| Exploring Decision-Making Factors of Psychiatric Nurses in the Application of Seclusion and Restraint: Applying Focus Group Interviews. |
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Kyung Hwan Park, Mi Heui Jang |
1Doctoral Student, Graduate School, College of Nursing Science, Kyung Hee University, Seoul Korea.
2Associate Professor, College of Nursing Science, Kyung Hee University, Seoul, Korea. mhjang@khu.ac.kr |
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| 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. |
| Key Words:
Restraint, Physical; Decision making; Psychiatric nursing; Focus groups; Qualitative research |
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