Green Rachel, Shelly Catriona, Gibb Jonathan, Walker Tammi
Greater Manchester Mental Health NHS Foundation Trust, Prestwich Hospital, Bury New Rd, Manchester, M25 3BL, United Kingdom.
Manchester Metropolitan University, Department of Psychology, 53 Bonsall Street, Manchester M15 6GX, United Kingdom.
Arch Psychiatr Nurs. 2018 Oct;32(5):764-768. doi: 10.1016/j.apnu.2018.04.008. Epub 2018 Apr 21.
Forensic mental health nursing is a complex role and there is a tension between maintaining safety and promoting a therapeutic and patient centred approach. The use of restrictive practises such as seclusion is an issue. Two focus groups with registered nurses exploring attitudes and factors used in decision-making about seclusion use were analysed using interpretive description. Participants described the need to reduce the use of seclusion and the problematic nature of its utility as an ongoing intervention in contemporary mental healthcare. It was clear that there were complexities and competing variables involved in the decision-making process.
法医精神卫生护理是一个复杂的角色，在维护安全与促进以治疗和患者为中心的方法之间存在着矛盾。使用诸如隔离等限制性措施是一个问题。对两个由注册护士组成的焦点小组进行了分析，这些小组探讨了关于使用隔离的决策中所涉及的态度和因素，采用的是诠释性描述方法。参与者们描述了减少隔离使用的必要性，以及其作为当代精神卫生保健中的一种持续干预措施在效用方面存在的问题性质。很明显，决策过程中涉及到复杂因素和相互冲突的变量。
