What are adult psychiatric inpatients' experience of seclusion: A systematic review of qualitative studies

Journal of Psychiatric and Mental Health Nursing
Louise AskewPeter Beazley

Abstract

WHAT IS KNOWN ON THE SUBJECT?: Seclusion involves isolating a patient in a room away from other patients in order to contain aggressive behaviour, and it is used in psychiatric hospitals. Research has found that seclusion is often viewed by patients as negative; however, there is limited in-depth understanding of the deeply personal experience. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This systematic review found that the published research may have flaws with the quality of analysis, mainly due to limited researcher reflexivity. The review of qualitative research revealed that during seclusion, patients feel vulnerable, neglected and abused, disconnected from the experience and that it is dangerous to their mental health. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: For clinicians facilitating the seclusion process to use their therapeutic skills to provide patients with a sense of being cared for. For clinical supervision to allow space to explore interpersonal dynamics during seclusion in order to enhance therapeutic staff-patient interaction. Abstract Introduction There is limited understanding of patients' seclusion experience. A 2013 systematic review provides some insight; however, more knowledge is required in order to ...Continue Reading

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Citations

Apr 28, 2021·Social Psychiatry and Psychiatric Epidemiology·Sophie HirschErich Flammer
Sep 19, 2021·Journal of Psychiatric and Mental Health Nursing·Jaakko VarpulaMari Lahti

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