Seclusion and restraint in psychiatry: Patients' experiences and practical suggestions on how to improve practices and use alternatives

Raija Kontio, Grigori Joffe, Hanna Putkonen, Lauri Kuosmanen, Kimmo Hane, Matti Holi, Maritta Anneli Vaelimaeki

Research output: Journal article publicationJournal articleAcademic researchpeer-review

87 Citations (Scopus)

Abstract

PURPOSE: This study explored psychiatric inpatients' experiences of, and their suggestions for, improvement of seclusion/restraint, and alternatives to their use in Finland. METHODS: The data were collected by focused interviews (n= 30) and were analyzed with inductive content analysis. RESULTS: Patients' perspectives received insufficient attention during seclusion/restraint processes. Improvements (e.g., humane treatment) and alternatives (e.g., empathetic patient-staff interaction) to seclusion/restraint, as suggested by the patients, focused on essential parts of nursing practice but have not been largely adopted. PRACTICE IMPLICATIONS: Patients' basic needs have to be met, and patient-staff interaction has to also continue during seclusion/restraint. Providing patients with meaningful activities, planning beforehand, documenting the patients' wishes, and making patient-staff agreements reduce the need for restrictions and offer alternatives for seclusion/restraint. Service users must be involved in all practical development.
Original languageEnglish
Pages (from-to)16-24
Number of pages9
JournalPerspectives in Psychiatric Care
Volume48
Issue number1
DOIs
Publication statusPublished - 1 Jan 2012
Externally publishedYes

Keywords

  • Alternative method
  • Inductive content analysis
  • Psychiatric inpatient
  • Psychiatry
  • Restraint
  • Seclusion

ASJC Scopus subject areas

  • Phychiatric Mental Health

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