Experience of mental health nurses regarding mechanical restraint in patients with psychomotor agitation: A qualitative study

Abstract

Aim: To explore mental health nurses' experiences whilst managing a patient with psychomotor agitation, and the factors that influence the decision to use mechanical restraints.Background: Psychomotor agitation is considered a potentially violent psychiatric emergency. The management of disruptive behaviours includes mechanical restraints as the last resort although its use has consequences for patients, professionals and the therapeutic relationship.Design: A qualitative study design with a hermeneutical approach was developed.Methods: A total of 31 nurses were purposively sampled from six short-and mediumstay mental health inpatient units. Data were obtained from semi-structured interviews. A thematic content analysis following the seven steps of Colaizzi's method was performed. Three researchers independently conducted an inductive analysis within a perspective of a hermeneutic paradigm. The COREQ checklist was followed in carrying out this research.Results: Four themes emerged from the analysis: 1) Nurses' perceptions of restraint methods, 2) Factors influencing decision-making, 3) Consequences for professionals of the use of mechanical restraint and 4) Alternatives to mechanical restraint.Conclusions: Aspects such as the importance of teamwork, the issue of cognitive dissonance, ethical conflict and barriers to effecting the withdrawal of these measures affect the mental health nurse's decision-making process. The understanding of these | 2143 MANZANO-BORT RMHN eT Al.

Network analysis of anxiety and depression in the functionally impaired elderly

“…Molecular imaging posits that neurotransmitter mechanisms underlying sleep-wake regulation are involved in anxiety ( 63 ). In addition, psychomotor agitation is a potentially violent syndrome characterized by uncontrollable motor increases and psychological and emotional activities ( 64 , 65 ); as a marker of depression severity, psychomotor retardation is characterized by persistent slowness of cognitive and motor processing in speech, thinking and movements ( 66 , 67 ). In fact, psychomotor retardation may be more common in functionally impaired elderly individuals, and the inhibition and poverty of thoughts caused by psychomotor retardation may relieve the nervousness of functionally impaired elderly individuals.…”

Analysis of Factors Affecting Psychological Resilience of Emergency Room Nurses Under Public Health Emergencies

“…Audio recordings were transcribed into texts within 24 h following the interviews. Transcripts were read carefully, and Colaizzi's method was used for qualitative data analysis, with 7 steps briefly as follows 37…”

“…Audio recordings were transcribed into texts within 24 h following the interviews. Transcripts were read carefully, and Colaizzi’s method was used for qualitative data analysis, with 7 steps briefly as follows 37 : (1) Read and reread participants’ descriptions; (2) Extract significant statements; (3) Formulate meanings of the significant statements; (4) Categorize formulated meanings into clusters of themes; (5) Exhaustively describe the investigated phenomenon; (6) Return to participants for validation; (7) Incorporate changes based on participants’ feedback into final description. Specifically, transcriptions were read carefully, and data was open coded initially and categorized through constant comparison and analysis.…”

A commentary on Manzano‐Bort et al. (2021) ‘Experience of mental health nurses regarding mechanical restraint in patients with psychomotor agitation: A qualitative study’

“…Dear Editor, I read, with great interest, the article 'Experience of mental health nurses regarding mechanical restraint in patients with psychomotor agitation: A qualitative study' by Manzano-Bort et al (2021). The authors interviewed mental health nurses in order to understand their experience when managing patients with psychomotor agitation and the factors that lead to the use of mechanical restraints (MR).…”