TY - JOUR
T1 - Use of seclusion
T2 - Finding the voice of the patient to influence practice
AU - Faschingbauer, Kristine M.
AU - Peden-McAlpine, Cynthia
AU - Tempel, Wendy
PY - 2013
Y1 - 2013
N2 - Seclusion for escalating behavior in psychiatric patients has been a controversial intervention over the past 3 decades. The current study investigated the experience of seclusion from the perspective of inpatient psychiatric patients in the midwestern United States. Twelve patients were interviewed about their experiences; the interviews were transcribed into a written text. A phenomenological method was used to analyze the text, and themes were generated. Three themes emerged: (a) Patient Hope for Respect and Open Communication described patients' desires for discussion about their individual problems before their behavior escalated; (b) Patient Emotional Response to the Seclusion Process described accelerating emotions such as anxiety and anger. Patients perceived disrespect from staff prior to and during seclusion; and (c) Patient Insight into Behavior and the Importance of Positive Coping Skills described the importance of debriefi ng with staff and learning positive coping skills. Further improved education for nurses is needed to help manage psychiatric patients, for it is the goal of the mental health profession to understand the reasons these seclusion episodes occur and to directly take the steps to eliminate the need for the seclusion process entirely.
AB - Seclusion for escalating behavior in psychiatric patients has been a controversial intervention over the past 3 decades. The current study investigated the experience of seclusion from the perspective of inpatient psychiatric patients in the midwestern United States. Twelve patients were interviewed about their experiences; the interviews were transcribed into a written text. A phenomenological method was used to analyze the text, and themes were generated. Three themes emerged: (a) Patient Hope for Respect and Open Communication described patients' desires for discussion about their individual problems before their behavior escalated; (b) Patient Emotional Response to the Seclusion Process described accelerating emotions such as anxiety and anger. Patients perceived disrespect from staff prior to and during seclusion; and (c) Patient Insight into Behavior and the Importance of Positive Coping Skills described the importance of debriefi ng with staff and learning positive coping skills. Further improved education for nurses is needed to help manage psychiatric patients, for it is the goal of the mental health profession to understand the reasons these seclusion episodes occur and to directly take the steps to eliminate the need for the seclusion process entirely.
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U2 - 10.3928/02793695-20130503-01
DO - 10.3928/02793695-20130503-01
M3 - Article
C2 - 23668381
AN - SCOPUS:84880356248
SN - 0279-3695
VL - 51
SP - 32
EP - 38
JO - Journal of psychosocial nursing and mental health services
JF - Journal of psychosocial nursing and mental health services
IS - 7
ER -