,Ethical consideration on use of seclusion in mental health services

• 作 者: Chaodun Zheng Siiue Li Yingmei Chen Junrong Ye Aixiang Xiao Zhichun Xia Yao Liao Yu Xu Yunlei Zhang Lin Yu Chen wang Jiankui Lin
• 机 构: Department of Early Intervention, Affiliated Brain Hospital of Guangzhou Medical University(Guangzho
• 出 处: 国际护理科学（英文）
• 发表日期: 2020年1期
• 关键词: Psychiatric hospitals Nursing ethics Patient isolatio

Seclusion was widely used in mental health service,which had caused various negative effects on patients and nurses.In China,the clinical use of seclusion was gradually increasing,which had led to ethical dilemma and had gained public conce.This article aimed to synthesize the ethical issue according to the principle of autonomy,justice,beneficence,and non-maleficence.Given that nursing workforce was limited and work burden among psychiatric nurses was heavy,seclusion was one of coercive interventions managing aggressive behavior.In relation to cope with ethical dilemma,it was proposed to improve therapeutic environment,and to apply de-escalation technique.Additionally,reducing clinical use and adverse effects of seclusion was also important,this goal would be achieved by building appropriate patient-nurse relationship,increasing staff engagement,and promoting guideline of seclusion.