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Seclusion: the quest to determine effectiveness
1Central Coast Area Health Service, Gosford Hospital, NSW, Australia.
Journal of Psychosocial Nursing and Mental Health Services
|November 1, 1996
Summary
Seclusion may be effective in psychiatric emergencies, but evidence is limited. This study compared seclusion to other interventions, finding potential benefits in specific areas, highlighting the need for more research.
Area of Science:
- Psychiatric Nursing
- Mental Health Interventions
- Clinical Effectiveness Research
Background:
- Decisions regarding seclusion in mental health settings often rely on anecdotal evidence rather than empirical data.
- There is a significant gap in research evaluating the effectiveness of seclusion as a therapeutic intervention.
Purpose of the Study:
- To compare the effectiveness of seclusion versus alternative interventions in psychiatric units.
- To examine the impact of seclusion on emergency resolution time, PRN medication use, and nursing perceptions.
Main Methods:
- A comparative study was conducted across two psychiatric units with differing intervention protocols.
- Data collected included emergency resolution times, the administration of PRN (as needed) medications, and nurses' subjective assessments of intervention efficacy.
Main Results:
- The study indicated that seclusion may be more effective than alternative interventions when considering specific parameters.
- Preliminary results suggest potential benefits of seclusion in managing psychiatric emergencies.
Conclusions:
- Seclusion may offer advantages in certain clinical scenarios within psychiatric care.
- Further rigorous research is essential to fully understand and validate the effectiveness of seclusion as an intervention.