title: Reducing use of restraints and seclusion to create a culture of safety.
abstract: The purpose of this article is to describe the structure that empowered staff of a locked community hospital unit to reduce the use of restraints and seclusion to create a culture of safety. Themes garnered from interviews with and observations of key informants fit into the categories of a structural empowerment model, with leadership creating opportunities available for staff to develop new knowledge, information on trauma-informed care, support for feedback, and resources for the unit; thus, relationships with patients flourished. In turn, staff engaged in relationships with patients to provide opportunities to develop new knowledge and offer information, support, and resources.
authors.affiliation: University of Massachusetts Amherst, Amherst, MA, USA. gec@nursing.umass.edu
authors.forename: Genevieve E
authors.initials: GE
authors.lastname: Chandler
mesh_terms: D032763:Behavior Control / Q000379:methods*; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D009511:New England; D019982:Organizational Case Studies; D015279:Organizational Culture; D012149:Restraint, Physical; D012449:Safety