Impacts of Seclusion and the Seclusion Room: Exploring the Perceptions of Mental Health Nurses in Australia

Happell, Brenda; Koehn, Stefan

doi:10.1016/j.apnu.2010.07.005

Cited by 21 publications

(27 citation statements)

References 36 publications

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“…Nurses agreed that patients would feel scared, angry, confused, helpless, punished, disempowered, out of control, controlled by others, and frightened during seclusion (Happell & Koehn ; Happell et al . ).…”

Section: Resultsmentioning

confidence: 99%

“…Nurses recognized patients’ negative feelings (Gelkopf et al . ; Happell & Koehn ; Happell et al . ) and reactions to the use of coercion (Chien & Lee ; Mahmoud ; Wynn 2013).…”

Section: Discussionmentioning

confidence: 99%

“…The most commonly used questionnaires were Heyman's (1987) Survey of Nurses' Attitudes to Seclusion (n = 6) and the Attitude to Containment Methods Questionnaire (n = 4) from Bowers et al (2004). Out of the six studies that utilized the questionnaire by Heyman (1987), four studies utilized the same data set (Happell & Koehn 2010, 2011a. Other questionnaires that were used included those presented by Gelkopf et al (2009), Husum et al (2008, Janelli et al (1992), Van Doeselaar et al (2008), andWynn (2003).…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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Psychiatric nursing staffs’ attitudes towards the use of containment methods in psychiatric inpatient care: An integrative review

Laukkanen

Vehviläinen‐Julkunen

Louheranta

et al. 2019

Int J Mental Health Nurs

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One of the international objectives in psychiatric care is reducing the use of coercion. Containment methods are meant to keep patients safe, yet usually include coercion. Nurses play a key role in deciding whether or not containment should be used and, as such, their attitudes towards containment can significantly impact the extent to which these methods are applied. The aim of this integrative review was to identify, analyse, and synthesize the available research on psychiatric nursing staffs’ attitudes towards containment methods in inpatient psychiatric care. An electronic search was conducted using the CINAHL, Scopus, and PsycINFO databases. In addition, the citations of identified studies were screened for relevant research. A total of 24 relevant papers published between 2002 and 2017 were selected for further analysis. These studies revealed variation in nursing staffs’ attitudes towards the use of containment methods. The use of containment methods seems to be widely accepted and nurses reported rarely considering alternative measures. It appears that attitudes towards containment have continuously become more negative, although the change has not been very pronounced. The concept of attitude was only defined in two studies. Thus, future research should strive to clarify this concept, as a generally accepted definition for attitude within nursing research and the utilization of all dimensions of this concept are both essential to the nursing field. Currently, it would be important to focus on changing attitudes among psychiatric nursing staff to reduce the use of containment methods; this calls for more research on nursing staffs’ attitudes.

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Section: Resultsmentioning

confidence: 99%

“…Nurses recognized patients’ negative feelings (Gelkopf et al . ; Happell & Koehn ; Happell et al . ) and reactions to the use of coercion (Chien & Lee ; Mahmoud ; Wynn 2013).…”

Section: Discussionmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Psychiatric nursing staffs’ attitudes towards the use of containment methods in psychiatric inpatient care: An integrative review

Laukkanen

Vehviläinen‐Julkunen

Louheranta

et al. 2019

Int J Mental Health Nurs

View full text Add to dashboard Cite

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“…Equipping the consumer as an active manager allows them to consolidate new coping strategies and to practise these within a safe environment before returning to the community (Cruce et al 2012;Day et al 2005;Fukui et al 2014;Happell & Koehn 2011;Hungerford & Fox 2014;Tsai et al 2010;Young et al 2008). It ensures that the nurse provides a balance between providing support and allowing the person to develop autonomy as their health improves (Bryant et al 2008).…”

Section: Component 4: Equipping the Consumer As An Active Manager Of mentioning

confidence: 99%

“…Consequently, if aggression is deemed to be related to the consumer's psychiatric symptoms, nurse-initiated pro re nata (PRN) medications could be used to reduce the level of arousal and positive symptoms (Barlow 2014). Accordingly, the person's ability to self-regulate and gain control over their behaviour might not be assessed or incorporated into the clinical judgment (Happell & Koehn 2011). Likewise, nurses could overlook environmental or interpersonal triggers/antecedents that might have precipitated the incident or have an impact on defusing the situation (Bowers 2014;Hallett et al 2014;Lim 2010;Paterson & Duxbury 2007).…”

Section: Introductionmentioning

confidence: 99%

Recovery‐focussed care: How it can be utilized to reduce aggression in the acute mental health setting

Lim

Wynaden

Heslop

2017

Int J Mental Health Nurs

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Consumer aggression is common in the acute mental health inpatient setting. Mental health nurses can utilize a range of interventions to prevent aggression or reduce its impact on the person and others who have witnessed the event. Incorporating recovery-focussed care into clinical practice is one intervention, as it fosters collaborative partnerships with consumers. It promotes their engagement in decisions about their care and encourages self-management of their presenting behaviours. It also allows the consumer to engage in their personal recovery as their mental health improve. Yet there is a paucity of literature on how nurses can utilize recovery-focussed care with consumers who are hospitalized and in the acute phase of their illness. In the present study, we report the findings of a scoping review of the literature to identify how recovery-focussed care can be utilized by nurses to reduce the risk of consumer aggression. Thirty-five papers met the inclusion criteria for review. Four components were identified as central to the use of recovery-focussed care with consumers at risk of becoming aggressive: (i) seeing the person and not just their presenting behaviour; (ii) interact, don't react; (iii) coproduction to achieve identified goals; and (iv) equipping the consumer as an active manager of their recovery. The components equip nurses with strategies to decrease the risk of aggression, while encouraging consumers to self-manage their challenging behaviours and embark on their personal recovery journey. Further research is required to evaluate the translation of these components clinically in the acute care setting.

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Differences in Seclusion Rates Between Admission Wards: Does Patient Compilation Explain?

et al. 2012

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Comparison of seclusion figures between wards in Dutch psychiatric hospitals showed substantial differences in number and duration of seclusions. In the opinion of nurses and ward managers, these differences may predominantly be explained by differences in patient characteristics, as these are expected to have a large impact on these seclusion rates. Nurses assume more admissions of severely ill patients are related to higher seclusion rates. In order to test this hypothesis, we investigated differences in patient and background characteristics of 718 secluded patients over 5,097 admissions on 29 different admission wards over seven Dutch psychiatric hospitals. We performed an extreme group analysis to explore the relationship between patient and ward characteristics and the wards' number of seclusion hours per 1,000 admission hours. In a multivariate and a multilevel analysis, various characteristics turned out to be related to the number of seclusion hours per 1,000 admission hours as well as to the likelihood of a patient being secluded, confirming the nurses assumptions. The extreme group analysis showed that seclusion rates depended on both patient and ward characteristics. A multivariate and multilevel analyses revealed that differences in seclusion hours between wards could partially be explained by ward size next to patient characteristics. However, the largest deal of the difference between wards in seclusion rates could not be explained by characteristics measured in this study. We concluded ward policy and adequate staffing may, in particular on smaller wards, be key issues in reduction of seclusion.

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Impacts of Seclusion and the Seclusion Room: Exploring the Perceptions of Mental Health Nurses in Australia

Cited by 21 publications

References 36 publications

Psychiatric nursing staffs’ attitudes towards the use of containment methods in psychiatric inpatient care: An integrative review

Psychiatric nursing staffs’ attitudes towards the use of containment methods in psychiatric inpatient care: An integrative review

Recovery‐focussed care: How it can be utilized to reduce aggression in the acute mental health setting

Differences in Seclusion Rates Between Admission Wards: Does Patient Compilation Explain?

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