Len Bowers

Summary

Affiliation: City University
Country: UK

Publications

  1. ncbi request reprint Real world application of an intervention to reduce absconding
    L Bowers
    St Bartholomew School of Nursing and Midwifery, City University, Philpot St London, UK
    J Psychiatr Ment Health Nurs 12:598-602. 2005
  2. ncbi request reprint Prevention and management of aggression training and violent incidents on U.K. Acute psychiatric wards
    Len Bowers
    Department of Mental Health and Learning Disability, City University, Philpot Street, Whitechapel, London, E1 2EA, United Kingdom
    Psychiatr Serv 57:1022-6. 2006
  3. ncbi request reprint Patient homicide causes nursing staff to leave
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    J Psychiatr Ment Health Nurs 13:778-9. 2006
  4. doi request reprint Locked doors: a survey of patients, staff and visitors
    L Bowers
    Department of Mental Health, City University, London, UK
    J Psychiatr Ment Health Nurs 17:873-80. 2010
  5. ncbi request reprint Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    Int J Soc Psychiatry 53:75-84. 2007
  6. ncbi request reprint Junior staffing changes and the temporal ecology of adverse incidents in acute psychiatric wards
    Len Bowers
    Psychiatric Nursing, St Bartholomew School of Nursing and Midwifery, City University, London, UK
    J Adv Nurs 57:153-60. 2007
  7. ncbi request reprint Serious untoward incidents and their aftermath in acute inpatient psychiatry: the Tompkins Acute Ward study
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    Int J Ment Health Nurs 15:226-34. 2006
  8. ncbi request reprint On conflict, containment and the relationship between them
    Len Bowers
    Psychiatric Nursing, St Bartholomew School of Nursing and Midwifery, City University, London, UK
    Nurs Inq 13:172-80. 2006
  9. ncbi request reprint The attitude to personality disorder questionnaire: psychometric properties and results
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    J Pers Disord 20:281-93. 2006
  10. ncbi request reprint Attitude to personality disorder among prison officers working in a dangerous and severe personality disorder unit
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, Philpot St, London E1 2EA, UK
    Int J Law Psychiatry 29:333-42. 2006

Detail Information

Publications75

  1. ncbi request reprint Real world application of an intervention to reduce absconding
    L Bowers
    St Bartholomew School of Nursing and Midwifery, City University, Philpot St London, UK
    J Psychiatr Ment Health Nurs 12:598-602. 2005
    ..The results support the efficacy of the intervention, and indicate that significant reductions can be made in absconding rates from unlocked or partially locked acute psychiatric wards...
  2. ncbi request reprint Prevention and management of aggression training and violent incidents on U.K. Acute psychiatric wards
    Len Bowers
    Department of Mental Health and Learning Disability, City University, Philpot Street, Whitechapel, London, E1 2EA, United Kingdom
    Psychiatr Serv 57:1022-6. 2006
    ..The purpose of this study was to explore the relationship between PMVA training of acute psychiatric ward nursing staff and officially reported violent incident rates...
  3. ncbi request reprint Patient homicide causes nursing staff to leave
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    J Psychiatr Ment Health Nurs 13:778-9. 2006
  4. doi request reprint Locked doors: a survey of patients, staff and visitors
    L Bowers
    Department of Mental Health, City University, London, UK
    J Psychiatr Ment Health Nurs 17:873-80. 2010
    ..Patients did not like the door being locked as much as staff, and being on a locked ward was associated with greater rejection of the practice. • Staff working on locked wards were more positive about it than those who did not...
  5. ncbi request reprint Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    Int J Soc Psychiatry 53:75-84. 2007
    ..Adverse incidents (violence, self-harm and absconding) can cause significant harm to patients and staff, are difficult to predict, and are driving an increase in security measures and defensive practice...
  6. ncbi request reprint Junior staffing changes and the temporal ecology of adverse incidents in acute psychiatric wards
    Len Bowers
    Psychiatric Nursing, St Bartholomew School of Nursing and Midwifery, City University, London, UK
    J Adv Nurs 57:153-60. 2007
    ..This paper reports an examination of the relationship between adverse incident rates, the arrival of new junior staff on wards, and days of the week on acute psychiatric wards...
  7. ncbi request reprint Serious untoward incidents and their aftermath in acute inpatient psychiatry: the Tompkins Acute Ward study
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    Int J Ment Health Nurs 15:226-34. 2006
    ..Substantial planning, organization, and investment are required to properly prepare for such events and manage their outcome. Without this planning and action, acute inpatient work has the capacity to be damaging to staff...
  8. ncbi request reprint On conflict, containment and the relationship between them
    Len Bowers
    Psychiatric Nursing, St Bartholomew School of Nursing and Midwifery, City University, London, UK
    Nurs Inq 13:172-80. 2006
    ..This exercise challenges our perception of the severity of some containment measures that are becoming more commonly used in acute psychiatry...
  9. ncbi request reprint The attitude to personality disorder questionnaire: psychometric properties and results
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    J Pers Disord 20:281-93. 2006
    ..The scale has a robust structure, good psychometric properties, and is useful for outcome studies, benchmarking between units, and regular audits of staff attitude. Full details of the scale are provided, with normative data...
  10. ncbi request reprint Attitude to personality disorder among prison officers working in a dangerous and severe personality disorder unit
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, Philpot St, London E1 2EA, UK
    Int J Law Psychiatry 29:333-42. 2006
    ..A recent study in forensic psychiatric hospitals has described the psychological and social factors underlying positive attitudes, and suggested that staff with more positive attitudes perform better and are less stressed...
  11. doi request reprint Nurse staffing, bed numbers and the cost of acute psychiatric inpatient care in England
    L Bowers
    City University, London, UK
    J Psychiatr Ment Health Nurs 15:630-7. 2008
    ..As investment in acute inpatient care varies widely, we need to know much more about the relationship of inputs to outputs, so that empirically based standard service levels can be defined...
  12. ncbi request reprint Preliminary outcomes of a trial to reduce conflict and containment on acute psychiatric wards: City Nurses
    L Bowers
    Psychiatric Nursing, City University, London, UK
    J Psychiatr Ment Health Nurs 13:165-72. 2006
    ..Significant reductions in aggression, absconding and self-harm can be achieved on acute psychiatric wards. However, it does not appear that containment can be reduced, even through large reductions in conflict...
  13. ncbi request reprint Changes in attitudes to personality disorder on a DSPD unit
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, Philpot Street, London E1 2EA, UK
    Crim Behav Ment Health 15:171-83. 2005
    ..Previous studies suggest that such attitudes are influenced by sufferer behaviours, organizational factors and the characteristics of individual professionals, but do similar considerations apply outside health services?..
  14. ncbi request reprint Student psychiatric nurses' approval of containment measures: relationship to perception of aggression and attitudes to personality disorder
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, Philpot Street, London, UK
    Int J Nurs Stud 44:349-56. 2007
    ..The results highlighted the importance of (and linkage between) staffs' feelings of anger and fear towards patients, and their preparedness to use containment measures...
  15. doi request reprint Patient ethnicity and three psychiatric intensive care units compared: the Tompkins Acute Ward Study
    L Bowers
    City University, London, UK
    J Psychiatr Ment Health Nurs 15:195-202. 2008
    ..More evaluative research is required in order to define effective service levels, and to explore the nature of the interaction between ethnicity and inpatient care provision during acute illness...
  16. ncbi request reprint Psychiatric intensive care units: a literature review
    Len Bowers
    City University, London, UK
    Int J Soc Psychiatry 54:56-68. 2008
    ..Psychiatric Intensive Care Units (PICU) have been part of most inpatient psychiatric services for some time, although information about their functioning and outcome has not previously been collated...
  17. doi request reprint The practice of seclusion and time-out on English acute psychiatric wards: the City-128 Study
    Len Bowers
    City University, London, United Kingdom
    Arch Psychiatr Nurs 24:275-86. 2010
    ..Seclusion is widely used internationally to manage disturbed behavior by psychiatric patients, although many countries are seeking to reduce or eliminate this practice. Time-out has been little described and almost completely unstudied...
  18. doi request reprint Suicide inside: a systematic review of inpatient suicides
    Len Bowers
    Department of Psychiatric Nursing, City University, London, United Kingdom
    J Nerv Ment Dis 198:315-28. 2010
    ..Future research should take into account the heterogeneous subgroups of patients who commit suicide, with case-control studies addressing these separately...
  19. pmc The relationship between leadership, teamworking, structure, burnout and attitude to patients on acute psychiatric wards
    Len Bowers
    City University, Philpot Street, London, E1 2EA, UK
    Soc Psychiatry Psychiatr Epidemiol 46:143-8. 2011
    ..This paper describes the exploration of a large dataset to assess the relationship between structure and other staff variables...
  20. doi request reprint The Nursing Observed Illness Intensity Scale (NOIIS)
    L Bowers
    City University London, London, UK
    J Psychiatr Ment Health Nurs 18:28-34. 2011
    ..For research, the scale can be used in clinical trials of treatment outcomes...
  21. doi request reprint Identifying key factors associated with aggression on acute inpatient psychiatric wards
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, England
    Issues Ment Health Nurs 30:260-71. 2009
    ..Insufficient evidence is available to draw conclusions about the nature of the link between staffing numbers and violence...
  22. doi request reprint The demography of nurses and patients on acute psychiatric wards in England
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    J Clin Nurs 18:884-92. 2009
    ..To describe the ethnic and demographic composition of staff and patients on acute psychiatric wards in England...
  23. doi request reprint Association between staff factors and levels of conflict and containment on acute psychiatric wards in England
    Len Bowers
    Department of Mental Health and Learning Disability, City University, Philpot St, Whitechapel, London E1 2EA, United Kingdom
    Psychiatr Serv 60:231-9. 2009
    ..The aim of this study was to test this theory...
  24. doi request reprint Relationship between service ecology, special observation and self-harm during acute in-patient care: City-128 study
    Len Bowers
    Psychiatric Nursing, City University, Philpot Street, London E1 2EA, UK
    Br J Psychiatry 193:395-401. 2008
    ..Special observation (the allocation of nurses to watch over nominated patients) is one means by which psychiatric services endeavour to keep in-patients safe from harm. The practice is both contentious and of unknown efficacy...
  25. doi request reprint A replication study of the City nurse intervention: reducing conflict and containment on three acute psychiatric wards
    L Bowers
    City University, London, UK
    J Psychiatr Ment Health Nurs 15:737-42. 2008
    ..The results were therefore ambiguous, and neither confirm nor contradict the efficacy of the intervention. A further intervention study may need to be conducted with a larger sample size to achieve adequate statistical power...
  26. doi request reprint Morale is high in acute inpatient psychiatry
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, E1 2EA, UK
    Soc Psychiatry Psychiatr Epidemiol 44:39-46. 2009
    ..Morale on acute psychiatric wards has been considered to be problematic, and is reported to contribute to low quality patient care...
  27. ncbi request reprint International variation in containment measures for disturbed psychiatric inpatients: a comparative questionnaire survey
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    Int J Nurs Stud 44:357-64. 2007
    ..g. seclusion, mechanical restraint) whose use differs by country. Little is known about why these differences exist, or about how staff choose between the different methods available to them...
  28. ncbi request reprint Psychiatric nurses' views on criteria for psychiatric intensive care: acute and intensive care staff compared
    Len Bowers
    St Batholomew School of Nursing and Midwifery, City University, Philpot Street, E1 2EA, London, UK
    Int J Nurs Stud 40:145-52. 2003
    ..To explore and investigate differences between the views of qualified nurses working in psychiatric intensive care units (PICUs) and acute care wards on which patients are appropriate for PICU care...
  29. ncbi request reprint Cultures of psychiatry and the professional socialization process: the case of containment methods for disturbed patients
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, Philpot Street, London E1 2EA, UK
    Nurse Educ Today 24:435-42. 2004
    ..The findings support the interpretation that the relative evaluations of psychiatric containment methods are a property of wider national cultures, rather than an isolated tradition of professional psychiatric practice...
  30. ncbi request reprint Comparisons of psychotropic drug prescribing patterns in acute psychiatric wards across Europe
    Len Bowers
    Department of Mental Health and Learning Disability, City University London, Philpot Street, London E1 2EA, UK
    Eur J Clin Pharmacol 60:29-35. 2004
    ..To compare prescribed daily doses (PDDs) of psychotropic drugs in several European centres...
  31. ncbi request reprint Determinants of absconding by patients on acute psychiatric wards
    L Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, England
    J Adv Nurs 32:644-9. 2000
    ..Further investigation is required to determine exactly what it is that consultant psychiatrists and ward nurses do that affects absconding rates...
  32. ncbi request reprint Special observation in the care of psychiatric inpatients: a literature review
    L Bowers
    St Bartholomew School of Nursing and Midwifery, City University, Philpot Street, London E1 2EA, England
    Issues Ment Health Nurs 22:769-86. 2001
    ..However there is also evidence that nurses find SO stressful and patients dislike it...
  33. ncbi request reprint The expression and comparison of ward incident rates
    L Bowers
    St Bartholomew School of Nursing and Midwifery, City University, Philpot Street, London, England E1 2EA
    Issues Ment Health Nurs 21:365-74. 2000
    ..Modest recommendations are made as to how researchers should use and express incident rates in the study of violence, absconding, self-harm, seclusion, constant observation, and other such behaviors...
  34. ncbi request reprint Reasons for admission and their implications for the nature of acute inpatient psychiatric nursing
    L Bowers
    Psychiatric Nursing, City University, London, UK
    J Psychiatr Ment Health Nurs 12:231-6. 2005
    ..The implications for psychiatric nursing are discussed...
  35. ncbi request reprint Disruptive and dangerous behaviour by patients on acute psychiatric wards in three European centres
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, Philpot Street, London, E1 2EA, UK
    Soc Psychiatry Psychiatr Epidemiol 40:822-8. 2005
    ..Little is known about this variation and its relationship to the characteristics of in-patient populations...
  36. ncbi request reprint Patient-staff conflict: results of a survey on acute psychiatric wards
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, Philpot Street, London E1 2EA, UK
    Soc Psychiatry Psychiatr Epidemiol 38:402-8. 2003
    ..Disruptive behaviours of acute psychiatric inpatients have typically been studied separately, as have the methods used to contain them. There are indications that behaviours and containment methods are systematically related...
  37. doi request reprint Constant special observation and self-harm on acute psychiatric wards: a longitudinal analysis
    Duncan Stewart
    School of Community and Health Sciences, City University, E1 2EA London, UK
    Gen Hosp Psychiatry 31:523-30. 2009
    ..This study assessed the relationship between constant special observation (keeping a patient within eyesight or reach) and rates of self-harm on acute psychiatric wards...
  38. ncbi request reprint An analysis of nurses' post-incident manual restraint reports
    C J Ryan
    City University, London, UK
    J Psychiatr Ment Health Nurs 13:527-32. 2006
    ..The coupling of restraint with medication requires examination of its safety and efficacy. Interagency training may enable the essential services involved to coordinate restraint activities more effectively...
  39. ncbi request reprint Aggressive behaviour on acute psychiatric wards: prevalence, severity and management
    Chloe Foster
    Department of Psychology, Institute of Psychiatry, London, UK
    J Adv Nurs 58:140-9. 2007
    ..This paper reports a study to investigate the nature and prevalence of inpatient aggressive behaviour directed at staff and other patients and, in the case of patient self-harm, the methods used by nursing staff to manage this...
  40. doi request reprint A review of interventions to reduce mechanical restraint and seclusion among adult psychiatric inpatients
    Duncan Stewart
    City University, London, United Kingdom
    Issues Ment Health Nurs 31:413-24. 2010
    ..The research did not address which programme components were most successful. More attention should be paid to understanding how interventions work, particularly from the perspective of nursing staff, an issue that is largely overlooked...
  41. ncbi request reprint Runaway success
    Alan Simpson
    Department of Mental Health and Learning Disability, City University, London
    Nurs Stand 18:18-9. 2004
  42. doi request reprint The relationship between substance use and exit security on psychiatric wards
    Alan Simpson
    School of Community and Health Sciences, City University London, UK
    J Adv Nurs 67:519-30. 2011
    ..In this paper we report on the rates of drug/alcohol use on acute psychiatric wards in relation to levels and intensity of exit security measures...
  43. doi request reprint Managing risk and conflict behaviours in acute psychiatry: the dual role of constant special observation
    Duncan Stewart
    Health Service and Population Research, Institute of Psychiatry, Kings College London, London, UK
    J Adv Nurs 68:1340-8. 2012
    ..This is a report of a study of events before and after the use of constant special observation on acute psychiatric wards, and the characteristics of patients who received it...
  44. ncbi request reprint Patient characteristics and behaviours associated with self-harm and attempted suicide in acute psychiatric wards
    Duncan Stewart
    Health Service and Population Research, Institute of Psychiatry, Kings College London, London, UK
    J Clin Nurs 21:1004-13. 2012
    ..The study examined events before and after incidents of self-harm and attempted suicide and the characteristics of patients who engage in these behaviours...
  45. ncbi request reprint Estimating the costs of conflict and containment on adult acute inpatient psychiatric wards
    Chris Flood
    City University, London, England
    Nurs Econ 26:325-330, 324. 2008
    ..This study also suggests that approximately half of all nursing resources are expended in managing conflict and deploying containment...
  46. doi request reprint Coerced medication in psychiatric inpatient care: literature review
    Manuela Jarrett
    Health Service and Population Research Department, Institute of Psychiatry, London, UK
    J Adv Nurs 64:538-48. 2008
    ....
  47. ncbi request reprint Suicide and self-harm in in-patient psychiatric units: a study of nursing issues in 31 cases
    K Gournay
    Department of Health Services Research, Institute of Psychiatry, London, England
    J Adv Nurs 32:124-31. 2000
    ..The results of this audit point to the need for further research but, above all, provide evidence requiring urgent action by the Department of Health regarding the setting of national standards...
  48. doi request reprint Manual restraint and shows of force: the City-128 study
    Len Bowers
    Section of Mental Health Nursing, Institute of Psychiatry Department of Mental Health Nursing, City University, London, UK
    Int J Ment Health Nurs 21:30-40. 2012
    ..Attempts to lessen usage of these interventions could usefully focus on increasing the availability of medical staff to patients, reducing reliance on security guards and establishing a good ward structure...
  49. ncbi request reprint The Attempted and Actual Assault Scale (Attacks)
    Len Bowers
    Department of Mental Health and Learning Disability, City University, London, UK
    Int J Methods Psychiatr Res 16:171-6. 2007
    ..70). It is concluded that the psychometric properties of the newly developed Attacks are promising...
  50. ncbi request reprint Patient feedback on liaison mental health care in A&E
    Patrick Callaghan
    Department of Mental Health and Learning Disability, City University, London
    Nurs Times 98:34-6. 2002
    ..Quantitative data was collected on referrals made to the service and qualitative data was collected through interviews with clients and a postal questionnaire to determine client satisfaction...
  51. ncbi request reprint Coercive manoeuvres in a psychiatric intensive care unit
    C J Ryan
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    J Psychiatr Ment Health Nurs 12:695-702. 2005
    ..They may, in some cases, be useful substitutes for actual restraint, alternatively they may, in some cases, be judged undesirable. It is not known how widespread these practices are in acute psychiatry...
  52. doi request reprint Psychiatric patients' views on why their involuntary hospitalisation was right or wrong: a qualitative study
    Christina Katsakou
    Unit for Social and Community Psychiatry, Barts and the London School of Medicine, Queen Mary University of London, Newham Centre for Mental Health, Cherry Tree Way, Glen Road, London, E13 8SP, UK
    Soc Psychiatry Psychiatr Epidemiol 47:1169-79. 2012
    ..To explore involuntary patients' retrospective views on why their hospitalisation was right or wrong...
  53. doi request reprint Under the gaze of staff: special observation as surveillance
    Duncan Stewart
    Institute of Psychiatry, Kings College, London, UK
    Perspect Psychiatr Care 48:2-9. 2012
    ..This study explores the relationship of special observation (SO) to a range of patient, staff, and ward variables...
  54. ncbi request reprint A trial of an anti-absconding intervention in acute psychiatric wards
    L Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    J Psychiatr Ment Health Nurs 10:410-6. 2003
    ..The findings support the efficacy of the intervention in reducing absconding. Further research is now required to replicate these findings, and to confirm that any reductions are maintained over time...
  55. doi request reprint Self-harm and attempted suicide within inpatient psychiatric services: a review of the literature
    Karen James
    Institute of Psychiatry, Kings College London, London, UK
    Int J Ment Health Nurs 21:301-9. 2012
    ..Wards used a variety of strategies to prevent self-harm; however, there is little research into their effectiveness...
  56. ncbi request reprint How prevalent is violence towards nurses working in general hospitals in the UK?
    John Wells
    Intensive Care Unit, St Bartholomew s Hosptial, Barts and The London NHS Trust, London, UK
    J Adv Nurs 39:230-40. 2002
    ..However, it is not clear whether violence and abuse have in fact become more prevalent. At present little is known about the scale of the problem for general nurses working in general hospitals in the UK...
  57. doi request reprint Locked doors in acute inpatient psychiatry: a literature review
    M van der Merwe
    City Community and Health Sciences Department, City University, Philpot Street, London, UK
    J Psychiatr Ment Health Nurs 16:293-9. 2009
    ..The limited literature available showed the urgent need for research to determine the real effects of locked doors in inpatient psychiatry...
  58. doi request reprint Manual restraint of adult psychiatric inpatients: a literature review
    D Stewart
    Department of Mental Health and Learning Disability, City University, London E1 2EA, UK
    J Psychiatr Ment Health Nurs 16:749-57. 2009
    ..Larger and more complex studies are needed to examine how manual restraint is used in response to different types of incident and in different service settings...
  59. ncbi request reprint Constraints and blocks to change and improvement on acute psychiatric wards--lessons from the City Nurses project
    G Brennan
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    J Psychiatr Ment Health Nurs 13:475-82. 2006
    ..We argue that sustained positive change in acute inpatient psychiatry requires these underlying structural issues to be both acknowledged and, if possible, resolved...
  60. ncbi request reprint Psychiatric nursing and compulsory psychiatric care
    N Clark
    St Bartholomew School of Nursing and Midwifery, City University, London
    J Adv Nurs 31:389-94. 2000
    ....
  61. ncbi request reprint Acute psychiatric ward rules: a review of the literature
    J Alexander
    City University, St Bartholomew School of Nursing and Midwifery, Department of Mental Health and Learning Disabilities, London, UK
    J Psychiatr Ment Health Nurs 11:623-31. 2004
    ..However, an in-depth exploration of psychiatric ward rules from the perspective of nurses and patients has not been undertaken previously...
  62. ncbi request reprint Safety and security policies on psychiatric acute admission wards: results from a London-wide survey
    L Bowers
    Psychiatric Nursing, St Bartholomew School of Nursing and Midwifery, City University, London, UK
    J Psychiatr Ment Health Nurs 9:427-33. 2002
    ..There is some preliminary evidence that these security policies are differentially associated with levels of absconding and violent incidents. Further research to guide practice is urgently required...
  63. ncbi request reprint Training in cognitive behavioural interventions on acute psychiatric inpatient wards
    E McCann
    City University, St Bartholomew School of Nursing and Midwifery, London, UK
    J Psychiatr Ment Health Nurs 12:215-22. 2005
    ..The impact of training in these methods and the implications for mental health education and practice development are discussed...
  64. ncbi request reprint Case management models and the care programme approach: how to make the CPA effective and credible
    A Simpson
    St Bartholomew School of Nursing and Midwifery, Department of Mental Health and Learning Disability, City University, London, UK
    J Psychiatr Ment Health Nurs 10:472-83. 2003
    ..The paper concludes by suggesting the key developments required to make the CPA more effective and to underpin the policy with a unifying philosophy while endorsing it with much needed credibility among both clinicians and service users...
  65. ncbi request reprint A review of research on the structure, process and outcome of liaison mental health services
    P Callaghan
    Department of Mental Health and Learning Disability, City University, Philpot Street, London E1 2EA, UK
    J Psychiatr Ment Health Nurs 10:155-65. 2003
    ..There is little evidence supporting one model of configuring LMHS over another...
  66. ncbi request reprint Manipulation: description, identification and ambiguity
    L Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    J Psychiatr Ment Health Nurs 10:323-8. 2003
    ..In order to achieve a cautious moderation, staff need to hold both alternatives in mind at all times...
  67. ncbi request reprint Philosophy, care and treatment on the psychiatric intensive care unit: themes, trends and future practice
    N Crowhurst
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    J Psychiatr Ment Health Nurs 9:689-95. 2002
    ....
  68. doi request reprint Psychiatric wards: places of safety?
    J Jones
    School of Community Health Sciences, City University, London E1 2EA, UK
    J Psychiatr Ment Health Nurs 17:124-30. 2010
    ..It would appear that there remains much to do before research findings and policies are implemented in ways that facilitate all service users to derive the maximum benefit from their inpatient experience...
  69. ncbi request reprint Manipulation: searching for an understanding
    L Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    J Psychiatr Ment Health Nurs 10:329-34. 2003
    ..These three viable schemes for the understanding of manipulation provide not just a means to enable a non-judgmental approach, they also provide ways to manage that behaviour in a therapeutic manner...
  70. ncbi request reprint Reflections on the process of change on acute psychiatric wards during the City Nurse Project
    C Flood
    East London and City Mental Health Trust, and St Bartholomew School of Nursing and Midwifery, City University, Philpot Street, London E1 2EA, UK
    J Psychiatr Ment Health Nurs 13:260-8. 2006
    ..At an interim stage of the project, the staff have shown a willingness to engage in efforts to change and improve two acute wards. This paper shows the potential to improve acute wards and produce positive outcomes using a working model...
  71. doi request reprint Results of a pilot randomised controlled trial to measure the clinical and cost effectiveness of peer support in increasing hope and quality of life in mental health patients discharged from hospital in the UK
    Alan Simpson
    School of Health Sciences, City University London, Northampton Square, London EC1V 0HB, UK
    BMC Psychiatry 14:30. 2014
    ..The benefits of peer support in mental health services have been identified in a number of studies with some suggesting clinical and economic gains in patients being discharged...
  72. doi request reprint Learning from prevented suicide in psychiatric inpatient care: an analysis of data from the National Patient Safety Agency
    Len Bowers
    Institute of Psychiatry, London, United Kingdom
    Int J Nurs Stud 48:1459-65. 2011
    ..Inpatient suicide is a tragedy, and removal of the means is only a partially effective strategy...
  73. doi request reprint The measurement of psychotic acuity by nursing staff
    C Theodoridou
    Research Worker, Institute of Psychiatry, King s College, De Crespigny Park, London, UK
    J Psychiatr Ment Health Nurs 16:234-41. 2009
    ..None of these scales addressed the conceptual and theoretical problems that we identified. A new scale that will measure acuity of symptoms in inpatient settings needs to be created...
  74. doi request reprint Identification of the "minimal triangle" and other common event-to-event transitions in conflict and containment incidents
    Len Bowers
    Institute of Psychiatry, London, UK
    Issues Ment Health Nurs 34:514-23. 2013
    ..Verbal aggression is a critical initiator of conflict events, and requires more detailed and sustained research on optimal management and prevention strategies. Similar research is required into medication refusal by inpatients. ..
  75. doi request reprint Patients' preferences for seclusion or forced medication in acute psychiatric emergency in the Netherlands
    Eline Veltkamp
    Altrecht Mental Health Care, Den Dolder, The Netherlands
    Psychiatr Serv 59:209-11. 2008
    ..This study examined patients' preferences for coercive measures in case of emergency situations on acute psychiatric wards...