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Quality of Nursing Care When Patients Are Isolated with or without Restraint

March 05, 2009

Nevertheless, it is necessary to continue developing a culture of partnership by collaborating directly with patients and their families and acting in a preventive manner.

The context for this research project is an amendment to the Act Respecting Health and Social Services. In 2002, in order to ensure that isolation and restraint are used only as exceptional measures, the province’s health institutions were asked to review their protocols and practices in the goal of promoting the use of alternate measures and improving the quality of care. The study examines nursing care in situations of isolation with reference to the patient’s perspective, the protocols recommended by institutions and guidelines developed in the United States.

Twenty-four nurses at Louis-H. Lafontaine Hospital and the Douglas Mental Health University Institute were interviewed and completed a questionnaire on making decisions and providing care with respect to isolation and restraint.

The project was conducted in collaboration with Geneviève Ménard, director of nursing at Louis-H. Lafontaine Hospital, Myra Piat, Ph.D., researcher at the Douglas Institute Research Centre, and Hélène Racine, director of nursing at the Douglas Institute.

The results of the research report will be presented by Caroline Larue and Geneviève Ménard in June at the 4th Congrès mondial des infirmières et infirmiers francophones in Marrakech, Morocco, and in July at the 31st Congress of the International Academy of Law and Mental Health (IALMH) in New York.

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