Differences in seclusion rates between admission wards: does patient compilation explain?

The Psychiatric Quarterly
W A JanssenG A M Widdershoven

Abstract

Comparison of seclusion figures between wards in Dutch psychiatric hospitals showed substantial differences in number and duration of seclusions. In the opinion of nurses and ward managers, these differences may predominantly be explained by differences in patient characteristics, as these are expected to have a large impact on these seclusion rates. Nurses assume more admissions of severely ill patients are related to higher seclusion rates. In order to test this hypothesis, we investigated differences in patient and background characteristics of 718 secluded patients over 5,097 admissions on 29 different admission wards over seven Dutch psychiatric hospitals. We performed an extreme group analysis to explore the relationship between patient and ward characteristics and the wards' number of seclusion hours per 1,000 admission hours. In a multivariate and a multilevel analysis, various characteristics turned out to be related to the number of seclusion hours per 1,000 admission hours as well as to the likelihood of a patient being secluded, confirming the nurses assumptions. The extreme group analysis showed that seclusion rates depended on both patient and ward characteristics. A multivariate and multilevel analyses revealed t...Continue Reading

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Citations

Apr 30, 2014·International Journal of Mental Health Systems·Tero LaihoEila Sailas
Apr 8, 2015·International Journal of Law and Psychiatry·Christien E BoumansGiel J M Hutschemaekers
Jul 12, 2013·International Journal of Mental Health Nursing·Roland van de SandeHenk Nijman
Mar 4, 2015·The Psychiatric Quarterly·Sharon Green-Hennessy, Kevin D Hennessy
Apr 29, 2015·Journal of Psychiatric and Mental Health Nursing·P S Mann-PollG Hutschemaekers
Oct 2, 2014·The Psychiatric Quarterly·Christien E BoumansGiel J M Hutschemaekers
Apr 13, 2020·The Psychiatric Quarterly·Patricia S Mann-PollGiel J M Hutschemaekers
Sep 30, 2017·International Journal of Mental Health Nursing·Brian McKennaTrentham Furness
Sep 30, 2017·International Journal of Mental Health Nursing·Satu KuivalainenJari Tiihonen
Nov 17, 2020·Frontiers in Psychiatry·Loa Clausen
Sep 16, 2018·International Journal of Law and Psychiatry·Maiko FukasawaYoshio Yamanouchi

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