Nurses' and Physicians' Educational Needs in Seclusion and Restraint Practices

  1. Raija Kontio RN, MSN,
  2. Maritta Välimäki RN, PhD,
  3. Hanna Putkonen MD, PhD,
  4. Angela Cocoman RPN, MSc,
  5. Saija Turpeinen RN, MSN,
  6. Lauri Kuosmanen RN, MSN,
  7. Grigori Joffe MD, PhD

Article first published online: 25 JUN 2009

DOI: 10.1111/j.1744-6163.2009.00222.x

Issue

Perspectives in Psychiatric Care

Perspectives in Psychiatric Care

Volume 45, Issue 3, pages 198–207, July 2009

Additional Information

How to Cite

Kontio, R., Välimäki, M., Putkonen, H., Cocoman, A., Turpeinen, S., Kuosmanen, L. and Joffe, G. (2009), Nurses' and Physicians' Educational Needs in Seclusion and Restraint Practices. Perspectives in Psychiatric Care, 45: 198–207. doi: 10.1111/j.1744-6163.2009.00222.x

Author Information

  1. Raija Kontio, RN, MSN, is a Doctoral Student/Director of Nursing, University of Turku, Department of Nursing Science, Turku, Finland, and Hospital District of Helsinki and Uusimaa, Hyvinkää Hospital Region, Kellokoski Hospital, Tuusula, Finland; Maritta Välimäki, RN, PhD, is a Professor/Director of Nursing, University of Turku, Department of Nursing Science, Turku, Finland, and Hospital District of Southern Finland, Turku, Finland; Hanna Putkonen, MD, PhD, is a Senior Researcher, Vanha Vaasa Hospital, Vaasa, Finland; Angela Cocoman, RPN, MSc, is a Lecturer, Dublin City University, School of Nursing, Dublin, Ireland; Saija Turpeinen, RN, MSN, is a Head Nurse, Hospital District of Helsinki and Uusimaa, Hyvinkää Hospital Region, Kellokoski Hospital, Tuusula, Finland; Lauri Kuosmanen, RN, MSN, is a Doctoral Student/Project Manager, University of Turku, Department of Nursing Science, Turku, Finland, and Primary Health Care Organisation of City of Vantaa, Vantaa, Finland; and Grigori Joffe, MD, PhD, is Chief of Department of Psychiatry, Hospital District of Helsinki and Uusimaa, Helsinki University Central Hospital, Helsinki, Finland.

*Author contact: raija.kontio@hus.fi, with a copy to the Editor: pearsong@psychiatry.uchc.edu

Publication History

  1. Issue published online: 25 JUN 2009
  2. Article first published online: 25 JUN 2009
  3. First received October 29, 2008; Revision received February 26, 2009; Accepted for publication March 1, 2009.

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Keywords:

  • Educational need;
  • mode of action;
  • psychiatric care;
  • restraint;
  • seclusion;
  • support

PURPOSE.  This study aimed to explore nurses' (N= 22) and physicians' (N= 5) educational needs in the context of their perceived seclusion and restraint-related mode of action and need for support.

METHOD.  The data were collected by focus group (N= 4) interviews and analyzed with inductive content analysis.

RESULTS.  Participants recognized a need for on-ward and problem-based education and infrastructural and managerial support. The declared high ethical principles were not in accordance with the participants' reliance on manpower and the high seclusion and restraint rates.

PRACTICE IMPLICATIONS.  Future educational programs should bring together written clinical guidelines, education on ethical and legal issues, and the staff's support aspect.

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