ETHICS AND PRAXIS: ALTERNATIVE STRATEGIES TO PHYSICAL RESTRAINT AND SECLUSION IN A PSYCHIATRIC SETTING

J. Carole Taxis

91 citations0/0 files storedIssues in Mental Health Nursing

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Healthcare Decision-Making and Restraints Psychiatric care and mental health services Electroconvulsive Therapy Studies

Abstract

This descriptive article highlights a 42-month project in which a comprehensive program revision was implemented in a psychiatric hospital that included numerous alternative strategies to the use of patient restraint and seclusion. The results of this project include a 94% reduction in the rate of restraint and seclusion, development of extensive staff and patient education programs, and comprehensive programmatic alterations consistent with a paradigm shift emphasizing collaboration, empowerment, and ethical clinical practice.

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References

1994Restraint and seclusion: a review of the literature 1992Deaths Caused by Physical Restraints 2000Psychiatric nurses’ thoughts and feelings about restraint use: a decision dilemma 1990Use of Seclusion and Restraint in Public Psychiatric Hospitals: Patient Characteristics and Facility Effects 1998A restraint on restraints: The need to reconsider the use of restrictive interventions

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2009Factors influencing decisions on seclusion and restraint 2009The Practice of Seclusion and Time-out on English Acute Psychiatric Wards: The City-128 Study 2019Measures to Avoid Coercion in Psychiatry and Their Efficacy 2004Nurses’ ethical perceptions about coercion 2000A Synthesis of What We Know About the Use of Physical Restraints and Seclusion with Patients in Psychiatric and Acute Care Settings 2011Seclusion reduction in a forensic mental health setting 2013Interpretive Phenomenological Analysis (IPA) and the Ethics of Body and Place: Critical Methodological Reflections

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