“It’s the last resort’’ forensic mental health nurses experience on the use of seclusion; implications for use and elimination in clinical practice

Figures & data

Figure 1. Binary construct (Mason, 2002).

Table 1. Demographic détails of participants.

Details	Description	No of participants	Mean (SD)	Range
Age			38.4 (9.9)	21-52
Sex	Male	5
	Female	7
Professional status	Registered Nurse	7
	Non- registered nurse	5
Worked in high secure service	Number of Years		15.5 (8.9)	1-31
Worked in mental health	Number of Years		14.3 (9.24)	1-31

Table 2. Discussion guide.

Area of Focus	Semi structured questions
A brief overview of research project and study aims.	As well as a discussion on knowledge, perception, workplace incidents, audit, and workplace culture
Perception	How do people feel about seclusion in general?
	In your opinion, is it realistic to practise without seclusion? In what way?
Barriers	In your opinion, what are the main challenges to reducing seclusion?
Skills	What kind of skills are important when nursing a patient in seclusion?
Early intervention	What early intervention or prevention of aggression strategies are available to assist reduce seclusion?
	In your opinion, how successful are they?
Recommendations	If you had a magic wand, what would be the one thing you would change/remove or introduce to reduce seclusion in clinical practice?

Table 3. Results.

Sub categories	Categories	Final Themes
Patient Safety- avoiding prolonged restraint	What is it we are trying to achieve.	“Keeping everyone Safe”
Responsibility – recording and monitoring
Care and Compassion- least restrictive approach	How are we trying to do that.
Relational Skills-Maintain therapeutic Relationship
Struggle to communicate- door of MSR	These are the challenges we face when doing it	“The Challenges”
Staff confidence- getting it right
Subjective risk assessments- inconsistences
Atmosphere- everyone’s on edge

Mason, T. (2002). Forensic psychiatric nursing: A literature review and thematic analysis of role tensions. Journal of Psychiatric and Mental Health Nursing, 9(5), 511–520. https://doi.org/10.1046/j.1365-2850.2002.00521.x

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Data availability statement

The authors confirm that the data supporting the findings of this study are available within the article and available from the corresponding author upon reasonable request.