Document Detail

Clinical decision making involved in secluding and restraining an adult psychiatric patient: an integrative literature review.
MedLine Citation:
PMID:  23217004     Owner:  NLM     Status:  Publisher    
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.
T Laiho; E Kattainen; P Astedt-Kurki; H Putkonen; N Lindberg; J Kylmä
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-10
Journal Detail:
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:
Created Date:  2012-12-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9439514     Medline TA:  J Psychiatr Ment Health Nurs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 Blackwell Publishing.
Helsinki University Central Hospital, Peijas Hospital Clinic of Psychiatry, Vantaa.
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