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- Title
Clinical decision making involved in secluding and restraining an adult psychiatric patient: an integrative literature review.
- Authors
Laiho, T; Kattainen, E; Astedt-Kurki, P; Putkonen, H; Lindberg, N; Kylmä, J
- Abstract
The purpose of this integrative literature review was to describe different factors involved in the decision-making process of using seclusion or restraint, and to discuss the process in practice. The data used in this review were systematically retrieved from the following databases: CINAHL, Medline and PsycINFO. Manual data retrieval was conducted from the reference lists of the papers that came up in the original database search. A total of 32 studies were selected. Results suggest that the situations that lead to the use of seclusion or restraint are always dynamic and circumstantial. During the decision-making process staff observe a patient's behaviour, assesses risk and chooses and uses interventions that aim to de-escalate the situation. This process is affected by the previous experiences and history of staff as well as the behaviour and previous experience of the patient.
- Publication
Journal of psychiatric and mental health nursing, 2013, Vol 20, Issue 9, p830
- ISSN
1365-2850
- Publication type
Journal Article
- DOI
10.1111/jpm.12033