Seclusion and Restraint in Psychiatric Inpatient Facilities
Research Paper
Evaluation of the research articles
This work is using two original research papers and their findings to analyse the validity of the practice of SR (seclusion and restraint) in psychiatric inpatient facilities. The research papers chosen shed light on this questionable practice by analysing multiple patient characteristics and the events leading to SR. The other chosen research paper evaluates the inpatients perception of SR.
The first research was found in the 'Journal of the American Psychiatric Nurses Association' titled 'Characteristics of patients with histories of multiple seclusion and restraint events during a single psychiatric hospitalisation' and aimed by means of a quantitative study to find solutions to minimise the inpatients need for SR. The research methodology science used was descriptive (cor relational / observational) with no manipulation of the inpatients or their environment. The information in this retrospective study was collected in a methodical way by extracting inpatient characteristics and events from their medical charts. The findings are presented in two tables of detailed and organised data, highlighting the collected and structured phenomenological experiences of 63 hospitalised inpatients. Summing up the findings it can be said that mainly male inpatients experienced multiple SR events. Further analysis showed that this class of inpatients had previous episodes of aggression either during their stay as an inpatient or before. It also showed that their inpatient period was longer compared to other inpatients. The key findings also showed younger inpatients being the ones experiencing seclusion, whilst restrained happened more to older inpatients. Multiple SR during a single hospital stay attracts longer hospital stay, which in turn would expose the inpatients to multiple SR events. An interesting fact crystallised in a tendency of inpatients experiencing SR being cognitive impaired, which can be detected at
Evaluation of the research articles
This work is using two original research papers and their findings to analyse the validity of the practice of SR (seclusion and restraint) in psychiatric inpatient facilities. The research papers chosen shed light on this questionable practice by analysing multiple patient characteristics and the events leading to SR. The other chosen research paper evaluates the inpatients perception of SR.
The first research was found in the 'Journal of the American Psychiatric Nurses Association' titled 'Characteristics of patients with histories of multiple seclusion and restraint events during a single psychiatric hospitalisation' and aimed by means of a quantitative study to find solutions to minimise the inpatients need for SR. The research methodology science used was descriptive (cor relational / observational) with no manipulation of the inpatients or their environment. The information in this retrospective study was collected in a methodical way by extracting inpatient characteristics and events from their medical charts. The findings are presented in two tables of detailed and organised data, highlighting the collected and structured phenomenological experiences of 63 hospitalised inpatients. Summing up the findings it can be said that mainly male inpatients experienced multiple SR events. Further analysis showed that this class of inpatients had previous episodes of aggression either during their stay as an inpatient or before. It also showed that their inpatient period was longer compared to other inpatients. The key findings also showed younger inpatients being the ones experiencing seclusion, whilst restrained happened more to older inpatients. Multiple SR during a single hospital stay attracts longer hospital stay, which in turn would expose the inpatients to multiple SR events. An interesting fact crystallised in a tendency of inpatients experiencing SR being cognitive impaired, which can be detected at