|
KMID : 0607320180270040380
|
|
Journal of Korean Academy of Psychiatric and Mental Health Nursing
2018 Volume.27 No. 4 p.380 ~ p.393
|
|
|
Exploring Decision-Making Factors of Psychiatric Nurses in the Application of Seclusion and Restraint: Applying Focus Group Interviews
|
|
Park Kyung-Hwan
Jang Mi-Heui
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Restraint, Physical, Decision making, Psychiatric nursing, Focus groups, Qualitative research
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|
|