Development of psychiatric risk evaluation checklist and routine for nurses in a general hospital: ethnographic qualitative study
CONTEXT AND OBJECTIVE:There is high prevalence of mental and behavioral disorders in general hospitals, thus triggering psychiatric risk situations. This study aimed to develop a psychiatric risk assessment checklist and routine for nurses, the Psychiatric Risk Evaluation Check-List (PRE-CL), as an...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Associação Paulista de Medicina
|
| Series: | São Paulo Medical Journal |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802015000400350&lng=en&tlng=en |
| _version_ | 1819021386130128896 |
|---|---|
| author | Ana Luiza Lourenço Simões Camargo Alfredo Maluf Neto Fátima Tahira Colman Vanessa de Albuquerque Citero |
| author_facet | Ana Luiza Lourenço Simões Camargo Alfredo Maluf Neto Fátima Tahira Colman Vanessa de Albuquerque Citero |
| author_sort | Ana Luiza Lourenço Simões Camargo |
| collection | DOAJ |
| description | CONTEXT AND OBJECTIVE:There is high prevalence of mental and behavioral disorders in general hospitals, thus triggering psychiatric risk situations. This study aimed to develop a psychiatric risk assessment checklist and routine for nurses, the Psychiatric Risk Evaluation Check-List (PRE-CL), as an alternative model for early identification and management of these situations in general hospitals.DESIGN AND SETTING:Ethnographic qualitative study in a tertiary-level private hospital.METHOD:Three hundred general-unit nurses participated in the study. Reports were gathered through open groups conducted by a trained nurse, at shift changes for two months. The questions used were: "Would you consider it helpful to discuss daily practice situations with a psychiatrist? Which situations?" The data were qualitatively analyzed through an ethnographic approach.RESULTS:The nurses considered it useful to discuss daily practice situations relating to mental and behavioral disorders with a psychiatrist. Their reports were used to develop PRE-CL, within the patient overall risk assessment routine for all inpatients within 24 hours after admission and every 48 hours thereafter. Whenever one item was present, the psychosomatic medicine team was notified. They went to the unit, gathered data from the nurses, patient files and, if necessary, attending doctors, and decided on the risk management: guidance, safety measures or mental health consultation.CONCLUSION:It is possible to develop a model for detecting and intervening in psychiatric and behavioral disorders at general hospitals based on nursing team observations, through a checklist that takes these observations into account and a routine inserted into daily practice. |
| first_indexed | 2024-12-21T04:06:16Z |
| format | Article |
| id | doaj.art-f178d8689d5941ac97ed87c144c0e064 |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-21T04:06:16Z |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-f178d8689d5941ac97ed87c144c0e0642022-12-21T19:16:35ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460133435035710.1590/1516-3180.2013.8100711S1516-31802015000400350Development of psychiatric risk evaluation checklist and routine for nurses in a general hospital: ethnographic qualitative studyAna Luiza Lourenço Simões CamargoAlfredo Maluf NetoFátima Tahira ColmanVanessa de Albuquerque CiteroCONTEXT AND OBJECTIVE:There is high prevalence of mental and behavioral disorders in general hospitals, thus triggering psychiatric risk situations. This study aimed to develop a psychiatric risk assessment checklist and routine for nurses, the Psychiatric Risk Evaluation Check-List (PRE-CL), as an alternative model for early identification and management of these situations in general hospitals.DESIGN AND SETTING:Ethnographic qualitative study in a tertiary-level private hospital.METHOD:Three hundred general-unit nurses participated in the study. Reports were gathered through open groups conducted by a trained nurse, at shift changes for two months. The questions used were: "Would you consider it helpful to discuss daily practice situations with a psychiatrist? Which situations?" The data were qualitatively analyzed through an ethnographic approach.RESULTS:The nurses considered it useful to discuss daily practice situations relating to mental and behavioral disorders with a psychiatrist. Their reports were used to develop PRE-CL, within the patient overall risk assessment routine for all inpatients within 24 hours after admission and every 48 hours thereafter. Whenever one item was present, the psychosomatic medicine team was notified. They went to the unit, gathered data from the nurses, patient files and, if necessary, attending doctors, and decided on the risk management: guidance, safety measures or mental health consultation.CONCLUSION:It is possible to develop a model for detecting and intervening in psychiatric and behavioral disorders at general hospitals based on nursing team observations, through a checklist that takes these observations into account and a routine inserted into daily practice.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802015000400350&lng=en&tlng=enPsychosomatic medicineNursesPsychiatryHospitals, generalRisk assessment |
| spellingShingle | Ana Luiza Lourenço Simões Camargo Alfredo Maluf Neto Fátima Tahira Colman Vanessa de Albuquerque Citero Development of psychiatric risk evaluation checklist and routine for nurses in a general hospital: ethnographic qualitative study São Paulo Medical Journal Psychosomatic medicine Nurses Psychiatry Hospitals, general Risk assessment |
| title | Development of psychiatric risk evaluation checklist and routine for nurses in a general hospital: ethnographic qualitative study |
| title_full | Development of psychiatric risk evaluation checklist and routine for nurses in a general hospital: ethnographic qualitative study |
| title_fullStr | Development of psychiatric risk evaluation checklist and routine for nurses in a general hospital: ethnographic qualitative study |
| title_full_unstemmed | Development of psychiatric risk evaluation checklist and routine for nurses in a general hospital: ethnographic qualitative study |
| title_short | Development of psychiatric risk evaluation checklist and routine for nurses in a general hospital: ethnographic qualitative study |
| title_sort | development of psychiatric risk evaluation checklist and routine for nurses in a general hospital ethnographic qualitative study |
| topic | Psychosomatic medicine Nurses Psychiatry Hospitals, general Risk assessment |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802015000400350&lng=en&tlng=en |
| work_keys_str_mv | AT analuizalourencosimoescamargo developmentofpsychiatricriskevaluationchecklistandroutinefornursesinageneralhospitalethnographicqualitativestudy AT alfredomalufneto developmentofpsychiatricriskevaluationchecklistandroutinefornursesinageneralhospitalethnographicqualitativestudy AT fatimatahiracolman developmentofpsychiatricriskevaluationchecklistandroutinefornursesinageneralhospitalethnographicqualitativestudy AT vanessadealbuquerquecitero developmentofpsychiatricriskevaluationchecklistandroutinefornursesinageneralhospitalethnographicqualitativestudy |