Abstract:
UNLABELLED:WHAT IS KNOWN ON THE SUBJECT?: There is emerging evidence highlighting the counter therapeutic impact of the use of restraint and promoting the minimization of this practice in mental health care. Mental health nurses are often the professional group using restraint and understanding factors influencing their decision-making becomes critical. To date, there are no other published papers that have undertaken a similar broad search to review this topic. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Eight emerging themes are identified as factors influencing mental health nurses decisions-making in the use of restraint. The themes are: 'safety for all', 'restraint as a necessary intervention', 'restraint as a last resort', 'role conflict', 'maintaining control', 'staff composition', 'knowledge and perception of patient behaviours', and 'psychological impact'. 'Last resort' appears to be the mantra of acceptable restraint use, although, to date, there are no studies that specifically consider what this concept actually is. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: These findings should be considered in the evaluation of the use of restraint in mental health settings and appropriate strategies placed to support shifting towards restraint minimization. As the concept of 'last resort' is mentioned in many policies and guidelines internationally with no published understanding of what this means, research should prioritize this as a critical next step in restraint minimization efforts. INTRODUCTION:While mechanical and manual restraint as an institutional method of control within mental health settings may be perceived to seem necessary at times, there is emergent literature highlighting the potential counter-therapeutic impact of this practice for patients as well as staff. Nurses are the professional group who are most likely to use mechanical and manual restraint methods within mental health settings. In-depth insights to understand what factors influence nurses' decision-making related to restraint use are therefore warranted. AIM:To explore what influences mental health nurses' decision-making in the use of restraint. METHOD:An integrative review using Cooper's framework was undertaken. RESULTS:Eight emerging themes were identified: 'safety for all', 'restraint as a necessary intervention', 'restraint as a last resort', 'role conflict', 'maintaining control', 'staff composition', 'knowledge and perception of patient behaviours', and 'psychological impact'. These themes highlight how mental health nurses' decision-making is influenced by ethical and safety responsibilities, as well as, interpersonal and staff-related factors. CONCLUSION:Research to further understand the experience and actualization of 'last resort' in the use of restraint and to provide strategies to prevent restraint use in mental health settings are needed.
journal_name
J Psychiatr Ment Health Nursjournal_title
Journal of psychiatric and mental health nursingauthors
Riahi S,Thomson G,Duxbury Jdoi
10.1111/jpm.12285subject
Has Abstractpub_date
2016-03-01 00:00:00pages
116-28issue
2eissn
1351-0126issn
1365-2850journal_volume
23pub_type
杂志文章,评审abstract::In this paper, a programme to train mental health promotion workers in programme evaluation is described and evaluated. The programme is based on adult learning values, guidelines for programme evaluation training and the general principles of mental health promotion. Facilitated over 2 days, the programme also provid...
journal_title:Journal of psychiatric and mental health nursing
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abstract::WHAT IS KNOWN ON THE SUBJECT?: Aggressive behaviour is a major problem in clinical practice of mental health care and can result in the use of coercive measures. Coercive measures are dangerous for psychiatric patients and international mental healthcare works on the elimination of these interventions. There is no pre...
journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
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更新日期:2017-02-01 00:00:00
abstract::Recent policy statements that address the quality of care provided by acute mental health services have highlighted an urgent need for specialist nurse education and training. However, examples of how to design and implement such training initiatives are sparse. Drawing on recent experience of developing an innovative...
journal_title:Journal of psychiatric and mental health nursing
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abstract::WHAT IS KNOWN ON THE SUBJECT?: UK NHS policy highlights the importance of user and carer involvement in health professional training. We know little about service user and carer motivations and experiences of accessing training courses for delivering training to health professionals and how well such courses prepare t...
journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2009.01396.x
更新日期:2009-06-01 00:00:00
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journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2850.2002.00463.x
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journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
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更新日期:2017-10-01 00:00:00
abstract::People who have experienced self-harm report dissatisfaction with the care provided by statutory services. This review provides a critical exploration of the evidence examining the attitudes of healthcare professionals across both mental health and medical settings towards people who self-harm. It also explored in det...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章,评审
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journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
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journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
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journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章,评审
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更新日期:2009-09-01 00:00:00
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journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
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journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
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更新日期:2016-11-01 00:00:00
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journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
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