A8 Mental health professionals’ lived experiences of simulated ligature training: a phenomenological study

Aby Mitchell, Barry Hill
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Abstract

Ligature and death by hanging represent critical issues in nursing practice that necessitate ongoing vigilance and assessment from healthcare practitioners [1–3]. This study delves into the lived experiences of healthcare professionals participating in a simulated ligature training and management workshop at a London university. The phenomenological research aims to offer an in-depth comprehension of the benefits and challenges associated with employing a simulation-based approach to ligature management training for mental health care professionals. A purposive sample of 10 healthcare professionals working in in-patient settings were invited to partake in a 2-day simulation-based ligature management workshop. Participants were aged 18 years or older and were able to provide written informed consent. Qualitative data were gathered following the 2-day simulation workshop through audio recordings and verbatim transcriptions, which were subsequently thematically analysed and interpreted by the research team. Thematic analysis of in-depth interviews unveiled three principal themes: (1) transformative experience, (2) altered perspectives on ligature training, and (3) patient-centred risk management and empowerment. The study offers valuable insights into the lived experiences of healthcare professionals within a simulated learning environment, contributing to a more profound understanding of effective training strategies for handling ligature-related situations in clinical practice. The findings indicate that simulation-based training can bolster the competence, resilience and preparedness of mental health professionals in managing ligature-related situations. Moreover, involving patients in devising their own risk management plans and delivering individualized care can result in improved patient outcomes and diminished staff burnout. This study sheds light on effective training strategies for mental health professionals in tackling complex and challenging circumstances in mental health care. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
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A8心理健康专业人员模拟捆绑训练的生活体验:现象学研究
在护理实践中,结扎和上吊死亡是关键问题,需要医疗从业人员持续保持警惕和评估[1-3]。本研究深入研究了在伦敦一所大学参加模拟结扎培训和管理研讨会的医疗保健专业人员的生活经验。现象学研究的目的是提供一个深入的理解与采用基于模拟的方法捆绑管理培训精神卫生保健专业人员相关的好处和挑战。有目的的10名在住院环境中工作的医疗保健专业人员被邀请参加为期两天的模拟结扎管理研讨会。参与者年龄在18岁或以上,并且能够提供书面知情同意书。在为期2天的模拟研讨会之后,通过录音和逐字转录收集了定性数据,随后由研究团队对其进行主题分析和解释。深度访谈的专题分析揭示了三个主要主题:(1)变革经验,(2)对结扎训练的改变观点,以及(3)以患者为中心的风险管理和赋权。该研究为医疗保健专业人员在模拟学习环境中的生活经验提供了有价值的见解,有助于更深刻地理解在临床实践中处理结扎相关情况的有效培训策略。研究结果表明,基于模拟的培训可以增强心理健康专业人员在处理与结扎有关的情况时的能力、弹性和准备。此外,让患者参与制定自己的风险管理计划并提供个性化护理可以改善患者的治疗效果,减少工作人员的倦怠。这项研究揭示了有效的培训策略,心理卫生专业人员在处理复杂和具有挑战性的情况下,心理卫生保健。作者确认已符合研究行为和传播的所有相关伦理标准。提交作者确认已获得相关的伦理批准(如适用)。
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