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, w...

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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/6952e0a4dfc046a5bd0298d79d2507d3
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spelling	oai:doaj.org-article:6952e0a4dfc046a5bd0298d79d2507d32021-11-18T08:14:37ZSeclusion in an enriched environment versus seclusion as usual: A quasi-experimental study using mixed methods1932-6203https://doaj.org/article/6952e0a4dfc046a5bd0298d79d2507d32021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584674/?tool=EBIhttps://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 (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/6952e0a4dfc046a5bd0298d79d2507d3
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Seclusion in an enriched environment versus seclusion as usual: A quasi-experimental study using mixed methods

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