Nursing Interventions during Seclusion and Mechanical Restraint: A Video-Observation Study in Inpatient Psychiatric Care.

RESEARCH; OCCUPATIONAL roles; SCIENTIFIC observation; QUALITATIVE research; CONCEPTUAL structures; RESTRAINT of patients; DESCRIPTIVE statistics; RESEARCH funding; NURSES; SECLUSION of psychiatric hospital patients; CONTENT analysis; STATISTICAL sampling; DATA analysis software; NURSING interventions; VIDEO recording; HUMAN beings

Purpose. To understand nursing practice in seclusion and mechanical restraint events in psychiatric inpatient care. Design and Methods. Non-participant video observation was used to collect data from seclusion and mechanical restraint events. Nursing interventions were analysed using deductive content analysis. Findings. Video recordings (n = 36) showed that nurses were present for 4.1% of the duration of seclusion and mechanical restraint events. The nursing interventions focused on meeting patients' basic needs, maintaining safety, and interaction. Practice Implications. Nursing must be founded on a thorough assessment of patients' physical and psychosocial needs and meeting those needs with appropriate nursing interventions. [ABSTRACT FROM AUTHOR]