Involving service users in training in the management of aggression

Obi-Udeaja, Jane; Crosby, Kate; Ryan, Garry

doi:10.7748/mhp.19.7.23.s18

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…Seclusion was included within the manual restraint block of keywords because it is sometimes grouped with manual restraint in the literature (e.g., Chieze et al, 2019). PMVA (Prevention and Management of Violence and Aggression) and MAPA (Management of Actual or Potential Aggression) are commonly used models of manual restraint practice (Griffin, 2015; Obi‐Udeaja et al, 2016). Hence, the inclusion of these terms.…”

Section: Methodsmentioning

confidence: 99%

Healthcare staff's experiences of using manual physical restraint: A meta‐synthesis review

Kodua,

Duxbury,

Eboh

et al. 2023

Nursing & Health Sciences

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Manual restraint is a hands‐on type of physical restraint used to prevent harm to service users and staff, and to administer necessary treatments. This article reports on a review and meta‐synthesis of the qualitative literature on healthcare staff's experiences of using manual restraint. Three electronic databases (CINAHL Complete, MEDLINE, and PsycINFO) were systematically searched, and 19 studies were included. Thematic synthesis was used to synthesize the findings. The Critical Appraisal Skills Programme (CASP) checklist was used to appraise study quality. The synthesis generated one overarching interpretive theme, “unpleasant but necessary,” and five subthemes: “maintaining safety triumphs all,” “emotional distress,” “significance of coping,” “feeling conflicted,” and “depletion.” Seven studies indicated that, from staff perspectives, manual restraint was not always used as a last resort. Healthcare staff experience manual restraint as a psychologically and physically unpleasant practice, yet paradoxically deem its use to be sometimes necessary to keep themselves and service users safe from harm. The findings indicate a need for healthcare staff support, post‐restraint debriefing meetings with service users, and the implementation of manual restraint minimization programs in healthcare settings.

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Section: Methodsmentioning

confidence: 99%