2010
DOI: 10.1177/0969733009350140
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Abstract: The use of patient restrictions (e.g. involuntary admission, seclusion, restraint) is a complex ethical dilemma in psychiatric care. The present study explored nurses' (n = 22) and physicians' (n = 5) perceptions of what actually happens when an aggressive behaviour episode occurs on the ward and what alternatives to seclusion and restraint are actually in use as normal standard practice in acute psychiatric care. The data were collected by focus group interviews and analysed by inductive content analysis. The… Show more

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Cited by 85 publications
(129 citation statements)
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References 30 publications
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“…In general, coerced patients suffer from a lack of proper communication with personnel, and their opinions are not taken into account, the opportunities to voice their opinions are inadequate and staff members' understanding of patients' concerns is poor (Soininen et al 2013a, b;Meehan et al 2004;Keski-Valkama et al 2010a, b;Kontio et al 2010;Mayers et al 2010). These are not results the psychiatric services can be proud of.…”
Section: Coerced Patients' Perceptions Of Their Overall Treatmentmentioning
confidence: 99%
See 1 more Smart Citation
“…In general, coerced patients suffer from a lack of proper communication with personnel, and their opinions are not taken into account, the opportunities to voice their opinions are inadequate and staff members' understanding of patients' concerns is poor (Soininen et al 2013a, b;Meehan et al 2004;Keski-Valkama et al 2010a, b;Kontio et al 2010;Mayers et al 2010). These are not results the psychiatric services can be proud of.…”
Section: Coerced Patients' Perceptions Of Their Overall Treatmentmentioning
confidence: 99%
“…Without professional guidance, this is a somewhat counterproductive constellation (Stenhouse 2011). Patients' experience of restrictive rules, inappropriate control or use of power and strength on the part of authoritarian staff can precipitate aggression and violence (Kontio et al 2010;Shattell et al 2008). This, in turn, launches a vicious circle of ever growing restrictions that are common, for example, in Finland (Raboch et al 2010).…”
Section: Patients' Experiences and Clinical Practice: Future Challengesmentioning
confidence: 99%
“…A notable approach in this regard is by Kontio et al (2010), who describes a number of steps to avert the use of seclusion and restraint. The first step pertains to nursing interventions:…”
Section: Critique Of Behavioural Techniquesmentioning
confidence: 99%
“…In contrast, various articles were located that discussed the use of restraints in the clinical care of adult patients in the psychiatric setting, in the intensive care unit, and care of the elderly (Benbenbishty, Adams, & Endacott, 2010;Brenner, 2007b;Hine, 2007;Kontio et al, 2010; Lewis, Taylor control the movement of the patient during procedures (Bland et al, 2002;Collins, 1999;Demir, 2007b;Jeffery, 2002;Selekman & Snyder, 1996). The use of restraint has been an accepted practice during common procedures such as immunization, intramuscular injection, venipuncture, intravenous line placement, and lumbar puncture (Bland et al, 2002;Collins, 1999;Robinson & Collier, 1997).…”
Section: Use Of Experts and Physical Restraintmentioning
confidence: 99%