Nurses' judgments regarding seclusion and restraint of psychiatric patients: a social judgment analysis.

Abstract:

:Clinical judgment of psychiatric nurses was investigated using judgment analysis within the framework of social judgment theory. Nine nurses at a short-term psychiatric care facility made recommendations concerning restraint and seclusion for 80 patients described on paper in terms of 17 characteristics (cues). Nurses generally favored close observation of patients over seclusion and restraint, and information about current behavior and functioning had more impact on nurses' judgments than did patient history. Nurses had good insight into the nature of their own judgments. However, individual differences in cue utilization and inconsistency in strategy usage led to disagreement among nurses about specific recommendations for particular patients. No one patient received identical recommendations from all nurses, and nurses agreed with each other on specific recommendations only about a third of the time. The lack of agreement has implications for development of staff training programs and further research on the clinical judgment processes of nurses.

journal_name

Res Nurs Health

authors

Holzworth RJ,Wills CE

doi

10.1002/(sici)1098-240x(199906)22:3<189::aid-nur2>

subject

Has Abstract

pub_date

1999-06-01 00:00:00

pages

189-201

issue

3

eissn

0160-6891

issn

1098-240X

pii

10.1002/(SICI)1098-240X(199906)22:3<189::AID-NUR2>

journal_volume

22

pub_type

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