Date of Award

2013-04-24

Degree Name

PhD Nursing

Dissertation Committee

Susan Instone, DNSc, APRN, CPNP, Chair; Dean Sally Brosz Hardin, PhD, APRN, FAAN; Patricia Roth, EdD, MSN, RN

Keywords

children & youth, Inpatient Psychiatric Unit, nursing, restraints, seclusion

Abstract

Perceptions of children restrained and secluded (R&S) were explored using Yin's methodology and critical theory. The literature presented reviewed proponent's and opponent's views of the R&S intervention used on inpatient psychiatric units for the containment of violent patients. Despite reports of physical and emotional injury to staff and patient during restraining and secluding children, the intervention is still in use. Using Machover's framework, a semi-structured interview and drawings were used to illicit information from a 12 year old boy about his perceptions of R&S. Then, a presentation of barriers to conducting research is made. Results of the child's perceptions included thematic issues of fear, hurt, a non-therapeutic relationship with nursing, uncertainty and overcoming. Recommendations are made for nursing research, education, practice, and policy development.

Document Type

Dissertation: Open Access

Department

Nursing

Included in

Nursing Commons

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