An ethnomethodological analysis of the use of seclusion

J Adv Nurs. 1997 Oct;26(4):780-9. doi: 10.1046/j.1365-2648.1997.00411.x.

Abstract

The use of seclusion in psychiatric practice is a contentious issue. This paper reports on an ethnomethodological approach to understanding the decision-making process in the use of seclusion. Through first-level and second-level reasoning analysis, three themes emerged which underscored the subjects' rationalization process. These were: (a) mechanistic searching, (b) frame conflict, and (c) asylum status. This research suggests that the decision to use seclusion is based on a complex interplay of cultural and organizational factors rather than due to the presentation of symptoms by the patient.

MeSH terms

  • Attitude of Health Personnel
  • Dangerous Behavior*
  • Decision Making*
  • England
  • Hospitals, Psychiatric*
  • Humans
  • Models, Psychological
  • Nursing Staff, Hospital*
  • Organizational Policy
  • Patient Isolation*