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Evid Based Nurs 4:62 doi:10.1136/ebn.4.2.62
  • Qualitative

Inpatients had mostly negative experiences of seclusion during short term treatment in a mental health facility


 
 QUESTION: How do patients experience seclusion during short term inpatient treatment in a mental health facility?

Design

Semi structured interviews.

Setting

2 open, acute care units of a large tertiary mental health facility in Queensland, Australia.

Patients

12 patients (58% men) who were 18–52 years of age and were secluded in the previous 7 days (mean duration 3.4 h).

Methods

Semi structured, thematically organised interviews were audiotaped and transcribed. Transcripts were checked for errors against the audiotaped versions and were analysed using the process of meaning categorisation. Themes were identified and coded to produce categories. All members of the research team agreed on the final categorisations. These broad categories were further analysed, and themes were used to reflect patients' experiences of seclusion.

Main findings

5 recurrent themes emerged. (1) Patients described the use of seclusion. Some patients thought that seclusion was used inappropriately and that the seclusion period was of more benefit to …

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