Design of a Restraint and Seclusion Interactive Web-based Training
Program
Colin McKay ,
Cynthia L. Phelps, Ph.D., Maria L.
Anderson, Ph.D., RN, Doris Georgiou, Ph.D., Lucindra Campbell, M.S.N., RN,
School of Health Information Science, University of Texas, Houston, Texas, USA
ABSTRACT:
The Restraint and Seclusion (R&S) Program is a web-based interactive multimedia training program that uses a standardized competency-based approach to train clinical staff for early identification and assessment of aggressive behavior of clients at risk for restraint and seclusion.
To develop this learning environment, we identified the most prevalent mental health disorders and behavioral scenarios of a client at risk for R&S from the literature. Based on this information, we developed 6 case studies that include the client's pertinent history, current health status, and a short video clip of the client's risk behavior in the clinical setting.
Information was combined from three sources to develop a general risk behavior matrix and specific "best practice" assessments of each case study. The information sources include: 1) the JCAHO standards, 2) a thorough literature review, and 3) expert consultants. Each case study was reviewed by experts to develop a standardized approach to assess the behavior of the ìat riskî clients. By combining these sources of data we created a model for assessing the behavior of an "at risk" client.
Based on this model we designed a multimedia web application to train staff to assess the behaviors of "at risk" clients. We are currently in the process of evaluating this prototype assessment tool and the web-based multimedia training materials using psychiatric mental health clinical staff currently working in the field.
Usability results indicated several modifications to iteratively improve the prototype, and preliminary results in the clinical setting suggest that those subjects participating in the intervention did better on post-tests than the control group; however there was a regression between the pre-test and post-test of the control group. This was an unexpected result, which indicates the need for further analysis, and testing. Funded by the National Institute for Mental Health R43 MH64334-01
BENEFIT TO
PARTICIPANTS ATTENDING SESSION:
This poster demo will showcase how we designed an interactive multimedia-training program to teach health professionals how to assess patients who are at risk for restraint and seclusion.
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Colin McKay, Maria L. Anderson, Ph.D., RN, Doris Georgiou, Ph.D. Smilex, Inc. 3400 Montrose, Suite 520 Houston TX 77006 Phone: 713.524.3878 Email: mailto:colin@smilex.net Website: http://www.smilex.net |
CO-AUTHORS: Cynthia L. Phelps, Ph.D. (UT-H) School of Health Information Science University of Texas - Houston 7000 Fannin, Suite 600 Houston, Texas 77030 Phone: 713-500-3926 Fax: 713-500-3929 |
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Lucindra Campbell, M.S.N., RN (Houston Baptist University) Houston Baptist University Nursing Building 7502 Fondren Road Houston, Texas 77074-3298 |
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