Being in a seclusion room: the forensic inpatients’ perspective.

Enderby, Louise (2019) Being in a seclusion room: the forensic inpatients’ perspective. Doctoral thesis, University of East Anglia.

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Objective: The aim of this thesis portfolio is to explore and understand the patient experience of seclusion.

Methods: A qualitative systematic review was undertaken of research exploring the experience of seclusion. Thematic synthesis was used to develop analytical themes to explore the inpatient experience of seclusion. Alongside this a qualitative research project was undertaken using Interpretative Phenomenological Analysis to explore forensic psychiatric inpatients’ experience of being in a seclusion room.

Results: The systematic review found eight studies which met inclusion criteria and all were of high methodological quality. The thematic synthesis identified four analytical themes: feeling vulnerable, feeling neglected and abused, disconnecting and seclusion is dangerous to mental health. The empirical research project identified four superordinate themes: intense fear, not getting the care I needed, I am being abused and power struggle.

Conclusion: This thesis portfolio has highlighted the emotional and interpersonal challenges associated with the experience of seclusion. It draws attention to the relevance of the seclusion room in the overall experience and how a forensic population may have a power struggle dynamic within their experience. It provides direction for future research and emphasises the importance of improving seclusion practices by making changes to staff-patient interaction to reflect the emotional needs of the patients.

Item Type: Thesis (Doctoral)
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Users 11011 not found.
Date Deposited: 19 Nov 2019 11:37
Last Modified: 19 Nov 2019 11:37


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