Staff and patient perceptions of seclusion: has anything changed?
Staff and patient perceptions of seclusion: has anything changed?
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DOI：
10.1111/j.1365-2648.2004.03062.x
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发表时间：
2004-07-01
影响因子：
3.8
通讯作者：
Fjeldsoe, K
中科院分区：
文献类型：
--
作者：
Meehan, T;Bergen, H;Fjeldsoe, K
背景隔离继续被广泛用于治疗住院患者的异常行为。虽然关于这一主题的早期研究强调了工作人员和患者看法的显着差异，但最近很少有数据表明这些差异是否仍然存在。目的探讨护理人员和患者对隔离原因的认知；它的影响;患者隔离期间的感受；以及对实践的可能改变。方法对澳大利亚昆士兰州3个住院单元的60名护理人员和29名有过隔离经历的患者进行海曼隔离态度调查。结果研究结果表明，两组在评估的一些维度上存在显著差异。护士认为隔离是非常必要的，不是非常惩罚性的，是一种高度治疗的做法，帮助病人冷静下来，感觉更好。另一方面，病人认为隔离经常被用于轻微的骚乱，并作为工作人员施加权力和控制的一种手段。患者还认为隔离使他们感到受到惩罚，治疗价值不大。结论医护人员与患者之间的分歧凸显了双方加强对话的必要性。虽然护理人员需要更多地了解患者对隔离的感受，但患者需要了解为什么以及如何实施隔离的信息。
Background Seclusion continues to be widely used in the management of disturbed behaviour in hospitalized patients. While early research on the topic highlighted significant differences in staff and patient perceptions, there are few recent data to indicate if these differences still exist.Aim This paper reports a study exploring the perceptions of both nursing staff and patients towards the reasons for seclusion; its effects; patients' feelings during seclusion; and possible changes to the practice.Methods Sixty nursing staff and 29 patients who had experienced seclusion at three inpatient units in Queensland, Australia completed Heyman's Attitudes to Seclusion Survey.Results The findings indicate that the two groups differed significantly on a number of the dimensions assessed. Nurses believed seclusion to be very necessary, not very punitive and a highly therapeutic practice that assisted patients to calm down and feel better. Patients, on the other hand, believed that seclusion was used frequently for minor disturbances and as a means of staff exerting power and control. Patients also believed that seclusion resulted in them feeling punished, and had little therapeutic value.Conclusion The disagreement between staff and patients highlights the need for greater dialogue between these groups. While nursing staff require greater understanding of how patients feel about seclusion, patients require information on why and how seclusion is implemented.