@article{ref1,
title="A systematic review and thematic synthesis of inpatient nursing staff experiences of working with high-risk patient behaviours",
journal="Journal of Psychiatric and Mental Health Nursing",
year="2024",
author="Richardson Velmans, Samuel and Joseph, Christiana and Wood, Lisa and Billings, Jo",
volume="31",
number="3",
pages="325-339",
abstract="INTRODUCTION: Nursing staff are frequently exposed to high-risk patient behaviours within inpatient health services, yet staff commonly report a lack of training and support in managing these behaviours.   AIM: The aim of the study was to examine nursing staff experiences of high-risk behaviours in inpatient mental health settings.   METHODS: Four electronic databases (CINAHL, Medline, PsycINFO, EMBASE) were searched. The protocol for this review was prospectively registered in PROSPERO (Ref: CRD42022334739). A meta-synthesis of nursing staff's experiences of high-risk behaviours in inpatient mental health settings was conducted.   RESULTS: We identified 30 eligible studies. Six themes were constructed from the meta-synthesis: the social contract of care; the function of risk behaviours; the expectation of risk; risk as a relational concept; navigating contradictions in care; the aftermath.   DISCUSSION: Nursing staff conceptualize risk as a meaningful behaviour shaped by patient, staff and environmental factors. Managing risk is an ethical dilemma for nursing staff and they require more training and support in ethical risk decision-making.  IMPLICATIONS FOR PRACTICE: Inpatient mental healthcare services should formulate and manage risk as a relational concept comprising staff, patient and environmental factors. Future research and clinical practice should place further consideration on the varied experiences of different types of risk behaviours.   RELEVANCE STATEMENT: Nursing staff are frequently exposed to high-risk patient behaviours within inpatient health services, yet staff commonly report a lack of training and support in managing these behaviours. This systematic review offers insights into how high-risk behaviours are experienced by nursing staff and makes recommendations about how to improve the understanding and management of them. Inpatient mental healthcare services should formulate and manage risk as a relational concept comprising staff, patient and environmental factors. Future research and clinical practice should place further consideration on the varied experiences of different types of risk behaviours.<p /> <p>Language: en</p>",
language="en",
issn="1351-0126",
doi="10.1111/jpm.12987",
url="http://dx.doi.org/10.1111/jpm.12987"
}