PURPOSE: This study explored psychiatric inpatients' experiences of, and their suggestions for, improvement of seclusion/restraint, and alternatives to their use in Finland. METHODS: The data were collected by focused interviews (n= 30) and were analyzed with inductive content analysis. RESULTS: Patients' perspectives received insufficient attention during seclusion/restraint processes. Improvements (e.g., humane treatment) and alternatives (e.g., empathetic patient-staff interaction) to seclusion/restraint, as suggested by the patients, focused on essential parts of nursing practice but have not been largely adopted. PRACTICE IMPLICATIONS: Patients' basic needs have to be met, and patient-staff interaction has to also continue during seclusion/restraint. Providing patients with meaningful activities, planning beforehand, documenting the patients' wishes, and making patient-staff agreements reduce the need for restrictions and offer alternatives for seclusion/restraint. Service users must be involved in all practical development.
PURPOSE: This study explored psychiatric inpatients' experiences of, and their suggestions for, improvement of seclusion/restraint, and alternatives to their use in Finland. METHODS: The data were collected by focused interviews (n= 30) and were analyzed with inductive content analysis. RESULTS:Patients' perspectives received insufficient attention during seclusion/restraint processes. Improvements (e.g., humane treatment) and alternatives (e.g., empathetic patient-staff interaction) to seclusion/restraint, as suggested by the patients, focused on essential parts of nursing practice but have not been largely adopted. PRACTICE IMPLICATIONS: Patients' basic needs have to be met, and patient-staff interaction has to also continue during seclusion/restraint. Providing patients with meaningful activities, planning beforehand, documenting the patients' wishes, and making patient-staff agreements reduce the need for restrictions and offer alternatives for seclusion/restraint. Service users must be involved in all practical development.
Authors: Carlos Aguilera-Serrano; Jose Guzman-Parra; Juan A Garcia-Sanchez; Berta Moreno-Küstner; Fermin Mayoral-Cleries Journal: Can J Psychiatry Date: 2017-10-25 Impact factor: 4.356
Authors: Lucie Kalisova; Jiri Raboch; Alexander Nawka; Gaia Sampogna; Libor Cihal; Thomas W Kallert; Georgi Onchev; Anastasia Karastergiou; Valeria Del Vecchio; Andrzej Kiejna; Tomasz Adamowski; Francisco Torres-Gonzales; Jorge A Cervilla; Stephan Priebe; Domenico Giacco; Lars Kjellin; Algirdas Dembinskas; Andrea Fiorillo Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2014-04-16 Impact factor: 4.328
Authors: Päivi Soininen; Hanna Putkonen; Grigori Joffe; Jyrki Korkeila; Pauli Puukka; Anneli Pitkänen; Maritta Välimäki Journal: Int J Ment Health Syst Date: 2013-12-05