TITLE

Seclusion practice: a critical examination of the nurses' decision-making process

AUTHOR(S)
Holmes, Dave; Jacob, Jean Daniel
PUB. DATE
January 2007
SOURCE
BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background Seclusion continues to be a widespread measure used in psychiatric settings. Furthermore, the humanitarian, ethical and legal issues associated with the use of seclusion make it one of the most controversial management strategies available. Despite these important issues, little nursing research has sought to gain an understanding of the nurses' decision-making process regarding the use of seclusion in psychiatric settings. Objective: The objective of this presentation is to outline the research results of a grounded theory study conducted in two major Canadian university affiliated psychiatric hospitals. Methods/results After conducting 27 semi-structured interviews with registered nurses, our qualitative analysis shows that the decision-making process involved in the use of seclusion is highly complex and relies on a combination of personal, professional, and organizational discourses and practices. Conclusion Several dimensions of the professional role must be considered in relation to seclusion; however, structural variables (examples: peer pressure, culture of blame) are most influential in the decision-making process involved in using seclusion. This is true even when those variables are in opposition to legal and ethical obligations of nurses.
ACCESSION #
35704318

 

Related Articles

  • A friend in deed. Sadler, Catharine // Nursing Standard;2/9/2011, Vol. 25 Issue 23, p22 

    Volunteers help ease the isolation for patients at a high security hospital. Catharine Sadler reports.

  • POSITION STATEMENT: THE USE OF SECLUSION IN PSYCHIATRIC SETTINGS. Khalifeh, Anas Husam // Middle East Journal of Nursing;Jun/Jul2015, Vol. 9 Issue 3, p31 

    This position statement is aimed to reduce psychiatric inpatient seclusion by improving nurses role and providing opponents and proponents legal overviews; this issue is one of the most controversial practices in psychiatric care according to legal perspective; the differences in legal...

  • Don't leave a psych patient in waiting room.  // ED Nursing;Dec2008, Vol. 12 Issue 2, p18 

    The article focuses on how the emergency department (ED) handles psychiatric patients in The Hospital of Central Connecticut in New Britain, Connecticut. Nancy Bennet, educator at the hospital, asserts that psychiatric patients will not harm themselves or others even if they leave the ED. The ED...

  • SIXTH NATIONAL SECLUSION AND RESTRAINT REDUCTION FORUM.  // Lamp;2011, Vol. 68 Issue 2, p37 

    The article presents information on topics which were discussed at the sixth National Seclusion and Restraint Reduction Forum, which was held in November of 2010 and was hosted by the New South Wales Department of Health.

  • Model could reduce seclusion rates. Doncliff, Brent // Kai Tiaki Nursing New Zealand;Sep2014, Vol. 20 Issue 8, p29 

    No abstract available.

  • A DAY IN THE LIFE OF AN ACUTE HOSPITAL PSYCHIATRIC NURSE. Murphy, Russell // Kai Tiaki Nursing New Zealand;Oct2005, Vol. 11 Issue 9, p24 

    This article describes the experience of an acute hospital psychiatric nurse in New Zealand. Challenges and tasks include: taking on an allocation of four to five patients, locating these patients for tests, receiving the doctor's account of the last 24 hours for each patient on the ward,...

  • Use of Seclusion: Finding the Voice of the Patient to Influence Practice. Faschingbauer, Kristine M.; Peden-McAlpine, Cynthia; Tempel, Wendy // Journal of Psychosocial Nursing & Mental Health Services;Jul2013, Vol. 51 Issue 7, p32 

    Seclusion for escalating behavior in psychiatric patients has been a controversial intervention over the past 3 decades. The current study investigated the experience of seclusion from the perspective of inpatient psychiatric patients in the mid-western United States. Twelve patients were...

  • Understanding and implementing the nurse's holding power (section 5(4)) of the Mental Health Act 1983. Ashmore, Russell; Carver, Neil // Mental Health Practice;Sep2014, Vol. 18 Issue 1, p30 

    This article explores section 5(4) of the Mental Health Act, which permits nurses of a ‘prescribed class’ to detain an informal inpatient who is receiving treatment for mental disorder for up to six hours or until a doctor or approved clinician arrives. The article raises various...

  • How to Obtain Contact Hours by Reading Articles in This Issue.  // Journal of Psychosocial Nursing & Mental Health Services;Mar2014, Vol. 52 Issue 3, p19 

    No abstract available.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics