Patients’ Perspectives on Seclusion and Restraint Experience at Mathari National Teaching and Referral Hospital Nairobi City County, Kenya
Keywords:
Patients’ Perspectives, Seclusion, Restraint, ExperienceAbstract
Mental health research across the world has elicited various perspectives regarding the experiences of seclusion and restraint of mentally unwell, aggressive patients. Despite the need of understanding some of the determinants of seclusion and restraint of mentally ill patients, there has been limited publications particularly in the Kenyan context addressing the experiences of seclusion and restraint on social demographic characteristics of a mentally ill patient, patient, and Institutional factors leading to seclusion and restraint as well as exploring the experiences of the mentally ill patients undergoing seclusion and restraint at Mathari National Teaching and Referral Hospital. The present study therefore aimed to explore patients’ experiences with seclusion and restraint at MNTRH. A phenomenological research approach was adopted and qualitative data was gathered using an interview guide. The study targeted all the patients who had been nursed in seclusion and restraint during admission to (MNTRH) Nairobi City, Kenya. The results revealed that the seclusion procedure at MNTRH was not patient-friendly as they were forced to do it and not provided with the basic needs apart from medication. The interviewees also described two main themes relating to experiences of patients undergoing seclusion and restraint at MNTRH including desirable views of seclusion and restraints and undesirable views on seclusion and restraints experiences. The desirable view on seclusion experiences included that seclusion and restraint provided relief and a less stimulating environment in which they felt safe and secure. Patients were grateful for the constant support and supervision of healthcare providers. However, the undesirable experiences as mentioned by the respondents were that during seclusion and restraint, they experienced abandonment, mistreatment, and neglect. The study concludes that seclusion and restraint is a crucial but contentious treatment that should only be used as a last resort, and steps should be taken to guarantee that patients’ dignity is preserved throughout the seclusion and restraint procedure, as guided by the Mental Health Act 2016. The study recommends that MTRH have the seclusion sessions customized to each patient’s unique cognitive ability and mental condition.
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Copyright (c) 2024 Mary Wanjiru Mwangi, Priscilla Kabue, J. Masika
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