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Clinical issue of interest

Clinical issue of interest

Silifat Jones-ibrahim

Walden university

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Clinical issue of interest

Psychiatric interventions focus on effectively engaging patients through improving the level of interaction. Integration of evidence based practices provide a better environment where it is possible to outline specific measures that can be used to handle different patients conditions.

There is need to create a strong outline which help define important changes which help maintain an improved level of focus.

Psychiatric services provide a detailed understanding on specific concepts which help create a better emphasis on important concepts which can help improve individual physical and psychological wellbeing.

Violent behavior is associated with different factors including lack of therapeutic interventions as well as groups.

Therefore the research aims at determining whether lack of therapeutic activities and presence of groups increase violent behavior over a two week period.

 

Formulation of picot question

The Picot question focused on understanding the key interventions that can help improve inpatient psychiatric hospitals because of the increasing violent behavior among patients.

Aggressive behaviour in patients with psychiatric disorders has many possible causes.

Different psychiatric patients have different mental and psychological concerns which require a strong emphasis on specific aspects which can help improve quality of care.

Thus the research sought to understand the causes of violent behavior where two aspects were investigated within a two week period.

Formulation of picot question

Therapeutic activities have been associated with different factors which provide a detailed emphasis important changes which help outline a strong emphasis on violent behavior among psychiatric patients.

Therefore understanding the effect of therapeutic activities and or group will provide a detailed focus on the development of psychiatric patients behavioral development.

The picot question development focused on these factors which help outline specific aspects which help understand psychiatric patients behavior.

 

Research databases

Choosing database provide a detailed emphasis on important changes which help outline a strong understanding on the underlying research literature based on the picot question. The databases that were included in the study are:-

PLOS One peer reviewed journal database

Physiology & behavior database

Aggression and Violent Behavior database

Neuropsychiatric disease and treatment database

 

 

References

Hallett, N., Huber, J. W., & Dickens, G. L. (2014). Violence prevention in inpatient psychiatric settings: Systematic review of studies about the perceptions of care staff and patients. Aggression and Violent Behavior, 19(5), 502-514.

Iozzino, L., Ferrari, C., Large, M., Nielssen, O., & De Girolamo, G. (2015). Prevalence and risk factors of violence by psychiatric acute inpatients: a systematic review and meta-analysis. PloS one, 10(6), e0128536.

Kamphuis, J., Dijk, D. J., Spreen, M., & Lancel, M. (2014). The relation between poor sleep, impulsivity and aggression in forensic psychiatric patients. Physiology & behavior, 123, 168-173.

Latalova, K., Kamaradova, D., & Prasko, J. (2014). Violent victimization of adult patients with severe mental illness: a systematic review. Neuropsychiatric disease and treatment, 10, 1925.

 

Levels of evidence

Hallett, N., Huber, J. W., & Dickens, G. L. (2014). Violence prevention in inpatient psychiatric settings: Systematic review of studies about the perceptions of care staff and patients. Aggression and Violent Behavior, 19(5), 502-514.

This article provide a strong emphasis on important aspects which help define a unique understanding violence prevention in inpatient setting. Primary and secondary prevention methods are crucial in creating an improved environment. care staff and patients have an important role in creating a conducive environment.

Levels of evidence

Iozzino, L., Ferrari, C., Large, M., Nielssen, O., & De Girolamo, G. (2015). Prevalence and risk factors of violence by psychiatric acute inpatients: a systematic review and meta-analysis. PloS one, 10(6), e0128536.

The article highlights that the prevalence of violence among psychiatric acute inpatients has increased significantly in recent past due to inability to control existing risk factors.

Factors associated with levels of violence in psychiatric units are similar to factors that are associated with violence among individual patients.

Levels of evidence

Kamphuis, J., Dijk, D. J., Spreen, M., & Lancel, M. (2014). The relation between poor sleep, impulsivity and aggression in forensic psychiatric patients. Physiology & behavior, 123, 168-173.

The study highlighted that to a large extent the results of this study support the hypothesis that poor sleep is related to impulsive, aggressive behaviour in forensic psychiatric patients.

Therefore , it is worthwhile to examine the protective effect of treatment of sleep difficulties on aggressive reactivity in (forensic) psychiatric populations.

 

Latalova, K., Kamaradova, D., & Prasko, J. (2014). Violent victimization of adult patients with severe mental illness: a systematic review. Neuropsychiatric disease and treatment, 10, 1925.

The article highlights that victimization of persons with severe mental illness is a serious medical and social problem.

Thus, prevention and management of victimization should become a part of routine clinical care for patients with severe mental illness.

the strengths of using systematic reviews for clinical research

The strengths include focus on evidence based outcomes which provide a detailed emphasis on issues that are being addressed.

It is easier to relate with the findings because they focus on past literature in informing the existing gap in research.

It follows a systematic approach which is crucial and help identify positive research outcomes.

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