Abstract

This replication and expansion of Mason's work on seclusion used an ethnomethodological approach to examine the decision-making process of five Canadian registered nurses. Each nurse read two patient vignettes and then verbally explained whether they would use seclusion and why. The interview data were analyzed in structural, languaing, first-level and second-level analyses. Although all subjects arrived at different decisions, they structured and languaged their responses similarly. The first-level analysis indicated the subjects believed that experience was the most significant factor in their decision-making. However, second-level analysis implied that a desire to gain positive feedback also significantly influenced the subjects. Commonsense knowledge, attitudes, and reasonings that were shared by the subjects supported an insular work environment that did not promote professoinal growth or reflective practice. The results of this study implied that a complex interplay of experiential and social factors may affect the nurses' decision-making process regarding seclusion more than the client's symptomology as captured in the vignettes.

Description

The author still retains copyright.

Author Details

Bonnie M. Harmer, PhD, RN, CNE, CHSE

Sigma Membership

Theta Chi

Type

Thesis

Format Type

Text-based Document

Study Design/Type

Ethnography

Research Approach

Qualitative Research

Keywords:

Psychiatric Facilities, Patient Seclusion, Decision-Making Processes, Social Factors

Advisors

Decker, Sally;Shannon, Marcia;Zimmerman, Kathy

Degree

Master's

Degree Grantor

Saginaw Valley State University

Degree Year

1999

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-02-22

Full Text of Presentation

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