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Clinical decision making involved in secluding and restraining an adult psychiatric patient: An integrative literature review

机译:临床决策涉及僻静和限制成人精神患者:一篇综合文献综述

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The purpose of this integrative literature review was to describe different factors involved in the decision-making process of using seclusion or restraint, and to discuss the process in practice. The data used in this review were systematically retrieved from the following databases: CINAHL, Medline and PsycINFO. Manual data retrieval was conducted from the reference lists of the papers that came up in the original database search. A total of 32 studies were selected. Results suggest that the situations that lead to the use of seclusion or restraint are always dynamic and circumstantial. During the decision-making process staff observe a patient's behaviour, assesses risk and chooses and uses interventions that aim to de-escalate the situation. This process is affected by the previous experiences and history of staff as well as the behaviour and previous experience of the patient.
机译:这种综合文献综述的目的是描述使用隔离或克制的决策过程中涉及的不同因素,并在实践中讨论该过程。 本评论中使用的数据从以下数据库系统地检索:CINAHL,MEDLINE和PSYCINFO。 手动数据检索是从原始数据库搜索中提出的论文的参考列表进行的。 共选择32项研究。 结果表明,导致使用隔离或克制的情况始终是动态和间接的。 在决策过程中,人员遵守患者的行为,评估风险并选择,并使用旨在降低情况的干预措施。 这个过程受到员工以前的经验和历史以及患者的行为和以前经验的影响。

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