The view from within: how patients perceive the seclusion process.

1. Reported patient perceptions of seclusion revealed many negative feelings. The quest for the human element, dignity, to understand and to be understood, and to be reassured was a theme throughout. 2. Whatever nurses can do before or during the seclusion process that results in more positive perceptions by patients helps promote more comfortable feelings and more appropriate behavior. Frequent reviews of seclusion policies and procedures are important. 3. Debriefing may be one of the most important ways that staff can help the patient in diminishing the emotional impact of seclusion. It provides an opportunity to clarify the rationale for the seclusion, offer mutual feedback, and promote the patient's self-esteem.