Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Department of Forensic Psychiatry, Niuvanniemi Hospital, University of Eastern Finland, Kuopio, Finland.
J Psychiatr Ment Health Nurs. 2021 Oct;28(5):815-828. doi: 10.1111/jpm.12736. Epub 2021 Feb 14.
Seclusion is used frequently in psychiatric care, despite its potential adverse effects. Several programmes aiming to reduce the use of seclusion identify leadership and management as key strategies-however, studies concerning leaders and managers are missing.
Nursing managers' negative attitudes towards seclusion are associated with less use of the measure, and nursing managers' higher age is associated with increased use of seclusion.
Nursing managers should be encouraged to guide their staff to reduce the use of seclusion. The negative influences of seclusion and the potential of alternative measures should be highlighted in the education and training of psychiatric nursing managers.
Introduction The use of seclusion in psychiatric care should be reduced. The relationship between nursing management or nursing managers' attitudes and the use of seclusion has not been investigated. Aim To describe the associations between the use of seclusion and psychiatric nursing managers' attitudes to containment methods. Method Register data concerning the use of seclusion in Finnish psychiatric care in 2017 were collected. The Attitudes to Containment Measures Questionnaire was used to illustrate psychiatric nursing managers' attitudes to containment methods. An Augmented Naive Bayes analysis was used to investigate the relationships of the use of seclusion and attitudes. Results Nursing managers' age and their attitudes towards containment methods were related to the use of seclusion. Especially nursing managers' negative perceptions of seclusion were associated with less use of seclusion, and seclusion was used more often on wards with nursing managers who were older than the average. Conclusion Nursing managers' negative attitudes towards seclusion have a potential impact on the use of seclusion, which might even result in a reduction in its use in psychiatric inpatient setting. Implications for practice The results suggest that nursing managers should be encouraged to guide their staff to decrease the use of seclusion.
在精神科护理中，隔离被频繁使用，尽管它可能产生不良影响。有几个旨在减少隔离使用的项目确定领导力和管理是关键策略-然而，关于领导者和管理者的研究却很缺乏。
护理管理人员对隔离的消极态度与该措施的使用减少有关，而护理管理人员的年龄较高与隔离使用的增加有关。
应鼓励护理管理人员指导其员工减少隔离的使用。在精神科护理管理人员的教育和培训中，应强调隔离的负面影响和替代措施的潜力。
介绍 在精神科护理中，应减少隔离的使用。护理管理或护理管理人员的态度与隔离的使用之间的关系尚未得到调查。目的 描述隔离使用与精神科护理管理人员对约束方法的态度之间的关系。方法 收集 2017 年芬兰精神科护理中隔离使用的登记数据。使用约束措施态度问卷来说明精神科护理管理人员对约束方法的态度。使用增强朴素贝叶斯分析来研究隔离的使用和态度之间的关系。结果 护理管理人员的年龄和他们对约束方法的态度与隔离的使用有关。特别是护理管理人员对隔离的负面看法与隔离的使用减少有关，而在护理管理人员年龄大于平均年龄的病房中，隔离的使用更为频繁。结论 护理管理人员对隔离的消极态度对隔离的使用有潜在影响，甚至可能导致精神科住院环境中隔离使用的减少。
结果表明，应鼓励护理管理人员指导其员工减少隔离的使用。
