International Journal of Psychiatric Nursing
  • Year: 2019
  • Volume: 5
  • Issue: 1

Critical Incidents in Psychiatric Inpatient Units of a Tertiary Care Hospital in South India−A Retrospective Analysis based on Psychiatric Nurses’ Perspective

1Associate Professor, Maniba Bhula Nursing College, Uka Tarsadia University, Surat, Gujrat

2Assistant Professor, Maniba Bhula Nursing College, Uka Tarsadia University, Surat, Gujrat

3Staff Nurse, Male Forensic Unit, Government Mental Health Center, Thiruvananthapuram, Kerala

4Assistant Professor, Sree Gokulam Nursing College, Thiruvananthapuram, Kerala

*Corresponding Author: Bivin JB, Staff Nurse, Male Forensic Unit, Government Mental Health Center, Peroorkada, Thiruvananthapuram, Kerala-05, Email: bivin.jb@gmail.com

Online published on 6 April, 2019.

Abstract

This study aimed to enlist the incidents in psychiatric inpatient units of a hospital, which were experienced as ‘critical’ by staff nurses who were working in that area. A mixed approach was used here. The critical incidents were collected using Critical Incident Data Extraction Schedule (CIDES), a researcher-made, content-validated data extraction instrument. Clinical records (n=104) were retrieved from Medical Records Department and were evaluated using the CIDES. The most commonly reported critical incident was ‘patient abscond/escape (40%)’ following which is the ‘physical violence (34%).’ Critical incidents were usually reported during second shift (37.5%) and from the wards (42.3%). Evaluation of critical incidents and nurses’ experience will give the opportunity to learn about the incidents, important strategies to be adopted and the possible constraints that could arise.

Keywords

Critical incidents, Abscond, Suicide