Strengths Model-Based Nursing Interventions for Inpatients in Psychiatric Inpatient Settings Using a Seclusion Room: A Case Series Study.

Autor:	Nagayama, Yutaka, Tanaka, Koji, Oe, Masato
Předmět:	NURSING audit PSYCHIATRIC nursing EVALUATION of medical care NURSING models FOCUS groups NURSES' attitudes SELF-perception CONVALESCENCE SCHIZOPHRENIA INTERVIEWING ACQUISITION of data NURSE-patient relationships HUMAN services programs PRE-tests & post-tests RESTRAINT of patients CASE studies MEDICAL records DESCRIPTIVE statistics AUTISM RESEARCH funding SECLUSION of psychiatric hospital patients NURSING interventions PSYCHIATRIC hospitals INTELLECTUAL disabilities
Zdroj:	Nursing Reports; Jun2023, Vol. 13 Issue 2, p644-658, 15p
Abstrakt:	The use of coercive measures in psychiatric inpatient settings has been an important issue for many years. Nursing interventions based on a strengths model could enable a reduction in the use of these measures. This study aimed to describe the practice of nursing interventions using a strengths model for psychiatric inpatients who have been in seclusion for a long time. We also constructed a nursing model to minimize coercive measures. The participants were eight inpatients who had been in seclusion for a long time. Nursing interventions based on a strengths model were implemented in collaboration with nurses from six long-term care units in three psychiatric hospitals in Japan. For 4 of the 8 participants, the seclusion time decreased by 20–45%. However, for another 2, it increased by about 23–34%. An average decrease of 9.6% was observed, and the open observation time increased by 1.4 h per day on the seclusion days. When using this model, the nurses considered the effects of stimulating strengths. We believe this approach may promote inpatients' self-insight. Considering the perspective of stimulus adjustment might be useful for maximizing the positive effects of working on strengths. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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