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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Boumans, Christien E. Egger, Jos I. M. Bouts, Richard A. Hutschemaekers, Giel J. M. |
| Spatial Coverage | Netherlands |
| Description | Author Affiliation: Boumans CE ( Mental Health Institute Oost Brabant, Boekel, The Netherlands); Egger JI ( Centre of Excellence for Neuropsychiatry, Vincent van Gogh Institute for Psychiatry, Venray, The Netherlands); Bouts RA ( Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands.); Hutschemaekers GJ ( Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands) |
| Abstract | Variation in seclusion rates between psychiatric facilities cannot be adequately explained by patient characteristics alone and there is a growing awareness of the influence of 'cultural' and staff factors on the use of seclusion. In this study, staff variables as well as seclusion parameters were investigated during the implementation of an innovation project, against the background of an institutional program to reduce the use of coercive measures. The results demonstrate the impact of confidence within the team, staffing level and communication with the patient on nurses' decisions on seclusion. The importance of the organizational context is further illustrated by the negative effects of organizational instability on nurses' attitudes and decision making with respect to seclusion, and on seclusion rates. A reduction in the use of seclusion was achieved after the implementation of the innovation project; however, during a period of organizational turmoil, the work engagement scores of staff decreased and the use of seclusion increased. The results of this study show the vulnerability of innovations within the continuously changing organizational context of mental health care. |
| File Format | HTM / HTML |
| ISSN | 01602527 |
| Volume Number | 41 |
| e-ISSN | 18736386 |
| Journal | International Journal of Law and Psychiatry |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2015-07-01 |
| Publisher Place | Netherlands |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Jurisprudence Discipline Psychiatry Hospitals, Psychiatric Organization & Administration Patient Isolation Attitude Of Health Personnel Coercion Decision Making Female Humans Male Netherlands Nursing Assessment Organizational Culture Organizational Innovation Patient Care Team Professional-patient Relations Questionnaires Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Law Pathology and Forensic Medicine Psychiatry and Mental Health |
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