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The nursing decision making process in seclusion episodes in a psychiatric facility
Caroline Larue1, Myra Piat, Héléne Racine
1Université de Montréal, Sciences Infirmíeres, Montréal, Canada. caroline.larue@umontreal.ca
Issues in Mental Health Nursing
|February 11, 2010
Summary
This study found that nursing interventions during psychiatric seclusion meet quality standards. Post-event reviews, focusing on understanding aggressive behavior, can further refine these nursing practices.
Area of Science:
- Psychiatric Nursing
- Mental Health Care
- Patient Safety
Background:
- Seclusion and restraint are used in psychiatric facilities to manage patient aggression.
- Evaluating nursing interventions during these episodes is crucial for quality improvement.
- Understanding the alignment between local protocols and best practices is essential.
Purpose of the Study:
- To explore and describe nursing interventions during seclusion with or without restraint.
- To examine the relationship between local protocols for these interventions and best-practice guidelines.
Main Methods:
- Qualitative study involving interviews with 24 psychiatric nurses.
- Interventions were explored before, during, and after seclusion/restraint episodes.
- Data analysis focused on adherence to quality standards and best practices.
Main Results:
- Nursing interventions during seclusion/restraint episodes generally meet quality standards.
- Current practices align with established quality benchmarks.
- Opportunities for refinement were identified, particularly in post-event analysis.
Conclusions:
- Nursing interventions in seclusion/restraint are of acceptable quality.
- Implementing structured post-event reviews, focusing on client aggression, can enhance practice.
- Further research into understanding the root causes of aggressive behavior is recommended.
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