The lack of single-bed rooms in psychiatric wards may reduce the possibility of patients
getting sufficient rest and privacy and may increase their risk of being overstimulated.
This study explored whether residing in single- versus multiple-bed rooms in a psychiatric
ward was associated with psychiatric patients' opinions about seclusion. More specifically,
it was studied whether patients who had shared a room with other patients prior to
seclusion rated seclusion more favorably. It was thought that they would rate seclusion
more favorably due to the lack of rest they previously experienced in their regular
room. For this, the Patient View-of-Seclusion Questionnaire of Hammill, McEvoy, Koral,
and Schneider [Hammill, K., McEvoy, J., Koral, H., & Schneider, N. (1989). Hospitalized
schizophrenic patient views about seclusion. Journal of Clinical Psychiatry, 50, 174–177] was completed by 54 secluded adult patients hospitalized in a locked
ward of a Dutch psychiatric hospital. A significant association was found between
residing in multiple-bed rooms prior to seclusion and a less negative view on seclusion.
This finding suggests that the ward environment may have a rather large impact on
how seclusion is perceived. The results underline the need for single-bed rooms in
the treatment of psychiatric inpatients.
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© 2006 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
