An ethnomethodological examination of the decision-making process psychiatric nurses use when deciding whether to use seclusion
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Bonnie M. Harmer, PhD, RN, CNE, CHSE
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This replication and expansion of Mason's work on seclusion used an ethnomethodological approach to examine the decision-making process of five Canadian registered nurses. Each nurse read two patient vignettes and then verbally explained whether they would use seclusion and why. The interview data were analyzed in structural, languaing, first-level and second-level analyses. Although all subjects arrived at different decisions, they structured and languaged their responses similarly. The first-level analysis indicated the subjects believed that experience was the most significant factor in their decision-making. However, second-level analysis implied that a desire to gain positive feedback also significantly influenced the subjects. Commonsense knowledge, attitudes, and reasonings that were shared by the subjects supported an insular work environment that did not promote professoinal growth or reflective practice. The results of this study implied that a complex interplay of experiential and social factors may affect the nurses' decision-making process regarding seclusion more than the client's symptomology as captured in the vignettes.
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This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Thesis |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Ethnography |
Research Approach | Qualitative Research |
Keywords | Psychiatric Facilities; Patient Seclusion; Decision-Making Processes; Social Factors |
Grantor | Saginaw Valley State University |
Advisor | Decker, Sally; Shannon, Marcia; Zimmerman, Kathy |
Level | Master's |
Year | 1999 |
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