Eine empfehlung zur durchführungspraxis von fixierungen im rahmen der stationären psychiatrischen akutbehandlung: Ein beitrag zur harmonisierung bester klinischer praxis in Europa

Translated title of the contribution: Practice recommendation for administering mechanical restraint during acute psychiatric hospitalization: A contribution to harmonize best clinical practice across Europe

Thomas W. Kallert*, Luisa Jurjanz, Katja Schnall, Matthias Glöckner, Ivan Gerdjikov, Jiri Raboch, Elena Georgiadou, Zahava Solomon, Corrado De Rosa, Algirdas Dembinskas, Tomasz Adamowski, Petr Nawka, Claudio Hernandez, Anna Björkdahl

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: One aim of the multi-site EUNOMIA-project was to establish a European recommendation for the best clinical practice of administering coercive measures. This article reports the results on mechanical restraint. Methods: Local expert groups in 11 countries worked out their recommendations mostly in semi-structured group discussions. By use of a system of categories developed with a content-analytical method, these national documents were comparatively assessed, and integrated into a common clinical recommendation. Results: Legal and clinical pre-conditions for the use of mechanical restraint, specific instructions for the clinical behaviour of different professional groups, ethical issues, and procedural aspects of quality assurance are reported in detail. Conclusions: Compared with established clinical guidelines, similarities concerning basic principles of clinical use appear to be higher than similarities concerning practical details. Future development of guidelines for the best practice of coercive measures urgently needs the use of advanced methodology.

Translated title of the contributionPractice recommendation for administering mechanical restraint during acute psychiatric hospitalization: A contribution to harmonize best clinical practice across Europe
Original languageGerman
Pages (from-to)S233-S240
JournalPsychiatrische Praxis, Supplement
Volume34
Issue number2
DOIs
StatePublished - Apr 2007

Keywords

  • Best clinical practice
  • Guidelines
  • Mechanical restraint
  • Quality assurance
  • Transnational harmonization

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