Manifest Content Analysis: Risk Factor Management In Patients
The results of the manifest content analysis can be described with three main categories: (1) risk factors management in patients, (2) preventive protection of access and (3) constantly under supervision of patients emerged. (table1)
1. Risk factors management in patients
1.1. Attention to high-risk patients High-risk patients should especially be paid attention to, so it is necessary to investigate the history of patients in terms of suffering other diseases and high-risk behaviors at the time of reception. In this case, one of the nurses said:
During admission, first the situation of patient is checked, suicide, sensitivity to drug records, escaping, beating, irritability and aggression, drug abuse history, physical problem history, …show more content…
(RN 5)
Through appropriate behavior and cure, irritability can be prevented in patients likely to become upset.
When I am alone in my shift and a patient comes around and asks for something like cigarettes, I’ll try not to argue with him but I will make him calm and won’t reject him, in this way he isn’t provoked. (RN 6)
Appropriate measures at the time of psychiatric patients’ deployment are also of necessary measures for patient safety.
Today the patient that I took for deployment had some special problems, for example, he wanted to commit suicide exactly at that time, personnel had taken the scissors from him by force, he didn’t cooperate, cannot be trusted, I took him myself and didn’t leave him. (RN 6)
1.3. Smart monitoring
At midnight because of ward emptiness and low movement of staff, patients may show high-risk behaviors so the staff need to have more accurate monitoring on patients at these times especially.
I am personally very sensitive to midnight and the early hours of the morning so during this hours I roam the room with a flashlight. (RN …show more content…
(RN 9)
2. Preventive protection
2.1. Preventive searching in the ward
At the time of hospitalization, the patients may have addictive drugs or dangerous tools, at reception the staff should secure all potentially dangerous tools through an accurate visit with the patients.
At time of hospitalization, the patients are checked thoroughly so as to not have drugs or dangerous tools, the patients are always checked in wards too. (RN 6)
Some patients during hospitalization, in case of accessing dangerous tools, try to hide them, the staff are careful about this behavior.
If the mattress has a kerf, it has to be checked inside to see whether there is something hidden in it or not, when I was checking it once, I saw that a patient had hidden a knife in it, that could be very dangerous. (RN 10)
The patients hold some personal tools and they pay a lot of attention to them and hide some of them, I check the patients that most talk about suicide and so on. (RN 4)
Uncalled roaming is also of the other safety measures in the ward, the shift nurse says about her experience in this
1. Risk factors management in patients
1.1. Attention to high-risk patients High-risk patients should especially be paid attention to, so it is necessary to investigate the history of patients in terms of suffering other diseases and high-risk behaviors at the time of reception. In this case, one of the nurses said:
During admission, first the situation of patient is checked, suicide, sensitivity to drug records, escaping, beating, irritability and aggression, drug abuse history, physical problem history, …show more content…
(RN 5)
Through appropriate behavior and cure, irritability can be prevented in patients likely to become upset.
When I am alone in my shift and a patient comes around and asks for something like cigarettes, I’ll try not to argue with him but I will make him calm and won’t reject him, in this way he isn’t provoked. (RN 6)
Appropriate measures at the time of psychiatric patients’ deployment are also of necessary measures for patient safety.
Today the patient that I took for deployment had some special problems, for example, he wanted to commit suicide exactly at that time, personnel had taken the scissors from him by force, he didn’t cooperate, cannot be trusted, I took him myself and didn’t leave him. (RN 6)
1.3. Smart monitoring
At midnight because of ward emptiness and low movement of staff, patients may show high-risk behaviors so the staff need to have more accurate monitoring on patients at these times especially.
I am personally very sensitive to midnight and the early hours of the morning so during this hours I roam the room with a flashlight. (RN …show more content…
(RN 9)
2. Preventive protection
2.1. Preventive searching in the ward
At the time of hospitalization, the patients may have addictive drugs or dangerous tools, at reception the staff should secure all potentially dangerous tools through an accurate visit with the patients.
At time of hospitalization, the patients are checked thoroughly so as to not have drugs or dangerous tools, the patients are always checked in wards too. (RN 6)
Some patients during hospitalization, in case of accessing dangerous tools, try to hide them, the staff are careful about this behavior.
If the mattress has a kerf, it has to be checked inside to see whether there is something hidden in it or not, when I was checking it once, I saw that a patient had hidden a knife in it, that could be very dangerous. (RN 10)
The patients hold some personal tools and they pay a lot of attention to them and hide some of them, I check the patients that most talk about suicide and so on. (RN 4)
Uncalled roaming is also of the other safety measures in the ward, the shift nurse says about her experience in this