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      정신의료기관 내 격리·강박 수행과 간호 전략 = Nursing Strategy for Use of Seclusion and Restraint in Psychiatric Hospitals

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      https://www.riss.kr/link?id=A105941448

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      다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

      Although seclusion and restraint are required for the treatment of mentally ill patients in psychiatric hospitals, these procedures involve potential violations of human rights and pose a potential risk to patients’ physical condition. Nursing staffs in psychiatric hospitals often have to manage psychiatric patients who display aggressive, violent, or challenging behavior. However, the guidelines for the use of seclusion and restraint in Korea are too broad to apply in clinical situations. The guidelines in the United States, Australia, the United Kingdom, and New Zealand emphasize that patients’ basic needs have to be met and stipulate that patient– staff interaction must be continued during seclusion and restraint procedures. Mental health workers in psychiatric hospitals should pay close attention to patients’ verbal and non-verbal expressions while communicating with them. This study reviews the guidelines for seclusion and restraint used in foreign countries to improve current Korean guidelines and provides strategies of the nursing activities to be implemented when patients require seclusion and restraint.
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      Although seclusion and restraint are required for the treatment of mentally ill patients in psychiatric hospitals, these procedures involve potential violations of human rights and pose a potential risk to patients’ physical condition. Nursing staff...

      Although seclusion and restraint are required for the treatment of mentally ill patients in psychiatric hospitals, these procedures involve potential violations of human rights and pose a potential risk to patients’ physical condition. Nursing staffs in psychiatric hospitals often have to manage psychiatric patients who display aggressive, violent, or challenging behavior. However, the guidelines for the use of seclusion and restraint in Korea are too broad to apply in clinical situations. The guidelines in the United States, Australia, the United Kingdom, and New Zealand emphasize that patients’ basic needs have to be met and stipulate that patient– staff interaction must be continued during seclusion and restraint procedures. Mental health workers in psychiatric hospitals should pay close attention to patients’ verbal and non-verbal expressions while communicating with them. This study reviews the guidelines for seclusion and restraint used in foreign countries to improve current Korean guidelines and provides strategies of the nursing activities to be implemented when patients require seclusion and restraint.

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      참고문헌 (Reference)

      1 일본 정신보건복지연구회, "정신보건복지법 상세 해설 개정 4판"

      2 국가인권위원회, "정신병원 격리, 강박 실태조사" 국가인권위원회 2015

      3 법제처, "정신건강증진 및 정신질환서비스 지원에 관한 법률"

      4 보건복지부, "정신건강사업안내"

      5 National Institute for Health and Care Excellence, "Violence and aggression: short-term management in mental health, health and community settings"

      6 Lee S, "Views of nursing staff on the use of physical restraint" 10 : 425-430, 2003

      7 Hammer JH, "The relationship between seclusion and restraint use and childhood abuse among psychiatric inpatients" 26 : 567-579, 2011

      8 American Psychiatric Nurses Association, "Standards of practice: Seclusion and restraint"

      9 Champagne T, "Sensory Approachs in inpatient psychiatric settings" 42 : 35-44, 2004

      10 Ministry of Health, "Secure Rooms and Seclusion Standards and Guidelines: A Literature and Evidence Review"

      1 일본 정신보건복지연구회, "정신보건복지법 상세 해설 개정 4판"

      2 국가인권위원회, "정신병원 격리, 강박 실태조사" 국가인권위원회 2015

      3 법제처, "정신건강증진 및 정신질환서비스 지원에 관한 법률"

      4 보건복지부, "정신건강사업안내"

      5 National Institute for Health and Care Excellence, "Violence and aggression: short-term management in mental health, health and community settings"

      6 Lee S, "Views of nursing staff on the use of physical restraint" 10 : 425-430, 2003

      7 Hammer JH, "The relationship between seclusion and restraint use and childhood abuse among psychiatric inpatients" 26 : 567-579, 2011

      8 American Psychiatric Nurses Association, "Standards of practice: Seclusion and restraint"

      9 Champagne T, "Sensory Approachs in inpatient psychiatric settings" 42 : 35-44, 2004

      10 Ministry of Health, "Secure Rooms and Seclusion Standards and Guidelines: A Literature and Evidence Review"

      11 Ministry of Health, "Seclusion under the Mental Health (Compulsory Assessment and Treatment) Act"

      12 Delaware Psychiatric Center Policy and Procedure Directive, "Seclusion or Restraint"

      13 Government of South Australia, "Restraint and Seclusion in Mental Health Services Policy Guideline"

      14 Fortinash KM, "Psychiatric Nursing Care Plans" Mosby 452-453, 2007

      15 Stuart GW, "Principles and Practice of Psychiatric Nursing" Soomoonsa 581-582, 2012

      16 Johnson D, "Policy and procedure for the use of seclusion and long term segregation"

      17 The Patient Safety Education Program, "Mental Health Care: Seclusion and Restraint"

      18 Department of Health (United Kingdom), "Mental Health Act 1983: Code of Practice"

      19 Government of Queensland, "Mental Health ACT 2000"

      20 Stewart D, "Manual restraint of adult psychiatric inpatients: a literature review" 16 : 749-757, 2009

      21 Hollins L, "Managing the risks of physical intervention: developing a more inclusive approach" 17 : 369-376, 2010

      22 New York State of Opportunity, "Implementation guidelines: Restraint and Seclusion"

      23 Kim SW, "Impact of childhood adversity on the course and suicidality of depressive disorders: the CRESCEND study" 30 : 965-974, 2013

      24 Briggs-Gowan MJ, "Exposure to potentially traumatic events in early childhood: differential links to emergent psychopathology" 51 : 1132-1140, 2010

      25 United Nations, "Convention on the Right of Persons with Disabilities"

      26 Government Publishing Office, "Condition of Participation: Patient’s rights United State of America"

      27 González RA, "Childhood maltreatment and violence: mediation through psychiatric morbidity" 52 : 70-84, 2016

      28 Varese F, "Childhood adversities increase the risk of psychosis: a meta-analysis of patient-control, prospective- and cross-sectional cohort studies" 38 : 661-671, 2012

      29 New South Wales Government, "Aggression, Seclusion & Restraint in Mental Health Facilities in NSW"

      30 국립정신건강센터 의료부, "4.2.3 격리 및 강박. 2016년 6월 23일"

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      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 재인증평가 신청대상 (재인증)
      2020-01-01 평가 등재학술지 선정 (재인증) KCI등재
      2018-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
      2017-12-01 평가 등재후보 탈락 (계속평가)
      2016-01-01 평가 등재후보학술지 유지 (계속평가) KCI등재후보
      2015-01-01 평가 등재후보학술지 유지 (계속평가) KCI등재후보
      2013-01-01 평가 등재후보 1차 FAIL (등재후보1차) KCI등재후보
      2012-02-02 학회명변경 한글명 : 대한정신분열병학회 -> 대한조현병학회 KCI등재후보
      2011-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.13 0.13 0.09
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.1 0 0 0
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