Seclusion Reduction on an Adult Inpatient Psychiatric Unit: A Quality Improvement Project.
J Psychosoc Nurs Ment Health Serv
; 60(6): 27-32, 2022 Jun.
Article
in English
| MEDLINE | ID: covidwho-1547523
ABSTRACT
Seclusion practices have traditionally been used in psychiatry to maintain patient and staff safety. Despite negative emotional consequences for all involved parties and the movement toward patient-centered care, these practices continue in in-patient psychiatric units across the United States. The purpose of the current quality improvement project was to decrease the rate of seclusion events on an adult inpatient psychiatric unit through the implementation of a standard debriefing process based on the National Association of State Mental Health Program Directors' Six Core Strategies for Reducing Seclusion and Restraint Use. In 2020, the seclusion rates at the project site were above state and national benchmarks. Post-intervention, the seclusion hours per 1,000 patient care hours increased by 16% (0.38 to 0.44); however, the mean duration of each seclusion episode decreased by 10% (158 minutes to 142 minutes). Intervention compliance was low, including interprofessional participation. These findings demonstrate the need to address seclusion practices with an evidence-based solution, such as debriefing, coupled with adequate support from interprofessional leadership. [Journal of Psychosocial Nursing and Mental Health Services, 60(6), 27-32.].
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Inpatients
/
Mental Disorders
Type of study:
Qualitative research
Limits:
Adult
/
Humans
Country/Region as subject:
North America
Language:
English
Journal:
J Psychosoc Nurs Ment Health Serv
Year:
2022
Document Type:
Article
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