| Clinical decision making involved in secluding and restraining an adult psychiatric patient: an integrative literature review. | |
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MedLine Citation:
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PMID: 23217004 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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ACCESSIBLE SUMMARY: ● Understanding the factors associated with the decision to use seclusion or restraint may help to reduce the use of coercive measures through the implementation of appropriate measures. ● This integrative literature review brings together a broad view of factors associated with decision making in the use of seclusion or restraint and discusses decision-making process in practice. ● The results suggest that decisions to use seclusion or restraint are based on both observed behaviour of patient and previous clinical experiences of staff. ABSTRACT: The purpose of this integrative literature review was to describe different factors involved in the decision-making process of using seclusion or restraint, and to discuss the process in practice. The data used in this review were systematically retrieved from the following databases: CINAHL, Medline and PsycINFO. Manual data retrieval was conducted from the reference lists of the papers that came up in the original database search. A total of 32 studies were selected. Results suggest that the situations that lead to the use of seclusion or restraint are always dynamic and circumstantial. During the decision-making process staff observe a patient's behaviour, assesses risk and chooses and uses interventions that aim to de-escalate the situation. This process is affected by the previous experiences and history of staff as well as the behaviour and previous experience of the patient. |
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Authors:
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T Laiho; E Kattainen; P Astedt-Kurki; H Putkonen; N Lindberg; J Kylmä |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-12-10 |
Journal Detail:
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Title: Journal of psychiatric and mental health nursing Volume: - ISSN: 1365-2850 ISO Abbreviation: J Psychiatr Ment Health Nurs Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2012-12-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9439514 Medline TA: J Psychiatr Ment Health Nurs Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2012 Blackwell Publishing. |
Affiliation:
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Helsinki University Central Hospital, Peijas Hospital Clinic of Psychiatry, Vantaa. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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