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Nurses' judgments regarding seclusion and restraint of psychiatric patients: A social judgment analysis

Nurses' judgments regarding seclusion and restraint of psychiatric patients: A social judgment... Clinical judgment of psychiatric nurses was investigated using judgment analysis within the framework of social judgment theory. Nine nurses at a short‐term psychiatric care facility made recommendations concerning restraint and seclusion for 80 patients described on paper in terms of 17 characteristics (cues). Nurses generally favored close observation of patients over seclusion and restraint, and information about current behavior and functioning had more impact on nurses' judgments than did patient history. Nurses had good insight into the nature of their own judgments. However, individual differences in cue utilization and inconsistency in strategy usage led to disagreement among nurses about specific recommendations for particular patients. No one patient received identical recommendations from all nurses, and nurses agreed with each other on specific recommendations only about a third of the time. The lack of agreement has implications for development of staff training programs and further research on the clinical judgment processes of nurses. © 1999 John Wiley & Sons, Inc. Res Nurs Health 22:189–201, 1999 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Research in Nursing & Health Wiley

Nurses' judgments regarding seclusion and restraint of psychiatric patients: A social judgment analysis

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References (75)

Publisher
Wiley
Copyright
"Copyright © 1999 Wiley Subscription Services, Inc., A Wiley Company"
ISSN
0160-6891
eISSN
1098-240X
DOI
10.1002/(SICI)1098-240X(199906)22:3<189::AID-NUR2>3.0.CO;2-Q
Publisher site
See Article on Publisher Site

Abstract

Clinical judgment of psychiatric nurses was investigated using judgment analysis within the framework of social judgment theory. Nine nurses at a short‐term psychiatric care facility made recommendations concerning restraint and seclusion for 80 patients described on paper in terms of 17 characteristics (cues). Nurses generally favored close observation of patients over seclusion and restraint, and information about current behavior and functioning had more impact on nurses' judgments than did patient history. Nurses had good insight into the nature of their own judgments. However, individual differences in cue utilization and inconsistency in strategy usage led to disagreement among nurses about specific recommendations for particular patients. No one patient received identical recommendations from all nurses, and nurses agreed with each other on specific recommendations only about a third of the time. The lack of agreement has implications for development of staff training programs and further research on the clinical judgment processes of nurses. © 1999 John Wiley & Sons, Inc. Res Nurs Health 22:189–201, 1999

Journal

Research in Nursing & HealthWiley

Published: Jun 1, 1999

Keywords: ; ;

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