Université de Montréal, Sciences Infirmíeres, Montréal, Canada.
Issues Ment Health Nurs. 2010 Mar;31(3):208-15. doi: 10.3109/01612840903131800.
This study explores and describes nursing interventions performed during episodes of seclusion with or without restraint in a psychiatric facility and examines the relationship between the interventions' local protocols and best-practice guidelines. Twenty-four nurses working in a psychiatric facility were interviewed about the nursing interventions they performed before, during, and after an episode of seclusion with or without using restraint. Analysis of the data reveals that the interventions meet quality standards. However, nursing practice would be further refined by conducting post-event reviews, especially by discussing how a client's aggressive behaviour is to be understood.
本研究探讨并描述了在精神科病房中实施约束或非约束性隔离期间的护理干预措施,并考察了干预措施的本地协议与最佳实践指南之间的关系。对 24 名在精神科病房工作的护士进行了访谈,内容涉及他们在有或没有使用约束的情况下进行隔离期间的护理干预措施。数据分析显示,这些干预措施符合质量标准。然而,通过进行事件后审查,特别是讨论如何理解患者的攻击行为,可以进一步完善护理实践。