Seclusion in an enriched environment versus seclusion as usual: A quasi-experimental study using mixed methods.

<h4>Background</h4>For patients, seclusion during psychiatric treatment is often a traumatic experience. To prevent such experiences, adjustments in the design of seclusion rooms have been recommended.<h4>Methods</h4>As there have been no empirical studies on the matter, we u...

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Autores principales:	Cornelia G J M van der Venne, Berno van Meijel, Mathijs Deen, Miranda Olff, Cornelis L Mulder
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5bff244e25a3414684fef4a9f87ea8de
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spelling	oai:doaj.org-article:5bff244e25a3414684fef4a9f87ea8de2021-12-02T20:07:34ZSeclusion in an enriched environment versus seclusion as usual: A quasi-experimental study using mixed methods.1932-620310.1371/journal.pone.0259620https://doaj.org/article/5bff244e25a3414684fef4a9f87ea8de2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0259620https://doaj.org/toc/1932-6203<h4>Background</h4>For patients, seclusion during psychiatric treatment is often a traumatic experience. To prevent such experiences, adjustments in the design of seclusion rooms have been recommended.<h4>Methods</h4>As there have been no empirical studies on the matter, we used a quasi-experimental design to compare the experiences in seclusion of two groups of patients: 26 who had been secluded in a room designed according to the principles of healing environment, a so called 'Enriched Environment Seclusion room' (EES), and 27 who had been secluded in a regular seclusion (RS) room. The enrichment included audio-visual facilities, a fixed toilet, a couch and a self-service system to adjust light, colour, blinds and temperature according to the patient's preferences. Insight into their experiences was obtained using the Patient View-of-Seclusion Questionnaire, which comprises nine statements on seclusion, supplemented with open-ended questions.<h4>Results</h4>The responses regarding seclusion experiences between the two groups did not differ significantly (U = 280.00, p = .21, r = -.17). Although those who had been secluded in the specially designed room had greatly appreciated the opportunities for distraction, and those who had been secluded in a regular seclusion room expressed the need for more distracting activities during seclusion, both groups described seclusion as a dreadful experience. If seclusion cannot be avoided, patients recommend facilities for distraction (such as those provided in an enriched environment seclusion room) to be available.<h4>Conclusion</h4>Whatever the physical environment and facilities of a seclusion room, we may thus conclude that seclusion is a burdensome experience.Cornelia G J M van der VenneBerno van MeijelMathijs DeenMiranda OlffCornelis L MulderPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11, p e0259620 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Cornelia G J M van der Venne Berno van Meijel Mathijs Deen Miranda Olff Cornelis L Mulder Seclusion in an enriched environment versus seclusion as usual: A quasi-experimental study using mixed methods.
description	<h4>Background</h4>For patients, seclusion during psychiatric treatment is often a traumatic experience. To prevent such experiences, adjustments in the design of seclusion rooms have been recommended.<h4>Methods</h4>As there have been no empirical studies on the matter, we used a quasi-experimental design to compare the experiences in seclusion of two groups of patients: 26 who had been secluded in a room designed according to the principles of healing environment, a so called 'Enriched Environment Seclusion room' (EES), and 27 who had been secluded in a regular seclusion (RS) room. The enrichment included audio-visual facilities, a fixed toilet, a couch and a self-service system to adjust light, colour, blinds and temperature according to the patient's preferences. Insight into their experiences was obtained using the Patient View-of-Seclusion Questionnaire, which comprises nine statements on seclusion, supplemented with open-ended questions.<h4>Results</h4>The responses regarding seclusion experiences between the two groups did not differ significantly (U = 280.00, p = .21, r = -.17). Although those who had been secluded in the specially designed room had greatly appreciated the opportunities for distraction, and those who had been secluded in a regular seclusion room expressed the need for more distracting activities during seclusion, both groups described seclusion as a dreadful experience. If seclusion cannot be avoided, patients recommend facilities for distraction (such as those provided in an enriched environment seclusion room) to be available.<h4>Conclusion</h4>Whatever the physical environment and facilities of a seclusion room, we may thus conclude that seclusion is a burdensome experience.
format	article
author	Cornelia G J M van der Venne Berno van Meijel Mathijs Deen Miranda Olff Cornelis L Mulder
author_facet	Cornelia G J M van der Venne Berno van Meijel Mathijs Deen Miranda Olff Cornelis L Mulder
author_sort	Cornelia G J M van der Venne
title	Seclusion in an enriched environment versus seclusion as usual: A quasi-experimental study using mixed methods.
title_short	Seclusion in an enriched environment versus seclusion as usual: A quasi-experimental study using mixed methods.
title_full	Seclusion in an enriched environment versus seclusion as usual: A quasi-experimental study using mixed methods.
title_fullStr	Seclusion in an enriched environment versus seclusion as usual: A quasi-experimental study using mixed methods.
title_full_unstemmed	Seclusion in an enriched environment versus seclusion as usual: A quasi-experimental study using mixed methods.
title_sort	seclusion in an enriched environment versus seclusion as usual: a quasi-experimental study using mixed methods.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/5bff244e25a3414684fef4a9f87ea8de
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Seclusion in an enriched environment versus seclusion as usual: A quasi-experimental study using mixed methods.

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