Journal of Korean Academy of Psychiatric and Mental Health Nursing (정신간호학회지)

The Korean Academy of Psychiatric and Mental Health Nursing (한국정신간호학회)
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Exploring Decision-Making Factors of Psychiatric Nurses in the Application of Seclusion and Restraint: Applying Focus Group Interviews

정신간호사의 격리·강박 적용에 대한 의사결정 요인 탐색: 포커스 그룹 인터뷰 적용

  • Park, Kyung Hwan (Graduate School, College of Nursing Science, Kyung Hee University) ;
  • Jang, Mi Heui (College of Nursing Science, Kyung Hee University)
  • Received : 2018.10.16
  • Accepted : 2018.12.09
  • Published : 2018.12.31
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Abstract

Purpose: The purpose of this study was to explore psychiatric nurses' decision making in the use of seclusion and restraint (SR). Methods: Data were collected using focus group interviews. Two focus group interviews were held with a total of 10 psychiatric nurse participants. All interviews were recorded and transcribed, and data were analyzed using qualitative content analysis. Results: Eleven categories emerged from three main themes. All the themes describe factors that participants took into account when deciding whether to implement SR: 1) Personal factors area: 'Personal attributes of nurses,' 'Attitude of nurses regarding SR,' 'Nurses' physical and emotional states,' 'Negative experiences of nurses related to SR'; 2) Relational factors area: 'The level of cooperation between nurses and doctors,' 'Role models created by seniors and colleagues,' 'The level of support by nursing assistants,' 'Therapeutic relations with patients'; and 3) Environmental factors area: 'Poor nursing work environment,' 'Atmosphere of ward regarding SR,' and 'Social atmosphere to raise alarm about SR.' Conclusion: These findings should be considered in the evaluation of the use of SR in psychiatric hospital settings and appropriate strategies used to help minimize the use of restraint.

Keywords

References

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