Ethics and praxis: alternative strategies to physical restraint and seclusion in a psychiatric setting.
This descriptive article highlights a 42-month project in which a comprehensive program revision was implemented in a psychiatric hospital that included numerous alternative strategies to the use of patient restraint and seclusion. The results of this project include a 94% reduction in the rate of restraint and seclusion, development of extensive staff and patient education programs, and comprehensive programmatic alterations consistent with a paradigm shift emphasizing collaboration, empowerment, and ethical clinical practice.
Taxis
J Carole
JC
University of Texas at Austin, School of Nursing, 1700 Red River St., Austin, TX 78701, USA. Ctaxis@mail.nur.utexas.edu
D004989:Ethics; D006760:Hospitalization; D006778:Hospitals, Psychiatric; D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation*; D010353:Patient Education as Topic; D011568:Psychiatric Nursing / Q000592:standards; D011597:Psychomotor Performance; D012149:Restraint, Physical