Post-Seclusion Debriefing: A Core Nursing Intervention

Needham, Heather; Sands, Natisha

doi:10.1111/j.1744-6163.2010.00256.x

Cited by 27 publications

(35 citation statements)

References 46 publications

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“…Based on these results, we may ascertain that PSRR with the patient was not previously part of the staff's usual practice. This corroborates Needham and Sands’ retrospective file audit, which revealed that only 1 out of 63 files had evidence of PSRR explicitly related to SR. Our participatory study allowed overcoming the perceived discomfort of all parties by systematizing PSRR with the patient.…”

Section: Discussionsupporting

confidence: 84%

A pilot study of “post-seclusion and/or restraint review” intervention with patients and staff in a mental health setting

Goulet

Larue

Lemieux

2017

Perspect Psychiatr Care

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Section: Discussionsupporting

confidence: 84%

A pilot study of “post-seclusion and/or restraint review” intervention with patients and staff in a mental health setting

Goulet

Larue

Lemieux

2017

Perspect Psychiatr Care

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“…Although one study found that forensic staff believe debriefings to be necessary (Gustafsson & Salzmann‐Erikson ), several patients in the current study perceived that staff refrained from debriefing them. This is in line with Needham and Sands (), who showed that debriefings following seclusion were not routinely performed. According to the results from this current study, a lack of or inadequate debriefing resulted in patients maintaining ‘silent protest reactions’, whereas a consistent debriefing provided patients with an understanding of staff's reasons for both the use and duration of the MR episode, and supported patients being ‘genuinely calm’.…”

Section: Discussionsupporting

confidence: 89%

Forensic psychiatric patients’ perceptions of situations associated with mechanical restraint: A qualitative interview study

Tingleff

Hounsgaard

Bradley³

et al. 2018

Int J Mental Health Nurs

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To reduce the use and duration of mechanical restraint in forensic settings and ensure evidence‐based patient care, we need more knowledge about patients’ subjective experiences and perceptions. The aim was to investigate forensic psychiatric patients’ perceptions of situations associated with the use of mechanical restraint and what they perceive as factors impacting the use and duration of mechanical restraint. Twenty participants were interviewed. Four themes were identified through a thematic analysis: ‘overt protest reactions’, ‘silent protest reactions’, ‘illness‐related behaviour’, and ‘genuinely calm’, which together characterize patients’ perceptions of their ways of acting and reacting during mechanical restraint episodes. These themes are linked together in two patterns in the process of mechanical restraint: ‘pattern of protest’ and ‘pattern of illness’. Further research is needed to illuminate the associations between patients’ perceptions of being subjected to mechanical restraint and ways of acting and reacting through the process of mechanical restraint.

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“…(), this could be due to memory loss in some cases. However, Needham and Sands () conducted a retrospective file audit and concluded that debriefing was not routinely performed. Nevertheless, those patients in the included studies who remembered having a professional conversation perceived it to be helpful and calming, or specifically necessary to avoid trauma.…”

Section: Discussionmentioning

confidence: 99%

“Treat me with respect”. A systematic review and thematic analysis of psychiatric patients’ reported perceptions of the situations associated with the process of coercion

Tingleff

Bradley²,

Gildberg

et al. 2017

Psychiatric Ment Health Nurs

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Introduction There is a lack of research into psychiatric patients' perceptions of coercion that discriminates between different types of coercive measures, while also investigating patients' perceptions of undergoing coercion as a process. This knowledge is required to improve our understanding and provide a foundation for improving clinical practice. Aims To review existing research literature in order to investigate adult psychiatric patients' reported perceptions of situations before, during and after specific and defined types of coercive measures, and to investigate what patients perceive as moderating factors, in regard to the use of these coercive measures. Method A systematic review and thematic analysis of 26 peer-reviewed studies was undertaken. Results The analysis identified six themes and additional subthemes, where "interactions with professionals" and "communication" were predominant themes across the timeline of coercion. Altogether, themes were associated with either "positive or negative patient-perceived impact." Implications for practice Increased sensitivity to patients' views of the situation at each point in the process is desirable in order to respond to the patients' individual needs. Professionals also need to articulate concern and empathy towards the patient and to improve communication skills before, during and after a coercive incident. Use of de-escalation and noncoercive strategies is required. Relevance statement Coercion within psychiatric/mental health care remains controversial, and repeated international calls have recommended a reduction of their use. This review indicates that greater attention to how patients perceive the use of coercive measures (before, during, and after incidents) needs to be considered in order to improve the evidence-based and clinical practice.

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Post-Seclusion Debriefing: A Core Nursing Intervention

Abstract: A post-seclusion debriefing framework needs to be developed to support best practice in managing seclusion.

Cited by 27 publications

References 46 publications

A pilot study of “post-seclusion and/or restraint review” intervention with patients and staff in a mental health setting

A pilot study of “post-seclusion and/or restraint review” intervention with patients and staff in a mental health setting

Forensic psychiatric patients’ perceptions of situations associated with mechanical restraint: A qualitative interview study

“Treat me with respect”. A systematic review and thematic analysis of psychiatric patients’ reported perceptions of the situations associated with the process of coercion

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