Evaluating the impact of the Minimization of Aggression and Violence (MoAV) intervention on mechanical restraint use in Qatar's acute mental health setting
<h3>Background</h3><p dir="ltr">In inpatient psychiatric units, around 50 % of patients exhibit aggressive symptoms, with aggression and violence being common issues. While mechanical restraint is least preferred by patients and is considered a last resort by healthcare p...
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2025
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| _version_ | 1864513547319377920 |
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| author | Ananth Nazarene (21239912) |
| author2 | Amal Salman S.M. Alobaidli (21480158) Sejo Varghese (14779585) Deborah Nelson (14779582) Ashishkumar Ramesh Badanapurkar (21480161) Shiju Ramapurath (21480164) Abeir Khamis Mohamed Hassan (21480167) Divya Cecilia Dsouza (21480170) Shuja Mohd Reagu (12051406) Maryam Hussain Siddiqui (21480173) Franclin Garcia Pineda (21480176) Majid Ali Y.A. Al-Abdulla (21480179) Kalpana Singh (3838960) |
| author2_role | author author author author author author author author author author author author |
| author_facet | Ananth Nazarene (21239912) Amal Salman S.M. Alobaidli (21480158) Sejo Varghese (14779585) Deborah Nelson (14779582) Ashishkumar Ramesh Badanapurkar (21480161) Shiju Ramapurath (21480164) Abeir Khamis Mohamed Hassan (21480167) Divya Cecilia Dsouza (21480170) Shuja Mohd Reagu (12051406) Maryam Hussain Siddiqui (21480173) Franclin Garcia Pineda (21480176) Majid Ali Y.A. Al-Abdulla (21480179) Kalpana Singh (3838960) |
| author_role | author |
| dc.creator.none.fl_str_mv | Ananth Nazarene (21239912) Amal Salman S.M. Alobaidli (21480158) Sejo Varghese (14779585) Deborah Nelson (14779582) Ashishkumar Ramesh Badanapurkar (21480161) Shiju Ramapurath (21480164) Abeir Khamis Mohamed Hassan (21480167) Divya Cecilia Dsouza (21480170) Shuja Mohd Reagu (12051406) Maryam Hussain Siddiqui (21480173) Franclin Garcia Pineda (21480176) Majid Ali Y.A. Al-Abdulla (21480179) Kalpana Singh (3838960) |
| dc.date.none.fl_str_mv | 2025-05-29T12:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1016/j.apnu.2025.151890 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Evaluating_the_impact_of_the_Minimization_of_Aggression_and_Violence_MoAV_intervention_on_mechanical_restraint_use_in_Qatar_s_acute_mental_health_setting/29235086 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Health sciences Health services and systems Public health Aggression Violence Restraint Acute inpatient Psychiatry |
| dc.title.none.fl_str_mv | Evaluating the impact of the Minimization of Aggression and Violence (MoAV) intervention on mechanical restraint use in Qatar's acute mental health setting |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">In inpatient psychiatric units, around 50 % of patients exhibit aggressive symptoms, with aggression and violence being common issues. While mechanical restraint is least preferred by patients and is considered a last resort by healthcare professionals, its use might be preventable. Minimization of Aggression and Violence (MoAV) intervention in acute mental health services offers a comprehensive assessment, comprehensive staff training in de-escalation, and the implementation of evidence-based, proactive, and non-invasive measures can help reduce the need for restraints. </p><h3>Aim</h3><p dir="ltr">To assess the impact of the MoAV intervention introduced in 2017 across acute inpatient mental health services, focusing on its effect on physical restraint incidents. A retrospective analysis compared data from 2016 (pre-intervention) and 2021 (post-intervention). </p><h3>Result</h3><p dir="ltr">There was a significant reduction in the number of restraints from 253 in 2016 to 47 in 2021. The percentage of restrained patients decreased from 25 % to 4 %, p = (<0.001). The mean duration of restraint incidents slightly increased from 59.1 min in 2016 to 61.3 min in 2021, though this change was not statistically significant. </p><h3>Conclusion</h3><p dir="ltr">Overall, the MoAV intervention appears to have made significant strides in reducing restraint use in acute mental health settings. Further research and continuous evaluation are essential to build on these findings and enhance patient care and safety.</p><h2>Other Information</h2><p dir="ltr">Published in: Archives of Psychiatric Nursing<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.apnu.2025.151890" target="_blank">https://dx.doi.org/10.1016/j.apnu.2025.151890</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_6505a746ceb61dc2f92346bae7eedd8f |
| identifier_str_mv | 10.1016/j.apnu.2025.151890 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29235086 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Evaluating the impact of the Minimization of Aggression and Violence (MoAV) intervention on mechanical restraint use in Qatar's acute mental health settingAnanth Nazarene (21239912)Amal Salman S.M. Alobaidli (21480158)Sejo Varghese (14779585)Deborah Nelson (14779582)Ashishkumar Ramesh Badanapurkar (21480161)Shiju Ramapurath (21480164)Abeir Khamis Mohamed Hassan (21480167)Divya Cecilia Dsouza (21480170)Shuja Mohd Reagu (12051406)Maryam Hussain Siddiqui (21480173)Franclin Garcia Pineda (21480176)Majid Ali Y.A. Al-Abdulla (21480179)Kalpana Singh (3838960)Health sciencesHealth services and systemsPublic healthAggressionViolenceRestraintAcute inpatientPsychiatry<h3>Background</h3><p dir="ltr">In inpatient psychiatric units, around 50 % of patients exhibit aggressive symptoms, with aggression and violence being common issues. While mechanical restraint is least preferred by patients and is considered a last resort by healthcare professionals, its use might be preventable. Minimization of Aggression and Violence (MoAV) intervention in acute mental health services offers a comprehensive assessment, comprehensive staff training in de-escalation, and the implementation of evidence-based, proactive, and non-invasive measures can help reduce the need for restraints. </p><h3>Aim</h3><p dir="ltr">To assess the impact of the MoAV intervention introduced in 2017 across acute inpatient mental health services, focusing on its effect on physical restraint incidents. A retrospective analysis compared data from 2016 (pre-intervention) and 2021 (post-intervention). </p><h3>Result</h3><p dir="ltr">There was a significant reduction in the number of restraints from 253 in 2016 to 47 in 2021. The percentage of restrained patients decreased from 25 % to 4 %, p = (<0.001). The mean duration of restraint incidents slightly increased from 59.1 min in 2016 to 61.3 min in 2021, though this change was not statistically significant. </p><h3>Conclusion</h3><p dir="ltr">Overall, the MoAV intervention appears to have made significant strides in reducing restraint use in acute mental health settings. Further research and continuous evaluation are essential to build on these findings and enhance patient care and safety.</p><h2>Other Information</h2><p dir="ltr">Published in: Archives of Psychiatric Nursing<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.apnu.2025.151890" target="_blank">https://dx.doi.org/10.1016/j.apnu.2025.151890</a></p>2025-05-29T12:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.apnu.2025.151890https://figshare.com/articles/journal_contribution/Evaluating_the_impact_of_the_Minimization_of_Aggression_and_Violence_MoAV_intervention_on_mechanical_restraint_use_in_Qatar_s_acute_mental_health_setting/29235086CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/292350862025-05-29T12:00:00Z |
| spellingShingle | Evaluating the impact of the Minimization of Aggression and Violence (MoAV) intervention on mechanical restraint use in Qatar's acute mental health setting Ananth Nazarene (21239912) Health sciences Health services and systems Public health Aggression Violence Restraint Acute inpatient Psychiatry |
| status_str | publishedVersion |
| title | Evaluating the impact of the Minimization of Aggression and Violence (MoAV) intervention on mechanical restraint use in Qatar's acute mental health setting |
| title_full | Evaluating the impact of the Minimization of Aggression and Violence (MoAV) intervention on mechanical restraint use in Qatar's acute mental health setting |
| title_fullStr | Evaluating the impact of the Minimization of Aggression and Violence (MoAV) intervention on mechanical restraint use in Qatar's acute mental health setting |
| title_full_unstemmed | Evaluating the impact of the Minimization of Aggression and Violence (MoAV) intervention on mechanical restraint use in Qatar's acute mental health setting |
| title_short | Evaluating the impact of the Minimization of Aggression and Violence (MoAV) intervention on mechanical restraint use in Qatar's acute mental health setting |
| title_sort | Evaluating the impact of the Minimization of Aggression and Violence (MoAV) intervention on mechanical restraint use in Qatar's acute mental health setting |
| topic | Health sciences Health services and systems Public health Aggression Violence Restraint Acute inpatient Psychiatry |