A1 Refereed original research article in a scientific journal
Nurses' perceptions of risks for occupational hazards in patient seclusion and restraint practices in psychiatric inpatient care: A focus group study
Authors: Varpula Jaakko, Välimäki Maritta, Lantta Tella, Berg Johanna, Lahti Mari
Publisher: WILEY
Publication year: 2020
Journal: International Journal of Mental Health Nursing
Journal name in source: INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING
Journal acronym: INT J MENT HEALTH NU
Volume: 29
Issue: 4
First page : 703
Last page: 715
Number of pages: 13
ISSN: 1445-8330
eISSN: 1447-0349
DOI: https://doi.org/10.1111/inm.12705
Web address : https://onlinelibrary.wiley.com/doi/abs/10.1111/inm.12705
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/46656872
Seclusion and restraint are regularly used to manage patient aggression events in psychiatric inpatient care, despite occupational safety concerns. There is currently a lack of information on how nurses perceive the use of patient seclusion and restraint as a risk for occupational safety. The aim of this study is to describe the risks for occupational hazards in patient seclusion and mechanical restraint practices as well as ideas for improvement identified by nurses. A qualitative descriptive design was adopted, using focus groups comprising nurses (N = 32) working in psychiatric inpatient care. The data were analysed using inductive content analysis, and the results were reported using the consolidated criteria for reporting qualitative studies (COREQ). Four themes of risk for occupational hazards were identified: patient-induced, staff-induced, organization-induced, and environment-induced risks. One significant finding was that nurses described that their actions can strongly contribute to occupational hazards during seclusion and mechanical restraint practices. The nurses gave various ideas for how occupational safety could be improved during seclusion and mechanical restraint events, ideas involving staff, the organization, and environmental enhancements.
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