Author/Editor		Bregar, Branko; Skela-Savič, Brigita; Kores-Plesničar, Blanka
Title		Cross-sectional study on nurses' attitudes regarding coercive measures
Type		članek
Vol. and No.		Letnik 18, št. 1
Publication year		2018
Volume		str. Str. 1-10
ISSN		1471-244X - BMC psychiatry
Language		eng
Abstract		Background: Coercive measures are containment methods used in psychiatry to curb patients' disruptive and aggressive behaviours towards themselves, others or objects. The prevalence of the practice of coercive measures in psychiatry is directly related to the attitudes of the staff. When discussing these attitudes, nurses are often particularly singled out. The purpose of the study is to research the impact of individual factors on nurses' attitudes in the decision-making process for the use of coercive measures. Methods A cross-sectional study among all psychiatric nursing staff in Slovenia (n=367, 79%) was conducted over the years 2013/2014. Standardized questionnaires were used, including a survey of nurses' attitudes to the use of seclusion, the Job Descriptive Index, and the Folkman-Lazarus test. Results: Nurses' attitudes towards special coercive measures are predominantly negative (x=11.312, SD=2.641). The factors that explain a positive attitude are as follows: female gender (beta=0.236, p<0.001), fewer years of service (beta=0.149, p=0.023), emotion-focused strategies of coping with stress (beta=0.139, p=0.020), and less-threatening patient behaviour (beta=0.157, p=0.012). Conclusions The effects of some known factors did not prove important in the model. Newly recognized factors are less-threatening patient behaviour and emotion-focused strategies of coping with stress. Therefore, attitudes towards special coercive measures in psychiatry must be regarded as contextualized, interactive, and multidimensional phenomena that cannot be explained merely through a defined set of factors.
Keywords		nurse restraint seclusion psychiatry medicinske sestre omejitve nega bolnika psihiatrija