Evidence map›Paper›PMID 31165210›Full record

ReviewDer Nervenarzt2019

[Opening up an acute psychiatric ward as a complex intervention].

Euphrosyne Gouzoulis-Mayfrank, Stefanie Kristiane Gairing, Tilo Krämer, Manuela Förster, Mario Schmitz-Buhl

Abstract readReview
PubMed Publisher
In one paragraph

Review in Der Nervenarzt, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Euphrosyne Gouzoulis-MayfrankLVR-Klinik Köln, Wilhelm-Griesinger-Straße 23, 51109, Köln, Deutschland. euphrosyne.gouzoulis-mayfrank@lvr.de.
Stefanie Kristiane GairingLVR-Klinik Köln, Wilhelm-Griesinger-Straße 23, 51109, Köln, Deutschland.
Tilo KrämerLVR-Klinik Köln, Wilhelm-Griesinger-Straße 23, 51109, Köln, Deutschland.
Manuela FörsterLVR-Klinik Köln, Wilhelm-Griesinger-Straße 23, 51109, Köln, Deutschland.
Mario Schmitz-BuhlLVR-Klinik Köln, Wilhelm-Griesinger-Straße 23, 51109, Köln, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn open-door policy may help to reduce conflicts, aggression and containment measures in inpatient psychiatric care.

objectiveA complex intervention was performed including opening the doors of an acute psychiatric ward. The aim was to deescalate conflicts and reduce containment measures.

methodsAlong with opening of the doors, several other measures were taken including intensive training of staff in deescalating techniques and nonviolent communication, review and liberalization of rules of the ward, opening of a time-out room and access to a secure garden.

resultsThe open-door policy proved to be feasible and was permanently established. Thereafter, incidents involving aggression decreased but containment measures did not. Overall, the staff appreciated the new concept but considered the opening of the doors to be of minor importance.

conclusionThe opening of a closed psychiatric ward should be understood as part of a complex, autonomy focused intervention. Other aspects such as sufficient numbers of well-trained staff and structural architectural features of the ward are possibly more important than opening of the doors.

Indexed as

Mental Health ServicesPsychiatric Department, HospitalAggressionHumansPsychiatryCoercionComplicationsContainment measuresOpen door policyPsychiatric care

Identifiers

PMID31165210

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.