Nurse Motivational Factors in Doing Restrain and Seclusion to the Client with Mental Disorder in Tampan Asylum in Pekanbaru 2015

Abstract

Restrain and seclusion purpose is to take care of mental disorder client harshness behavior, in 2014 in PICU room of Tampan Asylum in Pekanbaru is considered high as 444 clients get 6 hours of restrain. The aim of the research is to identify the nurse motivational factors in doing restrain and seclusion to the client with mental disorder. The data collection used questionnaire which covered the physiological, security, care, pride and self-actualization fulfillment factor, also nurse motivation in doing restrain and seclusion. The population was 84 nurses with total sampling techniques, and the research was conducted in March - October 2015. The statistic analysis used Chi-square test. The result of univariate analysis shows nurse unsatisfactory of physiological fulfillment of 66,6 %, security is both satisfied and unsatisfied is same as 50%, unsatisfied care of 69%, unsatisfied pride of 72,6 %, unsatisfied actualization of 75% and high nurse motivation of 52,4% in doing restrain and seclusion. The result of bivariate analysis shows that there is a meaningful relation between the motivation in doing restrain and seclusion which is caused by factor of physiological need (p value=0,007), security (p value= 0,001), pride (p value= 0,017), while the factor of care need (p value= 0,173) and self-actualization (p value= 0,077) has no relation between the nurse motivation and doing restrain and seclusion. The research result become the information and evaluation in arranging the awareness policy of nursing standard, SOP of restrain and seclusion also sending the nurse for restrain and seclusion management training.



Keywords: motivation, nurse and restrain, seclusion.

References
[1] Aras, H. I. (2014). Violence in Schizophrenia. Psikiyatride Guncel Yaklasimlar Current Approaches in Psychiatry, 6(1)


[2] Boyd, Mary Ann. (2012). Psychiatric Nursing Contemporary Practice. 5th Edition. Wolter Kluwer. Lippincott Williams & Wilkins. New York. London


[3] De Hert, M., Dirix, N., Demunter, H., & Correll, C. U. (2011). Prevalence and correlates of seclusion and restraint use in children and adolescents: A systematic review. European Child & Adolescent Psychiatry, 20(5), 221-30. doi:http://dx.doi.org/. Diperoleh pada tanggal 15 Maret 2015.


[4] Dewit, S.C.(2009). Fundamental Concepts and Skills for Nursing. Canada. Saunders Elsevier.


[5] Fontaine, K.L. (2009). Mental Health Nursing. New Jersey. Pearson Education. Inc.


[6] Georgieva, I., Mulder, C. L., Wierdsma, A. (2011). Patients’ Preference and Experiences of Forced Medication and Seclusion. Netherlands. CA Rotterdam.


[7] Haimowits. S, Urff. J, dan Huckshorn. K.A. (2006). Restraint and Seclusion – A Risk Management Guide. http://www.nasmhpd.org/. Diperoleh pada tanggal 6 Maret 2015.


[8] Hastono, S. P. dan Sabri Luknis.(2010). Statistik kesehatan. Jakarta Utara. PT Raja Grafindo Persada.


[9] Kontio, R., Välimäki, M., Putkonen, H., Kuosmanen, L., Scott, A., & Joffe, G. (2010). Patient restrictions: Are there ethical alternatives to seclusion and restraint? Nursing Ethics, 17(1), 65-76. doi:http://dx.doi.org/. Diperoleh pada tanggal 1 Maret 2015


[10] Malfasari. (2014). Analisis Legal Aspek Dan Kebijakan Restrain, Seklusi Dan Pasung Pada Pasien Dengan Gangguan Jiwa. Jakarta. FIK UI.


[11] NMHCCF. (2012). Ending Seclusion and Restraint in Australian Mental Health Services. (Seclusion and Restraint in Mental Health Services). www.nmhccf.org.au. Diperoleh pada tanggal 1 Maret 2015.


[12] Putri, Dwi Eka. (2010). Pengaruh Rational Emotive Behaviour Therapy Terhadap Klien perilaku Kekerasan Di Ruang Rawat Inap RSMM Bogor. Jakarta. FIK UI.


[13] Poerwodarminto. (2006). Kamus Umum Bahasa Indonesia. Ed 3. Jakarta: Balai Pustaka


[14] Stuart, Gail, W. (2013). Principles And Practice Of Psychiatric Nursing. Tenth Edition. Elsevier. Mosby.


[15] Ubaedy, AN. (2008). Motivasi Untuk Hidup Yang Lebih Baik. Jakarta. Bee Media Indonesia.


[16] Videbeck, Sheila. (2008). Buku Ajar Keperawatan Jiwa. Jakarta. EGC.