Exploring Decision-Making Factors of Psychiatric Nurses in the Application of Seclusion and Restraint: Applying Focus Group Interviews

Kyung Hwan Park; Mi Heui Jang

doi:10.12934/jkpmhn.2018.27.4.380

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Park and Jang: Exploring Decision-Making Factors of Psychiatric Nurses in the Application of Seclusion and Restraint: Applying Focus Group Interviews

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2018; 27(4): 380-393.

Published online: 27 December 2018

DOI: https://doi.org/10.12934/jkpmhn.2018.27.4.380

Exploring Decision-Making Factors of Psychiatric Nurses in the Application of Seclusion and Restraint: Applying Focus Group Interviews

Kyung Hwan Park¹

, Mi Heui Jang²

¹Doctoral Student, Graduate School, College of Nursing Science, Kyung Hee University, Seoul Korea.

²Associate Professor, College of Nursing Science, Kyung Hee University, Seoul, Korea.

Corresponding author: Jang, Mi Heui. College of Nursing, Kyung Hee University, 26, Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea. Tel: +82-2-961-0592, Fax: +82-2-961-0592, mhjang@khu.ac.kr

Received 16 October 2018 Revised 20 November 2018 Accepted 9 December 2018

The Korean Academy of Psychiatric and Mental Health Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to explore psychiatric nurses' decision making in the use of seclusion and restraint (SR).

Methods

Data were collected using focus group interviews. Two focus group interviews were held with a total of 10 psychiatric nurse participants. All interviews were recorded and transcribed, and data were analyzed using qualitative content analysis.

Results

Eleven categories emerged from three main themes. All the themes describe factors that participants took into account when deciding whether to implement SR: 1) Personal factors area: ‘Personal attributes of nurses,’ ‘Attitude of nurses regarding SR,’ ‘Nurses’ ‘physical and emotional states,’ ‘Negative experiences of nurses related to SR’; 2) Relational factors area: ‘The level of cooperation between nurses and doctors,’ ‘Role models created by seniors and colleagues,’ ‘The level of support by nursing assistants,’ ‘Therapeutic relations with patients’; and 3) Environmental factors area: ‘Poor nursing work environment,’ ‘Atmosphere of ward regarding SR,’ and ‘Social atmosphere to raise alarm about SR.’

Conclusion

These findings should be considered in the evaluation of the use of SR in psychiatric hospital settings and appropriate strategies used to help minimize the use of restraint.

Keywords: Restraint, Physical, Decision making, Psychiatric nursing, Focus groups, Qualitative research

Figures and Tables

Figure 1

Decision-making factors of psychiatric nurses in applying seclusion and restraint.

Table 1

Categorization of Decision-making Factors of Psychiatric Nurses in Applying Seclusion and Restraint

Notes

This article is a revision of the first author's master's thesis from Kyunghee University.

^{CONFLICTS OF INTEREST} The authors declared no conflict of interest.

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ORCID iDs

Kyung Hwan Park
https://orcid.org/0000-0002-9377-9070

Mi Heui Jang
https://orcid.org/0000-0002-5645-4816

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