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‘Why didn't you just give them PRN?’: A qualitative study investigating the factors influencing implementation of sensory modulation approaches in inpatient mental health units

journal contribution
posted on 24.03.2021, 03:00 authored by L Wright, S Bennett, Pamela Meredith
Clinical guidelines and policies worldwide call for sensory modulation approaches to be incorporated into inpatient mental health care to assist in eliminating the use of restrictive practices. Although increasing evidence shows that these approaches reduce patient distress and the need for seclusion and restraint, sensory modulation approaches have been challenging to implement in many psychiatric units. Implementation strategies can effectively support inclusion of new approaches by addressing potential barriers to change and supporting likely enabling factors. This study aimed to gain a better understanding of the barriers and enablers influencing implementation of sensory modulation approaches in psychiatric inpatient units in one health region in Australia. A qualitative descriptive study design was used, with three focus groups and a total of 15 participants from nursing and allied health disciplines answering questions about the use of sensory modulation approaches. Framework analysis using the Theoretical Domains Framework and thematic analysis was used to analyse data. Overall, participants were positive about the use of sensory modulation approaches, particularly for reducing distress. Four domains (Social Influences; Belief about Consequences; Professional Role and Identify; and Environmental Context and Resources) were identified as the most salient. The key influencing factors were support from peers; beliefs about risks; belief it was part of their role; and availability of resources and materials. Numerous challenges and opportunities related to implementing sensory modulation approaches in mental health inpatient units, identified in this study, provide insights to support effective implementation of these approaches, underpinning more person-centred, trauma-informed, and recovery-orientated care. © 2020 Australian College of Mental Health Nurses Inc. 14 February 2020

Funding

Category 2 - Other Public Sector Grants Category

History

Volume

29

Issue

4

Start Page

608

End Page

621

Number of Pages

14

eISSN

1447-0349

ISSN

1445-8330

Location

Australia

Publisher

Wiley-Blackwell

Language

eng

Peer Reviewed

Yes

Open Access

No

Acceptance Date

05/01/2020

External Author Affiliations

The University of Queensland

Era Eligible

Yes

Medium

Print-Electronic

Journal

International Journal of Mental Health Nursing