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    Seclusion Practice in Psychiatric Nursing: Assessing Nurses' Attitudes

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    Author
    Fitchette, Mirandine Alce
    Issue Date
    2015
    Keywords
    Nursing
    Advisor
    Sheppard, Kate G.
    Committee Chair
    Sheppard, Kate G.
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    Background: Seclusion is the physical isolation of a patient for the purpose of protecting the patient from harming self or others. It is often nurses who place a patient in seclusion, especially in the psychiatric setting. Seclusion is a very common practice in a psychiatric setting. To date, there is limited evidence describing nurses' attitudes towards seclusion in the psychiatric setting. Purpose: This paper describes nurses' attitudes towards the use of seclusion in the inpatient psychiatric setting. Method and Sampling: A qualitative design was used to assess nurses' attitudes towards the use of seclusion. Participants were recruited through snowball sampling. Two focus group discussions were used to obtain descriptions of nurses' attitudes to the use of seclusion for patients in psychiatric settings. Twelve nurses with current and/or previous work experience in the inpatient psychiatric setting, ages 21-62, participated in the study. Results: Factors guiding nurses' attitudes included feelings and beliefs, the patient's behavior, and the participant's knowledge of seclusion. Behaviors such as violence, agitation, and/or elopement were perceived as threats to the patient's safety and the safety of others. Seclusion was used to eliminate such behaviors and was perceived as therapeutic for both the patient and the individual unit. While participants reported an overall positive attitude towards seclusion, they reported a lack of knowledge in regards to policies governing seclusion. Conclusion: Attitudes were found to influence the use of seclusion. Participants in this project felt seclusion was useful to reduce violent behaviors and agitation. Seclusion was also seen as therapeutic. Educating nurses is necessary to change their attitudes towards seclusion and to reduce the practice of seclusion in the inpatient psychiatric setting.
    Type
    text
    Electronic Dissertation
    Degree Name
    D.N.P.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
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