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Managing agitation during early recovery following traumatic brain injury: qualitative interviews with clinicians.

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Title: Managing agitation during early recovery following traumatic brain injury: qualitative interviews with clinicians.
Authors: Carrier, Sarah L. (AUTHOR), Ponsford, Jennie (AUTHOR), McKay, Adam (AUTHOR)
Source: Disability & Rehabilitation. Nov2023, Vol. 45 Issue 22, p3686-3695. 10p.
Subjects: Brain injury treatment, Convalescence, Research methodology, Agitation (Psychology), Interviewing, Qualitative research, Descriptive statistics, Brain injuries, Data analysis software, Physicians, Thematic analysis, Rehabilitation, Disease management, Patient safety, Disease complications
Abstract: Agitated behaviours pose a significant challenge during early recovery following traumatic brain injury (TBI). This study aimed to gain a deeper understanding of how clinicians worldwide manage post-TBI agitation. Understanding the factors that influence how clinicians manage agitation can help inform the use of consistent and effective management strategies for reducing agitation in TBI care. Using a qualitative design, semi-structured interviews were conducted with 33 clinicians (58% female, aged 23–71 years) from 16 countries who had experience working with agitated patients. The interviews explored the approaches used to manage agitation during early TBI recovery. Interviews were analysed using thematic analysis. The central theme of the interviews was the effective management of agitation, consisting of three sub-themes: managing the safety of staff and patients, reducing triggers for agitation, and implementing behavioural principles for managing agitation. Two overarching themes influenced the effective management of agitation: clinician-related factors and systemic factors. This study highlighted key approaches for effective agitation management during early TBI recovery, as described by clinicians working with these patients worldwide. There were similarities in the strategies described, although there were many challenges that impeded the consistent implementation of such strategies in TBI care settings. Effective management of agitation during early traumatic brain injury (TBI) recovery continues to pose a significant challenge for clinicians worldwide. Healthcare services may improve the management of agitation by involving the patient's family in care delivery and implementing low-cost less-restrictive non-pharmacological interventions to reduce reliance on pharmacological interventions. Proactively addressing and removing potential sources of agitation (patient-related and environmental) may help reduce the risk of agitation occurring. The use of simple behaviour management strategies may be effective for reducing agitation, but strategies need to be implemented consistently and the approach should be flexible and tailored to the patient. Clinicians should develop an understanding of a patient's premorbid behaviours and interests to best inform the management approach. Management of agitation may be improved by increasing clinicians' agency in responding to agitated behaviours, through the provision of information and resources, ongoing training and skill development, supervision and support. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Managing agitation during early recovery following traumatic brain injury: qualitative interviews with clinicians.
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  Data: <searchLink fieldCode="AR" term="%22Carrier%2C+Sarah+L%2E%22">Carrier, Sarah L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ponsford%2C+Jennie%22">Ponsford, Jennie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McKay%2C+Adam%22">McKay, Adam</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Nov2023, Vol. 45 Issue 22, p3686-3695. 10p.
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– Name: Abstract
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  Data: Agitated behaviours pose a significant challenge during early recovery following traumatic brain injury (TBI). This study aimed to gain a deeper understanding of how clinicians worldwide manage post-TBI agitation. Understanding the factors that influence how clinicians manage agitation can help inform the use of consistent and effective management strategies for reducing agitation in TBI care. Using a qualitative design, semi-structured interviews were conducted with 33 clinicians (58% female, aged 23–71 years) from 16 countries who had experience working with agitated patients. The interviews explored the approaches used to manage agitation during early TBI recovery. Interviews were analysed using thematic analysis. The central theme of the interviews was the effective management of agitation, consisting of three sub-themes: managing the safety of staff and patients, reducing triggers for agitation, and implementing behavioural principles for managing agitation. Two overarching themes influenced the effective management of agitation: clinician-related factors and systemic factors. This study highlighted key approaches for effective agitation management during early TBI recovery, as described by clinicians working with these patients worldwide. There were similarities in the strategies described, although there were many challenges that impeded the consistent implementation of such strategies in TBI care settings. Effective management of agitation during early traumatic brain injury (TBI) recovery continues to pose a significant challenge for clinicians worldwide. Healthcare services may improve the management of agitation by involving the patient's family in care delivery and implementing low-cost less-restrictive non-pharmacological interventions to reduce reliance on pharmacological interventions. Proactively addressing and removing potential sources of agitation (patient-related and environmental) may help reduce the risk of agitation occurring. The use of simple behaviour management strategies may be effective for reducing agitation, but strategies need to be implemented consistently and the approach should be flexible and tailored to the patient. Clinicians should develop an understanding of a patient's premorbid behaviours and interests to best inform the management approach. Management of agitation may be improved by increasing clinicians' agency in responding to agitated behaviours, through the provision of information and resources, ongoing training and skill development, supervision and support. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=173179939
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/09638288.2022.2135771
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      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 3686
    Subjects:
      – SubjectFull: Brain injury treatment
        Type: general
      – SubjectFull: Convalescence
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Agitation (Psychology)
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Brain injuries
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Physicians
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Rehabilitation
        Type: general
      – SubjectFull: Disease management
        Type: general
      – SubjectFull: Patient safety
        Type: general
      – SubjectFull: Disease complications
        Type: general
    Titles:
      – TitleFull: Managing agitation during early recovery following traumatic brain injury: qualitative interviews with clinicians.
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            NameFull: Carrier, Sarah L.
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            NameFull: Ponsford, Jennie
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            NameFull: McKay, Adam
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            – D: 01
              M: 11
              Text: Nov2023
              Type: published
              Y: 2023
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