Convergence and divergence: An analysis of mechanical restraints

Jacob, Jean Daniel; Holmes, Dave; Rioux, Désiré; Corneau, Pascale; MacPhee, Colleen

doi:10.1177/0969733017736923

Cited by 17 publications

(34 citation statements)

References 27 publications

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“…In line with findings described in the studies by Jacob et al (2017), Lanth en et al (2015, and Wynn (2004), patients in the current study reacted with 'overt protest reactions' at the point of being mechanically restrained and during the period of MR. Consequently, MR duration was prolonged (Gildberg et al 2015b;Hui et al 2016). In this study (Table 1), the majority of the participants perceived the duration of their last episode in MR to be 48 hours or above, which is in line with results from a Danish study (Gildberg et al 2015b).…”

Section: Discussionsupporting

confidence: 91%

“…In line with findings described in the studies by Jacob et al . (), Lanthén et al . (), and Wynn (), patients in the current study reacted with ‘overt protest reactions’ at the point of being mechanically restrained and during the period of MR. Consequently, MR duration was prolonged (Gildberg et al .…”

Section: Discussionmentioning

confidence: 97%

“…() and Jacob et al . (), the attitudes of – and level of care provided by – staff had a significant impact on whether patients asscociated the MR episode as a positive or negative experience overall. However, reported negative perceptions of MR episodes dominate the literature and traumatic effects from the use of MR are frequently reported.…”

Section: Introductionmentioning

confidence: 99%

“…Within the general psychiatric setting, only four qualitative studies have exclusively investigated patients' experiences of MR (i.e. Chien et al 2005;Jacob et al 2017;Johnson 1998;Lanth en et al 2015). In the most recent studies, by Lanth en et al (2015) and Jacob et al (2017), the attitudes ofand level of care provided bystaff had a significant impact on whether patients asscociated the MR episode as a positive or negative experience overall.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Forensic psychiatric patients’ perceptions of situations associated with mechanical restraint: A qualitative interview study

Tingleff

Hounsgaard

Bradley³

et al. 2018

Int J Mental Health Nurs

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To reduce the use and duration of mechanical restraint in forensic settings and ensure evidence‐based patient care, we need more knowledge about patients’ subjective experiences and perceptions. The aim was to investigate forensic psychiatric patients’ perceptions of situations associated with the use of mechanical restraint and what they perceive as factors impacting the use and duration of mechanical restraint. Twenty participants were interviewed. Four themes were identified through a thematic analysis: ‘overt protest reactions’, ‘silent protest reactions’, ‘illness‐related behaviour’, and ‘genuinely calm’, which together characterize patients’ perceptions of their ways of acting and reacting during mechanical restraint episodes. These themes are linked together in two patterns in the process of mechanical restraint: ‘pattern of protest’ and ‘pattern of illness’. Further research is needed to illuminate the associations between patients’ perceptions of being subjected to mechanical restraint and ways of acting and reacting through the process of mechanical restraint.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Forensic psychiatric patients’ perceptions of situations associated with mechanical restraint: A qualitative interview study

Tingleff

Hounsgaard

Bradley³

et al. 2018

Int J Mental Health Nurs

View full text Add to dashboard Cite

show abstract

“…Others reported being left in windowless seclusion rooms with only a mattress on a cold floor (Ezeobele et al 2014). According to Jacob et al (2017), mechanical restraint limited consumers capabilities to attend to their personal needs such as using the toilet. In one study, some nurses stated that they could not provide a high quality of care and attention due to the restriction that seclusion created while others emphasized doing their best to attend consumers’ needs and give them more attention (Holmes et al 2015).…”

Section: Methodsmentioning

confidence: 99%

Nurses' and consumers' shared experiences of seclusion and restraint: A qualitative literature review

Hawsawi

Power

Zugai

et al. 2020

Int J Mental Health Nurs

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Seclusion and restraint are coercive practices associated with physical and psychological harm. International bodies have called for an end to these practices. However, these practices continue to be used. Elimination programmes have had some success in reducing the rates of these practices. Understanding coercive practices through the perspectives of involved individuals may facilitate a complete cessation of seclusion and restraint from the practice. Therefore, this qualitative review explored how nurses and consumers experienced seclusion and restraint events in mental health care. Five databases were searched. The search strategy resulted in the inclusion of fourteen qualitative papers. A thematic analysis was used to synthesize the findings. Six themes emerged under three main categories; shared experiences: disruption in care, disruption in the therapeutic relationship and shared negative impacts; nurses' experiences: Absence of less coercive alternatives; and consumers' experiences: overpowered, humiliated and punished. Considering these experiences during planning for seclusion and restraint prevention might facilitate more effective implementation of seclusion and restraint elimination programmes. Our findings suggested that consumers should receive recovery-oriented, trauma-informed and consumer-centred care; while nurses should be better supported through personal, professional and organizational developmental strategies. Further research should focus on investigating shared interventions among consumers and nurses and exploring carers' experiences with coercive practices.

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Experience of patients with restraints in acute care hospitals and the view of their relatives: A qualitative study

Siegrist‐Dreier,

Thomann,

Barbezat

et al. 2023

Nursing Open

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AimTo describe the experiences of patients and relatives with any form of restraints in somatic acute care hospitals.DesignQualitative explorative design.MethodsQualitative research methods were used. Participants were recruited through clinical nursing specialists in participating departments of a university hospital between June and August 2020. Individual interviews were conducted and analysed using content analysis.ResultsFour interviews with patients and five interviews with relatives were conducted with a mean duration of 25 min. The following three topics emerged in the analysis as important: What was perceived as restraints, Assessing the experiences of restraint use on a continuum, and Lack of information about restrictive measures. Patients and relatives defined restraint very broadly and assessed the experiences of restraint on a continuum from positive to negative, with a more critical view from patients. Relatives clearly seemed to approve of the use of restraints in acute care hospitals because it provided them with a sense of security. In general, there seemed to be a lack of information about the use of restraint and its effects on patients and relatives alike.ConclusionThe involvement of patients and relatives in the decision‐making process about restraint use seems to be low. Healthcare professionals need to be better educated to be able to pass on adequate information and to involve patients and their relatives adequately in all processes of restraint use. However, when relatives are involved in decision‐making as proxies for patients, it is important to consider that patients' and relatives' opinions on restraints may differ.Patient or Public ContributionPatients and relatives agreed to participate in the study and shared their experiences with us.

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Convergence and divergence: An analysis of mechanical restraints

Abstract: The research findings are discussed in light of current literature and implications for practice.

Cited by 17 publications

References 27 publications

Forensic psychiatric patients’ perceptions of situations associated with mechanical restraint: A qualitative interview study

Forensic psychiatric patients’ perceptions of situations associated with mechanical restraint: A qualitative interview study

Nurses' and consumers' shared experiences of seclusion and restraint: A qualitative literature review

Experience of patients with restraints in acute care hospitals and the view of their relatives: A qualitative study

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