Effects of patient focused care on seclusion in a psychiatric intensive care unit.

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Title Effects of patient focused care on seclusion in a psychiatric intensive care unit.
Author Sullivan, Dan; Wallis, Marianne; Lloyd, Chris
Journal Name International Journal of Therapy and Rehabilitation
Editor Alison Rushton
Year Published 2004
Place of publication London, UK
Publisher MA Healthcare Ltd
Abstract The objective of the study was to evaluate whether the introduction of patient-focused nursing care affected the number of seclusions and the length of time patients spent in seclusion, in an acute psychiatric unit. The study used a pre-intervention–post-intervention design and was conducted in an eight-bed locked unit within a large regional general hospital in Queensland, Australia. The medical records of all people who were secluded as part of their management while in hospital, during two 6-month periods, were retrospectively reviewed. Changes to the ways in which nurses conducted their daily activities were implemented during the time between the data collection periods. There were no differences between the groups with respect to the number of times a patient was secluded. However, following implementation of patient-focused care, there was a reduction in the length of time for which patients were secluded. The only change in medication administration was that post-implementation, Haloperidol was used in fewer seclusion episodes. The findings indicate that changes to nursing practice may result in closer monitoring of patients and a reduction in the time patients spend secluded in acute inpatient psychiatric settings.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.12968/ijtr.2004.11.11.17202
Volume 11
Issue Number 11
Page from 503
Page to 508
ISSN 1741-1645
Date Accessioned 2005-01-21
Date Available 2015-05-31T22:19:59Z
Language en_US
Research Centre Griffith Health Institute
Faculty Griffith Health Faculty
Subject PRE2009-Mental Health Nursing
URI http://hdl.handle.net/10072/5628
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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