Seclusion and Restraint in Psychiatry: Patients%26apos; Experiences and Practical Suggestions on How to Improve Practices and Use Alternatives

作者：Kontio Raija^*; Joffe Grigori; Putkonen Hanna; Kuosmanen Lauri; Hane Kimmo; Holi Matti; Valimaki Maritta

来源：Perspectives in Psychiatric Care, 2012, 48(1): 16-24.

DOI：10.1111/j.1744-6163.2010.00301.x

• Alternative method
• inductive content analysis
• psychiatric inpatient
• psychiatry
• restraint
• seclusion

PURPOSE: This study explored psychiatric inpatients%26apos; experiences of, and their suggestions for, improvement of seclusion/restraint, and alternatives to their use in Finland. %26lt;br%26gt;METHODS: The data were collected by focused interviews (n = 30) and were analyzed with inductive content analysis. %26lt;br%26gt;RESULTS: Patients%26apos; perspectives received insufficient attention during seclusion/restraint processes. Improvements (e. g., humane treatment) and alternatives (e. g., empathetic patient-staff interaction) to seclusion/restraint, as suggested by the patients, focused on essential parts of nursing practice but have not been largely adopted. %26lt;br%26gt;PRACTICE IMPLICATIONS: Patients%26apos; basic needs have to be met, and patient-staff interaction has to also continue during seclusion/restraint. Providing patients with meaningful activities, planning beforehand, documenting the patients%26apos; wishes, and making patient-staff agreements reduce the need for restrictions and offer alternatives for seclusion/restraint. Service users must be involved in all practical development.

• 出版日期2012-1