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Study findings suggest the benefit of immediate debriefing for nurses in inpatient acute mental health following seclusion room interventions to reflect on practice and improve patient care
  1. Michelle C Danda
  1. Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
  1. Correspondence to Michelle C Danda, University of Alberta, Edmonton, Alberta, Canada; danda{at}ualberta.ca

https://doi.org/10.1136/ebnurs-2023-103767

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    Commentary on: Mangaoil RA, Cleverley K, Peter E, Simpson AIF. The experiences of nurses following seclusion or restraint use and immediate staff debriefing in inpatient mental health settings. J Adv Nurs. 2023;79(9):3397–3411. doi: 10.1111/jan.15667. Epub 2023 Apr 2.

    Commentary

    Implications for practice and research

    • Results inform immediate post-seclusion or restraint incident debriefing structured with both an emotional and a practical component.

    • Future research is needed to understand the complexity of nurses' emotions following seclusion or restraints events.

    Context

    Seclusion or restraints (referred to as S/R) are common inpatient mental health interventions used to control patients who are engaged in violent behaviour or aggression toward staff, other patients and themselves.1 These coercive intervention that are designed to control behaviour and mitigate risk often cause psychological and physical harm to both patients and staff.2 Nurses in mental health often use S/L as a last resort, even though there is no evidence it …

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    Footnotes

    • Twitter @michellecdanda

    • Funding The author has not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.