Collier, Jennifer NU607-816, Concept Analysis final.docx -...

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Running head: CONCEPT ANALYSIS: DE-ESCALATION OF AGGRESSIVE BEHAVIOUR1Concept Analysis: De-escalation of aggressive behaviour in healthcare settingsJennifer CollierUniversity of South Alabama
DE-ESCALATION OF AGGRESSIVE BEHAVIOUR2Concept Analysis: De-escalation of aggressive behavior in healthcare settingsPatients with mental illness can become a safety risk to themselves and others bydisplaying aggressive or self-harmful behaviors. In a mental health setting, therapeutic restraintsare interventions utilized by trained healthcare professionals to help ensure the safety of thepatient and others on the milieu.There are three types of restraints: physical, chemical, andenvironmental. Physical restraints limit a patient’s ability to freely move their body(CITATION).A physical restraint consists of a trained healthcare professional physicallyholding an escalated patient utilizing a therapeutic hold technique. Physical restraints may beperceived by patients as a coercive approach. Therapeutic restraints can be traumatic to both thepatient and the healthcare professional and must only be conducted as a last resort.De-escalation is a psychosocial intervention and is the preferred method for responding to escalatedor aggressive patients. De-escalation encompasses a variety of verbal and non-verbalinterventions or techniques geared towards reducing violence, aggression, or agitation(Hallett& Dickens, 2017).De-escalation methods should always be implemented first in efforts toreduce therapeutic restraints. Understanding the concepts and methods of de-escalation can assistprofessionals in the reduction of therapeutic restraints.Selection of Concept AnalysisThe number of therapeutic restraints is a high-risk area in psychiatric practice. De-escalation can be an effective method for reducing the number of physical restraints in a mentalhealth setting. The recommended first line response to violent and aggressive patients is de-escalation. Limited research is available on the effectiveness or the standard of practice for de-escalation.In effort to clarify the concept of de-escalation an analysis was completed.Thisanalysis was guided by Rodger’s evolutionary approach in an attempt to define the gold standard
DE-ESCALATION OF AGGRESSIVE BEHAVIOUR3of practice and provide a framework for researchers to identify a theoretical model (Hallett &Dickens, 2017).A concept is formulated through thoughts, ideas, or beliefs and is the building block for aphenomenon of interest. The phenomenon of interest guides the researcher and helps form ahypothesis. When sufficient data is unavailable or the concept is not fully understood, a conceptanalysis can simplify the theory for the researcher and provide clarity and a better understandingof the depth of the concepts(Foley & Davis, 2017).A concept analysis is a rigorous process thatbreaks down the theory to the bare basics identifying the vital components and providing an in

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Term
Fall
Professor
N/A
Tags
Nursing, Psychiatry, Mental health professional, Psychiatric and mental health nursing

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