Abstract
Introduction
Seclusion still occurs on mental health wards, despite absence of therapeutic efficacy and high risks of adverse patient effects. Literature on the effect of nursing teams, and the role of psychological characteristics in particular, on frequency of seclusion is scarce.
Aim
To explore the influence of demographic, professional or psychological, nursing team-level, and shift characteristics on the frequency of use of seclusion.
Methods
Prospective two-year follow-up study.
Results
We found that the probability of seclusion was lower when nursing teams with at least 75% males were on duty, compared to female only teams, odds ratio (OR = 0.283; 95% CrI 0.046–0.811). We observed a trend indicating that teams scoring higher on the openness personality dimension secluded less, (OR = 0.636; 95% CrI 0.292–1.156).
Discussion
Higher proportions of male nurses in teams on duty were associated with lower likelihood of seclusion. We found an indication that teams with a higher mean openness personality trait tended to seclude less. These findings, if causal, could serve as an incentive to reflect on staff mix if circ*mstances demand better prevention of seclusion.
| Original language | English |
|---|---|
| Pages (from-to) | 491-498 |
| Number of pages | 8 |
| Journal | Archives of Psychiatric Nursing |
| Volume | 35 |
| Issue number | 5 |
| Early online date | 12 Jul 2021 |
| DOIs | |
| Publication status | Published - 1 Oct 2021 |
Keywords
- Mental health services
- Nursing
- Personality
- Restraint
- Seclusion
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Doedens, P., ter Riet, G., Vermeulen, J., Boyette, L.-L., Latour, C. (2021). Influence of nursing staff characteristics on seclusion in acute mental health care—A prospective two-year follow-up study. Archives of Psychiatric Nursing, 35(5), 491-498. https://doi.org/10.1016/j.apnu.2021.07.003
Doedens, Paul ; ter Riet, Gerben ; Vermeulen, Jentien et al. / Influence of nursing staff characteristics on seclusion in acute mental health care—A prospective two-year follow-up study. In: Archives of Psychiatric Nursing. 2021 ; Vol. 35, No. 5. pp. 491-498.
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title = "Influence of nursing staff characteristics on seclusion in acute mental health care—A prospective two-year follow-up study",
abstract = "IntroductionSeclusion still occurs on mental health wards, despite absence of therapeutic efficacy and high risks of adverse patient effects. Literature on the effect of nursing teams, and the role of psychological characteristics in particular, on frequency of seclusion is scarce.AimTo explore the influence of demographic, professional or psychological, nursing team-level, and shift characteristics on the frequency of use of seclusion.MethodsProspective two-year follow-up study.ResultsWe found that the probability of seclusion was lower when nursing teams with at least 75% males were on duty, compared to female only teams, odds ratio (OR = 0.283; 95% CrI 0.046–0.811). We observed a trend indicating that teams scoring higher on the openness personality dimension secluded less, (OR = 0.636; 95% CrI 0.292–1.156).DiscussionHigher proportions of male nurses in teams on duty were associated with lower likelihood of seclusion. We found an indication that teams with a higher mean openness personality trait tended to seclude less. These findings, if causal, could serve as an incentive to reflect on staff mix if circ*mstances demand better prevention of seclusion.",
keywords = "Mental health services, Nursing, Personality, Restraint, Seclusion",
author = "Paul Doedens and {ter Riet}, Gerben and Jentien Vermeulen and Lindy-Lou Boyette and Corine Latour and {de Haan}, Lieuwe",
note = "With supplementary file. Funding Information: The authors thank the nurses of the psychiatric closed admission ward of the Amsterdam UMC, location Academic Medical Center for supporting and participating in this study, especially Sascha da Silva Curiel and Joey Remmers for assisting with the data collection.",
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Doedens, P, ter Riet, G, Vermeulen, J, Boyette, L-L, Latour, C 2021, 'Influence of nursing staff characteristics on seclusion in acute mental health care—A prospective two-year follow-up study', Archives of Psychiatric Nursing, vol. 35, no. 5, pp. 491-498. https://doi.org/10.1016/j.apnu.2021.07.003
Influence of nursing staff characteristics on seclusion in acute mental health care—A prospective two-year follow-up study. / Doedens, Paul; ter Riet, Gerben; Vermeulen, Jentien et al.
In: Archives of Psychiatric Nursing, Vol. 35, No. 5, 01.10.2021, p. 491-498.
Research output: Contribution to journal › Article › Academic › peer-review
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T1 - Influence of nursing staff characteristics on seclusion in acute mental health care—A prospective two-year follow-up study
AU - Doedens, Paul
AU - ter Riet, Gerben
AU - Vermeulen, Jentien
AU - Boyette, Lindy-Lou
AU - Latour, Corine
AU - de Haan, Lieuwe
N1 - With supplementary file. Funding Information: The authors thank the nurses of the psychiatric closed admission ward of the Amsterdam UMC, location Academic Medical Center for supporting and participating in this study, especially Sascha da Silva Curiel and Joey Remmers for assisting with the data collection.
PY - 2021/10/1
Y1 - 2021/10/1
N2 - IntroductionSeclusion still occurs on mental health wards, despite absence of therapeutic efficacy and high risks of adverse patient effects. Literature on the effect of nursing teams, and the role of psychological characteristics in particular, on frequency of seclusion is scarce.AimTo explore the influence of demographic, professional or psychological, nursing team-level, and shift characteristics on the frequency of use of seclusion.MethodsProspective two-year follow-up study.ResultsWe found that the probability of seclusion was lower when nursing teams with at least 75% males were on duty, compared to female only teams, odds ratio (OR = 0.283; 95% CrI 0.046–0.811). We observed a trend indicating that teams scoring higher on the openness personality dimension secluded less, (OR = 0.636; 95% CrI 0.292–1.156).DiscussionHigher proportions of male nurses in teams on duty were associated with lower likelihood of seclusion. We found an indication that teams with a higher mean openness personality trait tended to seclude less. These findings, if causal, could serve as an incentive to reflect on staff mix if circ*mstances demand better prevention of seclusion.
AB - IntroductionSeclusion still occurs on mental health wards, despite absence of therapeutic efficacy and high risks of adverse patient effects. Literature on the effect of nursing teams, and the role of psychological characteristics in particular, on frequency of seclusion is scarce.AimTo explore the influence of demographic, professional or psychological, nursing team-level, and shift characteristics on the frequency of use of seclusion.MethodsProspective two-year follow-up study.ResultsWe found that the probability of seclusion was lower when nursing teams with at least 75% males were on duty, compared to female only teams, odds ratio (OR = 0.283; 95% CrI 0.046–0.811). We observed a trend indicating that teams scoring higher on the openness personality dimension secluded less, (OR = 0.636; 95% CrI 0.292–1.156).DiscussionHigher proportions of male nurses in teams on duty were associated with lower likelihood of seclusion. We found an indication that teams with a higher mean openness personality trait tended to seclude less. These findings, if causal, could serve as an incentive to reflect on staff mix if circ*mstances demand better prevention of seclusion.
KW - Mental health services
KW - Nursing
KW - Personality
KW - Restraint
KW - Seclusion
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Doedens P, ter Riet G, Vermeulen J, Boyette LL, Latour C, de Haan L. Influence of nursing staff characteristics on seclusion in acute mental health care—A prospective two-year follow-up study. Archives of Psychiatric Nursing. 2021 Oct 1;35(5):491-498. Epub 2021 Jul 12. doi: https://doi.org/10.1016/j.apnu.2021.07.003
