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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/cdn\/css\/http\/css_Xg7z6oCTVgud_Q0huYz9x9iiD5H_2YPSJ5z2ZViSWdY.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\u003Cp id=\u0022p-1\u0022\u003EImplementation of soothing rooms for adults and adolescents in an acute mental health unit in a Midwestern regional hospital resulted in a 35% reduction in the use of restraints among the adult patients, demonstrating a benefit to both patients and mental health nurses by reducing restraint usage and suggesting a new standard of care. The effectiveness of soothing rooms was evaluated in an acute 32-bed mental health care unit at the SwedishAmerican Center for Mental Health, Rockford, Illinois, USA, and is discussed in this article.\u003C\/p\u003E\u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003Eschizophrenia\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Epersonality disorders\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Emood disorders\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-1\u0022\u003E\u003Cp id=\u0022p-2\u0022\u003EImplementation of soothing rooms for adults and adolescents in an acute mental health unit in a Midwestern regional hospital resulted in a 35% reduction in the use of restraints among the adult patients, demonstrating a benefit to both patients and mental health nurses by reducing restraint usage and suggesting a new standard of care.\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003EThe effectiveness of soothing rooms was evaluated in an acute 32-bed mental health care unit at the SwedishAmerican Center for Mental Health, Rockford, Illinois, USA. Representatives from leadership and unit staff presented the results of implementing this new standard of care that the Center for Mental Health provided for nurses.\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EDefined as a safe and calming environment with sensory objects where escalating patients may self-soothe, soothing rooms incorporate a holistic approach based on a caring attitude, a caring environment, and the development of a trusting nurse-patient relationship.\u003C\/p\u003E\u003Cp id=\u0022p-5\u0022\u003EPatients admitted to mental health facilities should be introduced to a soothing room, and the rooms should be further used during routine patient interactions, during psychological educational groups, at the first sign of patient escalation, and at all other appropriate opportunities.\u003C\/p\u003E\u003Cp id=\u0022p-6\u0022\u003EIn the planning stages of these rooms, representatives of all disciplines\u2014including clinical nurses, recreational therapists, behavioral therapists, and the leadership\u2014designed 2 soothing rooms partially based on ideas from a 2009 guide published by the New York State Office of Mental Health [MacDaniel M. \u003Cem\u003ENYSOMH.\u003C\/em\u003E 2009]. The rooms were painted in neutral and peaceful color schemes with minimal d\u00e9cor and lighted blue-sky ceiling tiles. Positive wall messages, recliner chairs, and a private bathroom with a nature-scene door added to the soothing aesthetic environment.\u003C\/p\u003E\u003Cp id=\u0022p-7\u0022\u003ETo further help patients self-soothe, the rooms included sensory objects, such as art therapy tools, DVDs with nature scenes, games and puzzles, music, raised sandboxes for the adult room, weighted blankets, and stress balls.\u003C\/p\u003E\u003Cp id=\u0022p-8\u0022\u003EThe soothing rooms were used on a voluntary basis only, and nurses offered them to patients at the first sign of patient distress. When a patient was in the room, he or she was monitored every 15 minutes and allowed to stay in the room for a maximum of 30 minutes. The soothing rooms were not used as a reward or punishment, nor for patients who were unable to use the room safely. The study showed a 35% reduction in the use of restraints (\u003Ca id=\u0022xref-fig-1-1\u0022 class=\u0022xref-fig\u0022 href=\u0022#F1\u0022\u003EFigure 1\u003C\/a\u003E).\u003C\/p\u003E\u003Cdiv id=\u0022F1\u0022 class=\u0022fig pos-float  odd\u0022\u003E\u003Cdiv class=\u0022highwire-figure\u0022\u003E\u003Cdiv class=\u0022fig-inline-img-wrapper\u0022\u003E\u003Cdiv class=\u0022fig-inline-img\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/44\/9\/F1.large.jpg?width=800\u0026amp;height=600\u0026amp;carousel=1\u0022 title=\u0022Results of the Use of Soothing Rooms on Restraint Usage\u0022 class=\u0022fragment-images colorbox-load\u0022 rel=\u0022gallery-fragment-images-1699177748\u0022 data-figure-caption=\u0022Results of the Use of Soothing Rooms on Restraint Usage\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003E\u003Cimg class=\u0022fragment-image\u0022 alt=\u0022Figure 1.\u0022 src=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/44\/9\/F1.medium.gif\u0022\/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cul class=\u0022highwire-figure-links inline\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/44\/9\/F1.large.jpg?download=true\u0022 class=\u0022highwire-figure-link highwire-figure-link-download\u0022 title=\u0022Download Figure 1.\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload figure\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/44\/9\/F1.large.jpg\u0022 class=\u0022highwire-figure-link highwire-figure-link-newtab\u0022 target=\u0022_blank\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EOpen in new tab\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/15159\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003Cdiv class=\u0022fig-caption attrib\u0022\u003E\u003Cspan class=\u0022fig-label\u0022\u003EFigure 1.\u003C\/span\u003E \u003Cp id=\u0022p-9\u0022 class=\u0022first-child\u0022\u003EResults of the Use of Soothing Rooms on Restraint Usage\u003C\/p\u003E\u003Cq class=\u0022attrib\u0022 id=\u0022attrib-1\u0022\u003EResults of the SwedishAmerican Center for Mental Health soothing rooms\u0027 impact on restraints\/seclusion episodes. Analysis indicated that incidences of restraints and seclusion decreased after soothing rooms opened.\u003C\/q\u003E\u003Cq class=\u0022attrib\u0022 id=\u0022attrib-2\u0022\u003EReproduced with permission from A Kirsch, MSN, RN.\u003C\/q\u003E\u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cp id=\u0022p-10\u0022\u003EAccording to presenters, prior to the implementation of the soothing rooms, there had been limited alternatives to restraints. After implementation of the soothing rooms, presenters said, restraints are no longer the norm and are only used in crises situations. Presenters emphasized that the 35% reduction in the use of restraints has also reduced the degree of trauma for patients as well as staff.\u003C\/p\u003E\u003Cp id=\u0022p-11\u0022\u003ETo validate the evidence, the clinical nurses gathered subjective data from the adults and adolescents through written evaluation that rated their stress levels before and after use of the soothing rooms. The presenters said that this feedback validated the results of the study and overall validates implementation of soothing rooms as the new standard of inpatient care.\u003C\/p\u003E\u003C\/div\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2015 MD Conference Express\u00ae\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/14\/44\/9.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_figures.js?nzluhq\u0022\u003E\u003C\/script\u003E\n\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzluhq\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}