Morrison P, Lehane M, Palmer C, Meehan T
Centre for Mental Health Nursing Research, School of Nursing, Queensland University of Technology, Brisbane, Australia.
Aust N Z J Ment Health Nurs. 1997 Mar;6(1):11-8.
As part of a larger study into the use of seclusion we set out to examine some of the antecedents that led to patients being secluded in one locked psychiatric ward. Behavioural mapping was used to chart the location of incidents that resulted in seclusion. Incidents were observed in several ward areas but most of these occurred in the day room and the dining room. This finding enabled us to question the ward policy of confining patients to these areas to facilitate nursing observation and management. The policy may have contributed to the number of disturbances by limiting personal space for patients. Literature on body buffer zones, crowding and territoriality is used to clarify and interpret the findings.
作为一项关于隔离使用的大型研究的一部分，我们着手调查导致患者被隔离在一个封闭精神科病房的一些前期因素。行为映射被用于记录导致隔离的事件发生地点。在病房的几个区域观察到了事件，但其中大部分发生在日间活动室和餐厅。这一发现使我们对将患者限制在这些区域以方便护理观察和管理的病房政策提出质疑。该政策可能通过限制患者的个人空间而导致了干扰事件的增多。利用关于身体缓冲区、拥挤和领地性的文献来阐明和解释这些发现。
