Psychiatric Patients Boarding In The Emergency Room

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The PICO question for this research topic is, in psychiatric patients boarding in the emergency room how does having a therapeutic environment affect the amount of times that restraints are used. This topic of if having a therapeutic environment for psychiatric patients that are boarding in the emergency room decreases the use of restraints is vital in nursing and in the care of the patients. The fewer times restraints need to be used the better the patient’s experience is in the emergency room and the less likely the staff members could get hurt. Using physical and chemical restraints are of last resort. These two interventions can be traumatic for the patient and the staff members. That being said, if implemented a therapeutic environment for the patient will decrease the use of these interventions, it is something that …show more content…

Patients that have a psychiatric diagnosis having a three times longer length of stay in the emergency department than patients that present with other complaints (Baksh et al., 2014, p. 191-192). These patients are spending days in the emergency room, the more therapeutic the environment is for the patient the fewer problems that the patient will cause while being there. Having these patients present in the emergency room for days at a time it is crucial for the emergency room to be a therapeutic environment for the patient so he or she can start the healing process before even leaving for an inpatient bed.
One resource that this author found is an article written by Strike et al., (2008), titled Unintended Impact of Psychiatric Safe Rooms in Emergency Departments: The Experiences of Suicidal Male with Substance use Disorders. The

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