Dawson Suzanne, Hawke Amy, Bulto Lemma, Whitelaw Patricia, Jeranyama Ngoni, Scanlan Justin Newton
Caring Future Institute, Flinders University, Bedford Park, South Australia, Australia.
Southern Adelaide Local Health Network, Repat Health Precinct, Daw Park, South Australia, Australia.
Int J Ment Health Nurs. 2025 Aug;34(4):e70103. doi: 10.1111/inm.70103.
Sensory rooms provide a safe space for consumers in inpatient psychiatric settings to self-manage distress and agitation and potentially reduce the use of restrictive practices. However, sensory rooms are often not available, and there is limited knowledge about strategies that support the implementation. This study explored consumer and clinician experiences of a sensory room in an acute psychiatric intensive care unit (PICU) and examined its impacts on restrictive practice use (seclusion and Pro re nata [PRN] medication). A mixed-methods approach was employed in the analysis of interviews with consumers and clinicians and routinely collected data pertaining to restrictive practice use. Themes were generated from the qualitative data through deductive analysis against the Theoretical Domain Framework (TDF) and COM-B to understand the barriers and facilitators to use. Rates of PRN use and seclusion were calculated for three 2-month periods: prior to the implementation of the room and two time points following implementation. Prominent barriers related to limited opportunity to use the room due to the environmental context (room location) and resources (staffing). Facilitators were clustered around consumer and staff motivation to use the room. There were no significant changes in PRN use over time, and while there was a numeric decrease in the use of seclusion, this did not reach statistical significance. In summary, sensory rooms were valued by consumers and most staff and were considered to provide a safe therapeutic space within the often chaotic and complex treatment environment of a PICU. Strategies for successful implementation are discussed.
感官室为住院精神科环境中的患者提供了一个安全的空间，使其能够自我管理痛苦和躁动，并有可能减少限制措施的使用。然而，感官室往往并不具备，而且对于支持其实施的策略的了解也很有限。本研究探讨了急性精神科重症监护病房（PICU）中患者和临床医生对感官室的体验，并考察了其对限制措施使用（隔离和按需用药）的影响。采用混合方法分析了对患者和临床医生的访谈，并常规收集了与限制措施使用相关的数据。通过对照理论领域框架（TDF）和COM-B进行演绎分析，从定性数据中生成主题，以了解使用的障碍和促进因素。计算了三个为期两个月的时间段内按需用药和隔离的发生率：在感官室实施之前以及实施后的两个时间点。突出的障碍包括由于环境因素（房间位置）和资源因素（人员配备）导致使用房间的机会有限。促进因素集中在患者和工作人员使用房间的积极性上。随着时间的推移，按需用药情况没有显著变化，虽然隔离的使用次数在数字上有所减少，但未达到统计学意义。总之，感官室受到患者和大多数工作人员的重视，并被认为在PICU通常混乱复杂的治疗环境中提供了一个安全的治疗空间。文中还讨论了成功实施的策略。
