Nurses' Perspectives on the Proposed Seclusion Elimination in Mental Health Wards

IF 3.6 2区 医学 Q1 NURSING International Journal of Mental Health Nursing Pub Date : 2024-06-17 DOI:10.1111/inm.13375
George C. Mubayiwa, Bindu Joseph, Julia Gilbert, Michael Olasoji
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Abstract

Managing consumers with challenging behaviours by way of secluding them has been practiced for centuries. Many countries have attempted to eliminate seclusion but with very limited success. The Victorian government in Australia has embarked on a plan to stop seclusion within the coming 10 years. A qualitative research design using a purposive cluster sampling technique was utilised to understand nurses' perceptions on attempts to eliminate seclusions in acute wards. Semi-structured interviews and a thematic analysis were used to reveal participants' perceptions. Analysis revealed six themes: personal views, staff skills/resources, safety concerns, stakeholders' influence, doubt about elimination and participants' recommendations. Participants were doubtful of seclusion elimination success if there were no major improvements in nurse security, infrastructure, funding and staffing. Further research is required to establish and develop effective alternatives to seclusion.

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护士对拟议在精神健康病房取消隔离措施的看法。
几个世纪以来,通过隔离的方式管理有挑战性行为的消费者一直沿用至今。许多国家都曾试图消除隔离,但收效甚微。澳大利亚维多利亚州政府已开始实施一项计划,在未来 10 年内停止隔离。为了了解护士对试图在急症病房中消除隔离的看法,我们采用了有目的的聚类抽样技术,进行了定性研究设计。采用半结构式访谈和主题分析来揭示参与者的看法。分析揭示了六个主题:个人观点、员工技能/资源、安全问题、利益相关者的影响、对消除隔离的怀疑以及参与者的建议。如果在护士安全、基础设施、资金和人员配备方面没有重大改善,参与者对消除隔离的成功与否表示怀疑。需要进一步开展研究,以确立和发展有效的隔离替代方法。
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来源期刊
CiteScore
7.60
自引率
8.90%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The International Journal of Mental Health Nursing is the official journal of the Australian College of Mental Health Nurses Inc. It is a fully refereed journal that examines current trends and developments in mental health practice and research. The International Journal of Mental Health Nursing provides a forum for the exchange of ideas on all issues of relevance to mental health nursing. The Journal informs you of developments in mental health nursing practice and research, directions in education and training, professional issues, management approaches, policy development, ethical questions, theoretical inquiry, and clinical issues. The Journal publishes feature articles, review articles, clinical notes, research notes and book reviews. Contributions on any aspect of mental health nursing are welcomed. Statements and opinions expressed in the journal reflect the views of the authors and are not necessarily endorsed by the Australian College of Mental Health Nurses Inc.
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