Deeskaleringsprocesser. En gennemgang af litteraturen om deeskalering af vold og trusler på psykiatriske afdelinger
Engelsk titel: De-escalation processes. A review of the literature on de-escalation of violence and threats in mental health hospitals
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Författare:
Berring, Lene Lauge
;
Buus, Niels
Email: lelb@regionsjaelland.dk
Språk: Dan
Antal referenser: 51
Dokumenttyp:
Översikt
UI-nummer: 18040197
Sammanfattning
Managing aggression in mental health hospitals is an important and challenging task for
clinical nursing staff. Insufficient knowledge and skills about interacting with patients in a
non-confrontational manner can initiate a vicious cycle, where restrictive interventions, such
as limit setting, provoke further violence. De-escalation is recommended as an intervention
that can avoid violence through psychosocial and verbal interventions. However, there is limited
knowledge about what de-escalation and de-escalation processes are.
An integrative review using Whittemore and Knafl’s framework was undertaken to explore
how the research literature defined and described de-escalation processes. De-escalation was
described as experience based knowledge that could be organised under four themes: 1) Definitions
and understanding, 2) Actions and strategies, 3) Competences and skills, and 4) Education
and learning. These themes highlighted an emerging common understanding of deescalation
as a graduated solution of potential violence where staff members express empathy
and solidarity with the patient. However, knowledge about how staff members learn de-escalation
remains limited and more research is needed in order to develop efficient learning programs.