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Ethics and praxis: alternative strategies to physical restraint and seclusion in a psychiatric setting
1University of Texas at Austin, School of Nursing, 1700 Red River St., Austin, TX 78701, USA. Ctaxis@mail.nur.utexas.edu
Abstract:
This descriptive article highlights a 42-month project in which a comprehensive program revision was implemented in a psychiatric hospital that included numerous alternative strategies to the use of patient restraint and seclusion. The results of this project include a 94% reduction in the rate of restraint and seclusion, development of extensive staff and patient education programs, and comprehensive programmatic alterations consistent with a paradigm shift emphasizing collaboration, empowerment, and ethical clinical practice.
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