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J Child Adolesc Psychiatr Nurs. 2017 May;30(2):90-97. doi: 10.1111/jcap.12174. Epub 2017 Jun 27.

Evaluation of the use of a sensory room on an adolescent inpatient unit and its impact on restraint and seclusion prevention.

Author information

1
Wexner Medical Center, Harding Hospital, The Ohio State University, Columbus, OH, USA.
2
Rush University College of Nursing, Chicago, IL, USA.
3
College of Nursing, The Ohio State University, Columbus, OH, USA.

Abstract

TOPIC:

Restraint and seclusion (R/S) reduction initiatives require multimodal efforts, particularly proactive approaches to facilitate patients' regulation. Sensory approaches are an increasingly popular method for helping patients self-regulate. A plan-do-check-act quality improvement model was used to measure practical aspects of a newly implemented sensory room on an adolescent psychiatric inpatient unit.

PURPOSE:

This article describes an adolescent unit's implementation processes and methods used to evaluate a sensory room and its impact on R/S use, staff-patient relationships, and patients' aggressive behaviors.

SOURCES USED:

Selected multidisciplinary literature on sensory rooms and R/S reduction, adolescent unit staff/patient surveys, and institutional quality metrics.

CONCLUSIONS:

The use of a sensory room intervention substantially decreased patients' distress and reduced R/S use and aggressive behaviors. Improvements were also found in patient and staff members' sense of safety. No differences in the quality of staff-patient relationships were found based on sensory room use. An increase in the durations of R/S did occur and was attributed to a few patients who were "high users" of R/S. Considerations for continuous program improvement and research are discussed.

KEYWORDS:

restraint; seclusion; sensory room

PMID:
28653508
DOI:
10.1111/jcap.12174
[Indexed for MEDLINE]

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