The second factor is staff control and convenience. Staff will say that they feel more secure when the doors are locked. They do not have to watch the patients quite so closely or communicate with the patients as much or as often. Also, frequently staff can remain in the nursing station. When one unlocks the doors it is sometimes necessary to assign a staff member to the entrance to have patients sign in and out, and the staff member must know which privileges are ordered. This change requires staff to spend more time with patients and provides more education for the patients. Patients can talk about themselves, their wishes, and their desires, if one takes the time to listen. When patients cannot assume responsibility, they need ward or room restriction and limits. They should receive these restrictions only after demonstrating the need.