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AnteayerInternacionales

Understanding staff perceptions on adolescent seclusions

Por: Vidal · C. · Reynolds · E. K.

Commentary on: Yurtbasi MK, Melvin G, Pavlou C, Gordon M. Staff perspectives on the effects of seclusion in adolescent psychiatric inpatient care. Int J Ment Health Nurs. 2023 Apr;32(2):567–578. doi: 10.1111/inm.13102. Epub 2022 Dec 15.

Implications for clinical practice and research

  • Nursing staff find adolescent seclusions necessary but also experience related guilt and self-doubt.

  • Seclusion protocols in adolescent psychiatric units should include alternatives to seclusion and debriefing processes.

    •  Context

    Seclusions cause distress in patients and lead to negative outcomes, including death. Growing research demonstrates that seclusion rates vary by age, sex, race, diagnosis and personal history of adverse events.1 In fact, seclusion rates among youth are higher than among adults. While research involving staff in adult inpatient psychiatric units demonstrates that staff and patients experience negative reactions,2 more specific research is needed related to staff in adolescent inpatient units, given...

    A call to all nurses from transgender people: treat me as a whole person; I am more than my gender identity

    Por: Kuzma · E. K. · Yingling · C.

    Commentary on: Mikovits JC. "I don't feel like I'm a person": Nursing knowledge of transgender care through the lens of transgender people. J Adv Nurs. 2022 Sep;78(9):3012–3024. doi: 10.1111/jan.15308. Epub 2022 Jun 1.

    Implications for practice and research

  • Nurses have an ethical imperative to provide patient-centered care that honours all aspects of one’s identity, including gender identity.

  • Further research is needed to better understand the healthcare experiences of transgender people of intersecting identities and those with varying economic resources.

    •  Context

    Transgender people experience numerous health inequities due to societal discrimination and stigma.1 Within healthcare, the oppression and discrimination that drive these inequities are reinforced by individuals with implicit and explicit biases and the system with structural barriers to accessible care. Nurses need to be able to provide patient-centred care to all patients. Yet, most nursing programmes do not fully prepare nurses to...
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