Reflection on Suicide Management Incident in a Mental Health Hospital
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This paper reflects on a suicide management incident in a mental health hospital, discussing the situation, feelings, evaluation, analysis, conclusion, and action plan.
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In mental health Hospital, in 2015, I engaged in the incident of a suicide management problem. Many incidents of suicide happened because of the lack of experience in both managerial and staff and lack of education, other incidents happened due to staff nurses feeling stressed in the unit. This paper will define such a case by the reflection model of Gibbs designed by Graham Gibbs in 1988. It is used to encourage the systemic thinking of the individual about their experiences. It is used during a particular situation or incident1. Description: During this step, the situation is described in a detailed manner without drawing any specific conclusion2. I was assigned as a shift coordinator in a mental hospital. It has been informed to me by the members of the unit that there is a patient, who stabbed himself. Another patient escaped out of the unit during the incident. I immediately went there to know the exact situation and to analyze the action taken by staff members such as how are they coping with the situation and what are measures that have been taken. However, I noticed something different; the Staff members were looking scared and extremely nervous. Instead of solving the issue, they were blaming each other. The unit manager was shouting at the staff member for their careless behavior and was warning them. In between, when the situation calmed a little, I asked the unit manager to meet me outside the unit. I want to know behind their irresponsible behavior and suggested that shouting at staff members will not help. After the incident, I requested to the staff 1Husebø,SisselEikeland,StephanieO'Regan,andDebraNestel."Reflectivepracticeanditsrolein simulation."Clinical Simulation in Nursing11, no. 8 (2015): 368-375. 2Nicol, Jacqueline Sian, and Isabel Dosser. "Understanding reflective practice."Nursing Standard (2014+)30, no. 36 (2016): 34.(Husebo et al,2015)
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1 members of the other unit to manage this unit for a time being in order to calm the staff of this unit. As I want to know the exact reason, I tried to comfort them so that they can share their feeling without having any fear. I want to know the exact reason behind this failure and the risk factor that has been ignored, which lead to this incident. One staff nurse from the unit came to me and said “I am assigned for 4 patients and among them, 2 are on high suicidal risk and 1 is on moderate risk. I am not able to manage all the 4 patients together". The same thing was repeatedly said to me by other staff members that “I cannot manage”. I suggested one or two days leave for them in order to help them in coming out of the trauma.I informed the unit manager that the issue has been raised because of the negative impact of the situation on patients, staff and on the whole hospital. Policies regarding suicidal observation have been formulated and should be followed. Feeling During this phase, the feeling triggered during the event was discussed. Along with that, another individual’s thought perspective was also briefed in this phase3. I felt worried about the patient, who had killed himself by stabbing. I was also worried about the patient who was there during the incident and later escaped out of fear. The other patients were afraid by the incident. They were terrified by the thought that, if he can kill himself, he might harm other patients also. I was embarrassed by the behavior of the staff and the manager of the unit. They were all defending themselves and blaming others for the incident in front of all the patients, who were surprised by their behavior. 3White, Paul, Julie Laxton, and Ruth Brooke. "Reflection: Importance, theory and practice." (2016).
2 I was feeling miserable and helpless as I was neither able to help the patients nor the staff members, who were depressed. I felt guilty because our nurses staff feeling depressed and stressed. Evaluation In this phase of the reflective cycle, the event discussed in the first two steps is analyzed. Experience and approach is also discussed4. From the incident, it can be evaluated that, I have the ability to listen to the worry and pain of the staff. I reassured them that every, each and every issue will be discussed. Another thing evaluated is the positive response of the unit manager regarding the issues. This was because it placed the institution in the spotlight since the reputation was tarnished. Lookingback,theexperiencehadbothgreatandawfulcomponentswhichhave prompted an expanded comprehension of the administration client experience and my job as a shift coordinator. My role was to •provide support to the staff, communicate assertively and provide feedback5. •Provide support to patients by taking action to help them. I felt that I am not able to fulfill the latter responsibility completely, as I interfered after the issue has been raised6. More than 10 suicidal attempts were observed in three months. Along with that, two cases of patient escaping have also been observed. Due to this, the nursing staffs were scolded by the higher authorities of the organization. 4Griggs, V., R. Holden, J. Rae, and A. Lawless. "Professional learning in human resourcemanagement: problematising the teaching of reflective practice."Studies in Continuing Education37, no. 2 (2015): 202-217. 5Gopee, Neil, and Jo Galloway.Leadership and management in healthcare. Sage, 2017. 6Gopee, Neil, and Jo Galloway.Leadership and management in healthcare. Sage, 2017.
3 Analysis In this phase of the Gibbs cycle, the analysis was done based on the experience from the incident7. The incident has given insight on due diligence. From the incident, the importance of good governance, as well as efficient management of resources is analyzed. In addition, improving the quality of care and consumer satisfaction is extremely important in health care organization, it is difficult to implement that. Conclusion In this step, the conclusion is drawn on the basis of the incident. The positive and negative aspect of the experience is concluded8. What could have been done differently and what skills are needed to overcome such a situation are also discussed. From the above essay, it can be concluded that efficient management of resources is necessary to provide efficient patient care. The incident left everyone such as patient and staff member terrified. As each nurse was assigned to take care of more than 3 or 4 patient, they were not able to provide proper care to the patient. The unit staff was also not well trained, they do not know how to behave in front of the patient. They started blaming each other in front of everyone. To cope up with such situation, skills to manage the resources and communication with patient and staff is developed 7Sicora, Alessandro. "Reflective practice, risk and mistakes in social work."Journal of Social Work Practice31, no. 4 (2017): 491-502. 8Brown, Michelle Mackin. "Reflective Supervision." (2016).
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4 Action plan In this phase, actions are developed based on the experience which might help in the future to deal with similar situations9. From the above incident, Study all drawbacks which lead to this incident.to prevent such incident in the future, each staff should be assigned for only one patient if the patient is on high risk suicidal so that, they are able to provide quality care to the patient. As I was embarrassed by the behavior of the staff member, it is suggested that proper training should be conducted on their behavior. The staff member often gets scolding which lowers their self-respect. Hence, it should be avoided. Resources should be managed more effectively.Communicationbetweenthehigherauthorities,staff,andpatientshouldbe improvised. Support mechanisms should be discussed to the staff to avoid or reduce experiencing burnout. 9Potter, Christopher. "Leadership development: an applied comparison of Gibbs’ Reflective Cycle and Scharmer’s Theory U."Industrial and Commercial Training47, no. 6 (2015): 336-342.
5 Bibliography Brown, Michelle Mackin. "Reflective Supervision." (2016). Gopee, Neil, and Jo Galloway.Leadership and management in healthcare. Sage, 2017. Griggs, V., R. Holden, J. Rae, and A. Lawless. "Professional learning in human resource management:problematisingtheteachingofreflectivepractice."StudiesinContinuing Education37, no. 2 (2015): 202-217. Husebø, Sissel Eikeland, Stephanie O'Regan, and Debra Nestel. "Reflective practice and its role in simulation."Clinical Simulation in Nursing11, no. 8 (2015): 368-375. Nicol, Jacqueline Sian, and Isabel Dosser. "Understanding reflective practice."Nursing Standard (2014+)30, no. 36 (2016): 34. Potter, Christopher. "Leadership development: an applied comparison of Gibbs’ Reflective Cycle and Scharmer’s Theory U."Industrial and Commercial Training47, no. 6 (2015): 336-342. Sicora, Alessandro. "Reflective practice, risk and mistakes in social work."Journal of Social Work Practice31, no. 4 (2017): 491-502. White, Paul, Julie Laxton, and Ruth Brooke. "Reflection: Importance, theory and practice." (2016).