The influence of staffing levels on the use of seclusion

Int J Law Psychiatry. 2007 Mar-Apr;30(2):118-26. doi: 10.1016/j.ijlp.2006.04.005. Epub 2006 Dec 4.

Abstract

This study focussed on the relationship between the use of seclusion and staff characteristics, such as number of nurses on shift, male-female staff ratio, level of education and level of work experience. A retrospective analysis of staff characteristics was applied to administrative data from ten wards in four mid-sized general psychiatric hospitals in the Netherlands. The data show that two variables were associated with seclusion rates: the male-female staff ratio and the variability in team's work experience. More female and less male nurses in a shift and less variability in team's work experience predicted an increase in seclusion rates.

MeSH terms

  • Adult
  • Female
  • Health Facility Environment*
  • Hospitals, Psychiatric
  • Humans
  • Male
  • Mental Disorders / nursing*
  • Organizational Policy*
  • Patient Isolation / statistics & numerical data*
  • Personnel Staffing and Scheduling / statistics & numerical data*
  • Violence / prevention & control