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Nursing Staff Factors Contributing to Seclusion in Acute Mental Health Care

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Nursing Staff Factors Contributing to Seclusion in Acute Mental Health Care

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been demonstrated, and seclusion is only justified for preventing safety hazards. Previous studies indicate
that nursing staff factors may be predictors for seclusion, although methodological issues may have led to
equivocal results. Objective: To perform a prospective cohort study to determinewhether nursing staff characteristics
are associated with seclusion of adult inpatients admitted to a closed psychiatric ward. Method:
We studied the association between nurses’ demographics and incidence of seclusion during every shift.
Data were collected during five months in 2013. Multiple logistic regression was used for analysis. Results: In
univariable analysis, we found a non-significant association between seclusion and female gender, odds
ratio (OR) = 5.27 (0.98–28.49) and a significant association between seclusion and nurses’ large physical
stature, OR = 0.21 (0.06–0.72). We found that physical stature is the most substantial factor, although not
significant: ORadjusted
= 0.27 (0.07–1.04). Conclusion: Nurses’ gender may be a predictor for seclusion, but it
seems to bemediated by the effect of physical stature.We used a rigorous, census-based, prospective design
to collect data on a highly detailed level and found a large effect of physical stature of nurses on seclusion.
We found nurses’physical stature to be the most substantial predictor for seclusion. These and other factors
need to be explored in further research with larger sample size.

Toon meer
Trefwoorden
OrganisatieHogeschool Inholland
Opleiding
Instituut
LectoraatGGZ-Verpleegkunde
Gepubliceerd inIssues in Mental Health Nursing
Jaar2017
TypeArtikel
ISSN0161-2840
TaalEngels

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