Title
Implementing an Intervention to Reduce Seclusion and Restraints in an Inpatient Psychiatric Hospital
Graduation Year
2016
Degree Type
Open Access Capstone
Document Type
Capstone
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Department Name when Degree Awarded
Baccalaureate and Graduate Nursing
First Advisor
Donna J. Corley
Department Affiliation
Nursing
Second Advisor
Mary Clements
Department Affiliation
Nursing
Abstract
The need to enhance nursing staff’s knowledge, perceptions and attitudes around alternatives to seclusion and restraint has been well validated in the literature. Seclusion and restraint use in the inpatient psychiatric setting are highly dangerous physical interventions, used to control the behavior of a mentally ill patient who is a danger to self or others. Seclusion and restraint events have the potential to cause emotional trauma, physical injury to patients or staff and the possibility of patient death. The purpose of the capstone project was to implement an evidence-based education program to, improve nursing staff’s (RN, LPN, MHA and SRNA) knowledge and attitudes of alternatives to seclusion and restraint in an inpatient psychiatric setting. As part of annual mandatory education requirements for the agency, thirty-five nursing staff (MHA,SRNA, LPN, and RN) participated in the project and completed the 3 hour course, CPI: “How To” Strategies for Intervening With Challenging Individuals; including pre and post measures, CPI Knowledge Assessment and Reducing Seclusion and Restraint Organizational Questionnaire (RSROQ); assessing perception and attitudes. Results of the project indicated, significant increases in knowledge of alternatives to seclusion and restraint in MHA/SRNA’s and RN/LPN’s from baseline. RN/LPN’s had significant increases in the attitude subscore of the RSROQ and total RSROQ score.
Copyright
2016 Amanda B. Lykins
Recommended Citation
Lykins, Amanda B., "Implementing an Intervention to Reduce Seclusion and Restraints in an Inpatient Psychiatric Hospital" (2016). Doctor of Nursing Practice Projects. 62.
https://encompass.eku.edu/dnpcapstones/62
