Locked doors or sentinel nurses?

Adams, Bob

doi:10.1192/pb.24.9.327

Cited by 16 publications

(46 citation statements)

References 3 publications

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“…How locked entrance doors at psychiatric wards are experienced by patients has been investigated in a very limited number of studies. A locked entrance door may be provocative (6), cause more worry, remind of a prison (2), and cause more anger and aggression (7) than experienced by patients at wards with open doors. Patients' satisfaction with treatment and care may be lower at a ward with a locked than an open door (8).…”

mentioning

confidence: 99%

“…It has been reported that some patients do not mind whether the door is locked or not (8). A locked door may signal safety, security and relief from real and imagined dangers (2,6,9). It has been reported that a locked entrance door may reduce the need for close observation, which patients may perceive as an advantage (2).…”

mentioning

confidence: 99%

“…A locked door may signal safety, security and relief from real and imagined dangers (2,6,9). It has been reported that a locked entrance door may reduce the need for close observation, which patients may perceive as an advantage (2). The aim was to describe voluntarily admitted patients' perceptions of advantages and disadvantages about being cared for on a psychiatric ward with a locked entrance door.…”

mentioning

confidence: 99%

“…Locking the entrance door to the ward is a way to regulate patients' possibilities of leaving the ward without consent (1) or to prevent access to not wanted persons (2). How often entrance doors are locked and reasons for locking them have been investigated to a very limited extent.…”

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confidence: 99%

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Locked entrance doors at psychiatric wards – Advantages and disadvantages according to voluntarily admitted patients

Haglund

Essén

2005

Nordic Journal of Psychiatry

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Entrance doors at wards where psychiatric care is provided are sometimes locked, which is not the case at wards where somatic care is provided. How locked entrance doors at psychiatric wards are experienced by patients has been investigated to a very limited extent. The aim was to describe voluntarily admitted patients' perceptions of advantages and disadvantages about being cared for on a psychiatric ward with a locked entrance door. Audio-taped, semi-structured interviews were conducted with 20 patients voluntarily admitted at psychiatric wards. Content analysis revealed six categories of advantages and 11 categories of disadvantages. Most advantages were categorized as "protects patients and staff against 'the outside' ", "provides patients with a secure and efficient care" and "provides staff with a sense of control over the patients". Most disadvantages were categorized as "makes patients feel confined", "makes patients feel dependent on the staff" and "makes patients feel worse emotionally". Patients perceive a variety of advantages and disadvantages, for themselves, their visitors and staff, connected to locked entrance doors at psychiatric wards. A locked door may make the ward appear as both a prison and a sanctuary. It is important that staff try to minimize patients' concerns connected to the locked door.

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mentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Locked entrance doors at psychiatric wards – Advantages and disadvantages according to voluntarily admitted patients

Haglund

Essén

2005

Nordic Journal of Psychiatry

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“…The rationale for locked units is the provision of greater safety for patients 14 15. Common risks in open wards include the availability of illicit drugs and absconding, the latter made more dangerous by environmental hazards that may be near the hospital, such as bridges, tall buildings and busy highways, all of which can compromise safety 2 14.…”

Section: Rationalementioning

confidence: 99%

Locked inpatient units in modern mental health care: values and practice issues

et al. 2009

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Locked inpatient units are an increasing phenomenon, introduced in response to unforseen abscondences and suicides of patients. This paper identifies some value issues concerning the practice of locked psychiatric inpatient units. Broad strategies, practicalities and ethical matters that must be considered in inpatient mental health services are also explored. The authors draw on the published research and commentary to derive relevant information to provide to patients and staff regarding the aims and rationales of locked units. Further debate is warranted in relation to best practice. Inpatient staff need to be aware of their practice values, be able to access education and supervision and negotiate apparent contradictions. Further patient/clinician focused enquiry is necessary to mitigate the negative and stigmatising effects of locked mental health units.

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