Knowledge, Attitudes And Practice Of Restraint And Seclusion Of Aggressive Psychiatric Inpatients As A Method Of Nursing At Mathari Hospital, Nairobi
View/ Open
Date
2009-10Author
Michire, Nancy W.
Type
ThesisLanguage
enMetadata
Show full item recordAbstract
Introduction: The use of locked door seclusion rooms and! or physical restraint (use of
belts/force to seclude a patient) is common in most psychiatric institutions. This practice
continues to serve as an important treatment function in most psychiatric hospitals. For
many centuries attempts have been made by the mental health professionals concerned to eliminate the practice or at least make their use less irrational, less punitive and more therapeutic.
AIM: The aim of this paper was to establish the knowledge, attitudes and practice of
nurses on the practice of this treatment modality.
Methods: The study area was Mathari hospital, a referral and teaching hospital for both
medical and nursing Students in Kenya. This was a descriptive study. The participants
were both Enrolled and Registered nurses and data was collected through a questionnaire.
The approximate duration of the study was 6 JIlonths. Data analysis was through a
statistical package of social sciences (SPSS Version 12.0).
Results: This study reported comprehensive information on nurses' knowledge, attitude
and the practice of restraints and seclusion of aggressive in-patients.
Conclusion: The study reported that nurses were equipped with knowledge, and had a
positive attitude on the importance of application of various interventions during the
practice of restraints and seclusion of the aggressive psychiatric in-patients. The study
also established some relationships between knowledge, attitude and the practice of
restraints and seclusion of the aggressive in-patients.
Recommendations: Different methods of study and larger sample are recommended to
develop a more comprehensive meaning of restraints and seclusion among nurses.
Although majority of nurses agreed that clinical guidelines should be used during the
practice of restraints and seclusion, an observation research is recommended to establish the use of such clinical guidelines during such practices.
Citation
Master Of Science In Nursing (mental Health And Psychiatric Nursing),University of Nairobi,2009Publisher
University of Nairobi Faculty of Nursing