Pediatric Psychiatry Inpatients' Perspectives of Aggression Management: Discernment in the Doorway

Adrian, Melissa Jacqueline

Pediatric Psychiatry Inpatients' Perspectives of Aggression Management: Discernment in the Doorway

dc.contributor.advisor	McCaffrey, Graham Philip
dc.contributor.author	Adrian, Melissa Jacqueline
dc.contributor.committeemember	McCaffrey, Graham Philip
dc.contributor.committeemember	Raffin Bouchal, Donna Shelley
dc.contributor.committeemember	Rankin, Janet
dc.contributor.committeemember	Kelly, Martina Ann
dc.date	2023-06
dc.date.accessioned	2023-04-19T17:12:54Z
dc.date.available	2023-04-19T17:12:54Z
dc.date.issued	2023-04-14
dc.description.abstract	Aggressive behavior is common on psychiatry inpatient units (Bonner et al., 2002). Seclusion rooms and restraints used as interventions for patients’ aggressive behaviour may have the consequence of being traumatizing for patients (O’Brien & Cole, 2004). The voices of many stakeholders involved in the controversial conversation of the use of seclusion and restraint interventions are represented in the literature. In pediatric psychiatry, however, the voices of the children are not represented, even though they hold the most vulnerable position with the most at stake in the practice of seclusion and restraint interventions for aggression management. This hermeneutic nursing research study asked the question “How might we understand children’s experiences of seclusion and restraint on an inpatient psychiatry unit?”. Four pediatric psychiatry inpatients responded to the invitation to be research participants and shared their hospitalization experiences that occurred within the past year when they were 10 years old. Their interviews lead to the interpretation of the importance of nursing discernment in decision making upon the entrance to each room that holds a patient, physically and metaphorically, to ensure the most therapeutic, ethical, and beneficial care is provided to the patient. The text of the research interviews was compared to the theories and models of Attachment Theory (Bowlby, 1980), Trauma Informed Care (Harris & Fallot, 2001), and Collaborative Problem Solving (Greene, 2014) for practical application, and the fairy tale of Hansel and Gretel (The Brothers Grimm, 1812) for a historical illustration of the relevant social-cultural issue regarding the maltreatment of children that continues to resonate today. Key Words: Nursing, aggression, seclusion, trauma, discernment, relationships, healing
dc.identifier.citation	Adrian, M. J. (2023). Pediatric psychiatry inpatients' perspectives of aggression management: discernment in the doorway (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.
dc.identifier.uri	https://prism.ucalgary.ca/handle/1880/116082
dc.identifier.uri	https://dx.doi.org/10.11575/PRISM/dspace/40928
dc.language.iso	en
dc.publisher.faculty	Graduate Studies
dc.publisher.institution	University of Calgary
dc.rights	University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subject	nursing
dc.subject	aggression
dc.subject	seclusion
dc.subject	trauma
dc.subject	discernment
dc.subject	relationships
dc.subject	healing
dc.subject.classification	Nursing
dc.subject.classification	Mental Health
dc.title	Pediatric Psychiatry Inpatients' Perspectives of Aggression Management: Discernment in the Doorway
dc.type	master thesis
thesis.degree.discipline	Nursing
thesis.degree.grantor	University of Calgary
thesis.degree.name	Master of Nursing (MN)
ucalgary.thesis.accesssetbystudent	I do not require a thesis withhold – my thesis will have open access and can be viewed and downloaded publicly as soon as possible.