Jesper Baks ph.d.-afhandling hedder " Mechanical Restraint. Preventive Factors in Theory and Practice"

Afhandlingen er på 78 sider fordelt på 13 dele:

1 TABLE OF CONTENTS

2 PREFACE

3 SUMMARIES IN DANISH AND ENGLISH

4 INTRODUCTION

5 OBJECTIVE

6 DESIGN AND METHODS 

7 RESULTS

8 APPROVAL AND ETHICS

9 DISCUSSION

10 CONCLUSIONS

11 PERSPECTIVES

12 REFERENCE LIST (10 siders litteraturliste med 179 referencer)

13 APPENDIX. 

Hertil kommer fire artikler:

Jesper Bak og Helle Aggernæs 2012

Jesper Bak et al 2012

Jesper Bak et al 2014

Jesper Bak et al 2015

DOI: 10.13140/RG.2.1.2681.5528

Jesper skriver bl.a.:

"the “Six Core Strategies” provide the best potential for developing MR-prevention practices in Denmark..."

(side 54)

Bak konkluderer bl.a.:

"further investigation into the effects of implementing the following within Danish and Norwegian practices is recommended: mandatory review, patient involvement, less crowding, higher staff education, less substitute staff use, better work environment, increased number of staff per patient, and the identification of the patient’s crisis triggers." (side 56)

"outpatient prevention, e.g., as joint crisis planning (177) or the use of the early recognition method (166), should also be addressed in cooperation with the primary and secondary

mental health sectors..." (side 56)

"the phenomenon of MR is multifaceted, and the reduction in the number of MR episodes thus requires interventions in many different areas. Accordingly, many MR-preventive initiatives such as several individual initiatives or programs encompassing several initiatives must be implemented in practise." (side 56) 

"the clinical implications of the results of this thesis might include investigating the effects and adverse effects of implementing a program containing the identified MR-preventive factors in such a way that the effects of individual elements (organisational factors, MR-preventive methods and tools), on the number of MR episodes can be addressed." (side 57)

"the future recommendations for research are to conduct more cluster RCTs in different settings in Denmark and Norway on specific MR-preventive initiatives, methods, and tools such as mandatory review, patient involvement, less crowding, higher staff education, less substitute staff use, a better work environment, increased number of staff per patient, and the identification of the patient’s crisis triggers. Also, conducting cluster RCTs, investigating programs or strategies containing several of the before mentioned MR-preventive initiatives might be recommended." (side 57)