION: Authors speculate that the change in environment and program delivery method, peer influence, and shift in power relations between patient and staff may have resulted in improved experiences. This report provides insights to adopt a recovery-oriented service delivery for adolescents with eating disorders in inpatient settings.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:36

Enthalten in:

Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc - 36(2023), 4 vom: 12. Nov., Seite 293-298

Sprache:

Englisch

Beteiligte Personen:

Arbour, Simone [VerfasserIn]
Paul, Sayani [VerfasserIn]
Rice, Mark [VerfasserIn]

Links:

Volltext

Themen:

Aggressive behaviors
Eating disorder
Journal Article
Restraint and seclusion

Anmerkungen:

Date Revised 24.10.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.1111/jcap.12430

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358516242