Ashmore R
Sheffield Hallam University, Mundella House, Sheffield, UK.
J Psychiatr Ment Health Nurs. 2008 Apr;15(3):175-85. doi: 10.1111/j.1365-2850.2007.01184.x.
The practice of locking acute ward doors in the UK to manage patient care has been reported with increasing frequency in a number of recent official documents; however, there is little research examining the practice. This study explores the perceptions and experiences of mental health nurses working on acute wards where the doors are locked for all or part of a shift. Audio-taped, semi-structured interviews were undertaken with 11 qualified mental health nurses and analysed using content analysis. Six broad categories were identified: policies and documentation, locking and unlocking the doors, communicating the decision, reasons for locking the doors, benefits and concerns. The findings suggest that there is a need for mental health nurses to reflect on the reasons for, and wider implications of locking ward doors before their wholesale implementation is considered in the UK.
英国为管理患者护理而在急症病房锁门的做法，在近期一些官方文件中被越来越频繁地报道；然而，对此做法进行研究的却很少。本研究探讨了在急症病房工作的精神科护士的看法和经历，这些病房在全部或部分轮班期间会锁门。对11名合格的精神科护士进行了录音的半结构化访谈，并采用内容分析法进行分析。确定了六大类：政策与文件、门锁的开启与关闭、传达决定、锁门的原因、益处与担忧。研究结果表明，在英国考虑全面实施锁病房门之前，精神科护士有必要反思锁门的原因及其更广泛的影响。
