Staff and patient perceptions of seclusion: Has anything changed?

Meehan, T., Bergen, H. and Fjeldsoe, K. (2004) Staff and patient perceptions of seclusion: Has anything changed?. Journal of Advanced Nursing, 47 1: 33-38. doi:10.1111/j.1365-2648.2004.03062.x

Author Meehan, T.
Bergen, H.
Fjeldsoe, K.
Title Staff and patient perceptions of seclusion: Has anything changed?
Journal name Journal of Advanced Nursing   Check publisher's open access policy
ISSN 0309-2402
Publication date 2004-06-01
Sub-type Article (original research)
DOI 10.1111/j.1365-2648.2004.03062.x
Open Access Status Not yet assessed
Volume 47
Issue 1
Start page 33
End page 38
Total pages 6
Place of publication Oxford, U.K.
Publisher Blackwell Publishing
Language eng
Subject C1
321021 Psychiatry
730211 Mental health
1110 Nursing
Abstract Background Seclusion continues to be widely used in the management of disturbed behaviour in hospitalized patients. While early research on the topic highlighted significant differences in staff and patient perceptions, there are few recent data to indicate if these differences still exist. Aim This paper reports a study exploring the perceptions of both nursing staff and patients towards the reasons for seclusion; its effects; patients' feelings during seclusion; and possible changes to the practice. Methods Sixty nursing staff and 29 patients who had experienced seclusion at three inpatient units in Queensland, Australia completed Heyman's Attitudes to Seclusion Survey. Results The findings indicate that the two groups differed significantly on a number of the dimensions assessed. Nurses believed seclusion to be very necessary, not very punitive and a highly therapeutic practice that assisted patients to calm down and feel better. Patients, on the other hand, believed that seclusion was used frequently for minor disturbances and as a means of staff exerting power and control. Patients also believed that seclusion resulted in them feeling punished, and had little therapeutic value. Conclusion The disagreement between staff and patients highlights the need for greater dialogue between these groups. While nursing staff require greater understanding of how patients feel about seclusion, patients require information on why and how seclusion is implemented.
Keyword Nursing
Nurses' Attitudes
Patient Perceptions
Inpatient Care
Disturbed Behaviour
Mental Health
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2005 Higher Education Research Data Collection
School of Nursing, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 59 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 15 Aug 2007, 14:43:52 EST