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Korean J Schizophr Res > Volume 21(1); 2018 > Article
Korean Journal of Schizophrenia Research 2018;21(1):1-8.
DOI: https://doi.org/10.16946/kjsr.2018.21.1.1    Published online April 30, 2018.
Nursing Strategy for Use of Seclusion and Restraint in Psychiatric Hospitals.
Ji Eun Sung, Soo Jin Kim, Seok Heon Kim, Sung Wan Kim
1Gwangju Mental Health Commission, Gwangju, Korea. swkim@chonnam.ac.kr
2College of Nursing Chonnam National University, Gwangju, Korea.
3Department of Psychiatry, St. John of God Hospital, Gwangju, Korea.
4Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea.
Abstract
Although seclusion and restraint are required for the treatment of mentally ill patients in psychiatric hospitals, these procedures involve potential violations of human rights and pose a potential risk to patients' physical condition. Nursing staffs in psychiatric hospitals often have to manage psychiatric patients who display aggressive, violent, or challenging behavior. However, the guidelines for the use of seclusion and restraint in Korea are too broad to apply in clinical situations. The guidelines in the United States, Australia, the United Kingdom, and New Zealand emphasize that patients' basic needs have to be met and stipulate that patient–staff interaction must be continued during seclusion and restraint procedures. Mental health workers in psychiatric hospitals should pay close attention to patients' verbal and non-verbal expressions while communicating with them. This study reviews the guidelines for seclusion and restraint used in foreign countries to improve current Korean guidelines and provides strategies of the nursing activities to be implemented when patients require seclusion and restraint.
Key Words: Seclusion · Restraint · Psychiatric hospital · Psychiatric nursing · Nursing guideline
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