Week 3 Discussion 1 Leadership Discussion on Quality and Safety

docx

School

Harvard University *

*We aren’t endorsed by this school

Course

NU650

Subject

Nursing

Date

Nov 24, 2024

Type

docx

Pages

Uploaded by HighnessParrot132

1 Leadership Discussion on Quality and Safety The safety concern in mental health is the use of restraint in patients who threaten themselves and others. Physical restraint is the use of force to refrain a patient from causing harm to themselves and others. The approach entails the use of devices to limit physical movement. Using physical restraint depends on the clinicians’ perceived moral duty and personal view (Ye et al., 2019). Using restraint is an alternative where other strategies, such as crisis management and de-escalation methods, decrease the risks associated with acute mental disorders. The practice is common in mental health institutions across the globe, and its implementation ranges between 38% and 51.3% (Ye et al., 2019). From a professional perspective, using restraint causes ethical dilemmas because it is associated with unexpected effects on nurses and patients. Physical restraint attracts ethical controversies because clinicians can use it as a punishment (Ye et al., 2019). As a professional, it is important to supervise the application of physical restraint by subordinates to ensure ethical practice. However, the strategy is justifiable during emergencies and should only be applied briefly. The principle is recommended to prevent restraint misuse to cause undue patient suffering (Ye et al., 2019). As a nurse leader, the problem of using restraint in patients with mental disorders displaying aggressive behavior could be addressed by respecting ethical principles applicable to delivering safe and quality patient care. The choice of restraint must uphold the principle of autonomy to allow patients to participate in decision-making. The clinicians should obtain informed consent from patients before implementing restraint because of failure to make the intervention illegal (Ye et al., 2019). From this perspective, there is a need to adopt interventions that eliminate restraints encompassing chemical and physical methods. These techniques cause

2 adverse impacts like increased irritability and bruises (Raveesh et al., 2019). Some patients develop complications such as respiratory problems, decubitus ulcers, constipation, and urinary incontinence (Raveesh et al., 2019). As a leader in mental healthcare, there are various options to address the problem emerging from using restraints on patients. They include implementing Ohio’s guidelines advocating individualized care using restraint. The care constitutes regular feeding, simple daily activities, and pain management to minimize the need to use restraint (Abraham et al., 2020). Examples of effective alternatives employed in mental health care settings include staff training, restraint fading, changing the antecedent circumstances, and behavioral treatment (Raveesh et al., 2019). As a leader, it is paramount to develop a training program targeting clinicians working with patients with mental disorders (Raveesh et al., 2019). The training is essential because it empowers staff with the knowledge and skills needed to exclude restraint in patients affected by aggression and implement the appropriate interventions. For example, the training will equip the clinicians with behavioral competencies to identify triggers for aggression or violent behavior among patients. Understanding the triggers allows clinicians to develop an effective behavioral management plan. The plan should be individualized to meet the mental healthcare needs of each patient (Abraham et al., 2020). The problem of restraint in mental health is an ethical issue because it involves force to prevent injury perpetrated by persons with aggressive conduct. Although the medical practice has guidelines directing the application of restraint, there is a need for employee empowerment. The medical facility should implement a training program to empower clinicians with the knowledge needed to avoid excess use of restraint in managing aggressive behavior in patients

3 with mental disorders. The training will teach the clinicians about other options that minimize patient threats and enhance safe healthcare delivery. Hence, there will be few patient rights breaches because restraint violates autonomy and cases involving the practice. References Abraham, J., Hirt, J., Kamm, F., & Möhler, R. (2020). Interventions to reduce physical restraints in general hospital settings: A scoping review of components and characteristics. Journal of Clinical Nursing , 29 (17-18), 3183-3200. https://doi.org/10.1111/jocn.15381 Raveesh, B. N., Gowda, G. S., & Gowda, M. (2019). Alternatives to use of restraint: A path toward humanistic care. Indian Journal of Psychiatry , 61 (4), 693-697. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_104_19 Ye, J., Wang, C., Xiao, A., Xia, Z., Yu, L., Lin, J., Liao, Y., & Zhang, Y. (2019). Physical restraint in mental health nursing: A concept analysis. International Journal of Nursing Sciences , 6 (3), 343-348. https://doi.org/10.1016/j.ijnss.2019.04.002

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

Related Documents

Assessment 3 Script Managing Healthcare through Policies from the lens of National Alliance to End H

Chief complain1.docx

Order ID 400002599 Nursing.pptx

Vania NSG5002 WK 4 DISCUSSION.docx

Lower+Body+Bones+Worksheet.pdf

20231123181830_655f9776716f4_4n051_ssgt_waps___full_skt_exam_questions_and_answers_latest_update_202

High Risk for Infection related to Inadequate Primary Defenses Secondary to post.docx

x.docx

Preventing Disease and Promoting Health and Wellness.docx

Screenshot 2023-07-23 at 8.41.28 PM.png

The Doctorally Prepared Nurse Scholarship.docx

Order ^N958145 Final.docx

Recommended textbooks for you

Comprehensive Medical Terminology

Nursing

ISBN:9781133478850

Author:Jones

Publisher:Cengage

Issues and Ethics in the Helping Professions (Min...

Nursing

ISBN:9781337406291

Author:Gerald Corey, Marianne Schneider Corey, Cindy Corey

Publisher:Cengage Learning

Health Safety And Nutrition F/Young Child

Health & Nutrition

ISBN:9781305144767

Author:MAROTZ

Publisher:Cengage

Lifetime Physical Fitness & Wellness

Health & Nutrition

ISBN:9781337677509

Author:HOEGER

Publisher:Cengage

Comprehensive Medical Assisting: Administrative a...

Nursing

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Cengage Learning

Introduction Human Services

Health & Nutrition

ISBN:9781337677264

Author:Woodside

Publisher:Cengage

SEE MORE TEXTBOOKS

Recommended textbooks for you

Comprehensive Medical Terminology
Nursing
ISBN:9781133478850
Author:Jones
Publisher:Cengage
Issues and Ethics in the Helping Professions (Min...
Nursing
ISBN:9781337406291
Author:Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:Cengage Learning
Health Safety And Nutrition F/Young Child
Health & Nutrition
ISBN:9781305144767
Author:MAROTZ
Publisher:Cengage
Lifetime Physical Fitness & Wellness
Health & Nutrition
ISBN:9781337677509
Author:HOEGER
Publisher:Cengage
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning
Introduction Human Services
Health & Nutrition
ISBN:9781337677264
Author:Woodside
Publisher:Cengage