Exploring Decision-Making Factors of Psychiatric Nurses in the Application of Seclusion and Restraint: Applying Focus Group Interviews
10.12934/jkpmhn.2018.27.4.380
- Author:
Kyung Hwan PARK
1
;
Mi Heui JANG
Author Information
1. Doctoral Student, Graduate School, College of Nursing Science, Kyung Hee University, Seoul Korea.
- Publication Type:Original Article
- Keywords:
Restraint, Physical;
Decision making;
Psychiatric nursing;
Focus groups;
Qualitative research
- MeSH:
Atmosphere;
Decision Making;
Focus Groups;
Hospitals, Psychiatric;
Humans;
Nursing;
Psychiatric Nursing;
Qualitative Research;
Restraint, Physical
- From:Journal of Korean Academy of Psychiatric and Mental Health Nursing
2018;27(4):380-393
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to explore psychiatric nurses' decision making in the use of seclusion and restraint (SR). METHODS: Data were collected using focus group interviews. Two focus group interviews were held with a total of 10 psychiatric nurse participants. All interviews were recorded and transcribed, and data were analyzed using qualitative content analysis. RESULTS: Eleven categories emerged from three main themes. All the themes describe factors that participants took into account when deciding whether to implement SR: 1) Personal factors area: ‘Personal attributes of nurses,’ ‘Attitude of nurses regarding SR,’ ‘Nurses’ ‘physical and emotional states,’ ‘Negative experiences of nurses related to SR’; 2) Relational factors area: ‘The level of cooperation between nurses and doctors,’ ‘Role models created by seniors and colleagues,’ ‘The level of support by nursing assistants,’ ‘Therapeutic relations with patients’; and 3) Environmental factors area: ‘Poor nursing work environment,’ ‘Atmosphere of ward regarding SR,’ and ‘Social atmosphere to raise alarm about SR.’ CONCLUSION: These findings should be considered in the evaluation of the use of SR in psychiatric hospital settings and appropriate strategies used to help minimize the use of restraint.
