A "Necessary Evil": Staff Perspectives of Soft Restraint Kit Use in a High-Security Hospital.
emergency response belts
forensic mental health
high secure hospital
mechanical restraints
seclusion and restraint
soft restraint kit
Journal
Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006
Informations de publication
Date de publication:
2020
2020
Historique:
received:
30
07
2019
accepted:
08
04
2020
entrez:
2
6
2020
pubmed:
2
6
2020
medline:
2
6
2020
Statut:
epublish
Résumé
Forensic mental health nurses working at the forefront of services can intermittently face enduring and somewhat harrowing or stressful situations. Enclosed is an example of the use of mechanical restraints (Soft Restraint Kit) for a two month period. Staff experience of working under such circumstances is an under reported area. The experience of nursing a patient under extreme conditions was captured through use of a qualitative study, using semi structured interviews with a purposive sample of (n = 10) staff nurses and nursing assistants in a high-security hospital. Thematic analysis was undertaken generating four themes: sense of responsibility, aptitude, enablers/inhibitors, and consequence. Conclusions suggest that Soft Restraint Kits provide a useful method of containment, although prolonged use presents considerable challenges for staff. The importance of preparation and training cannot be underestimated and continued support and supervision are absolutely essential.
Identifiants
pubmed: 32477174
doi: 10.3389/fpsyt.2020.00357
pmc: PMC7241439
doi:
Types de publication
Journal Article
Langues
eng
Pagination
357Informations de copyright
Copyright © 2020 Walker and Tulloch.
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