Is it safe? The restraint chair compared to traditional methods of restraint: A three hospital study

Visaggio, Nicole; Phillips, Kathryn E.; Kichefski, Kristen; McElhinney, Jeanne; Idiculla, Thomaskutty B.; Blair, Ellen W; Johnson, Richard W.; Santaniello, Jamie; Pennant, Luciana; Young, Scott C.

doi:10.1016/j.apnu.2018.04.003

Cited by 5 publications

(12 citation statements)

References 21 publications

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“…For many, this could retrigger traumatic experience and when possible should be avoided. Negative physical and psychological effects have been noted extensively in research for both adult patients and staff when using the board as the restraint method (Visaggio et al, 2018). While mechanical restraints are used for patients who cannot be otherwise safely be managed by less restrictive interventions, recent research with the adult population shows an alternative to the six‐point board.…”

Section: Review Of Literaturementioning

confidence: 99%

“…While mechanical restraints are used for patients who cannot be otherwise safely be managed by less restrictive interventions, recent research with the adult population shows an alternative to the six‐point board. The use of the chair restraint has been shown to decrease time in restraint, increase by mouth med acceptance, and reduce staff and patient injury (Visaggio et al, 2018).…”

Section: Review Of Literaturementioning

confidence: 99%

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Year one review: Staff perception on the implementation of the chair restraint on an adolescent psychiatric inpatient unit

Seney

Safford

2023

Child Adoles Psych Nursing

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This pediatric psychiatric mental health hospital implemented a new mechanical restraint, the chair restraint, as an additional safety management intervention, to join the already utilized six‐point board. Purpose The purpose of this project was to assess perceptions, thoughts, and feelings of psychiatric mental health nursing staff when utilizing the chair restraint on an adolescent unit. Furthermore, to explore decision making related to choosing the chair restraint verses choosing to use the six‐point board as a safety management intervention. Methodology This was a phenomenological qualitative study, utilizing semistructured interviews to explore the experiences of nursing staff, consisting of behavioral health specialists, and direct‐care staff nurses who work on an adolescent psychiatric unit utilizing both chair restraint and the six‐point board. Ten nursing staff were interviewed. Using thematic analysis, staff perceptions, thoughts, and feelings when using mechanical restraints for safety management were explored. Demographics were collected however, there was no variability in the responses and saturation was reached. Findings Five themes emerged from the interviews. The Five themes that emerged were: Restraint chair was less traumatic and preferred, feelings of defeat when de‐escalation was not successful, pushing away emotions as protection, units were short staffed, and patient behaviors were seen as a potential barrier to eliminating the six‐point board. Conclusion The results of this study will be used to guide to further develop behavioral health education, orientation for new staff, and to understand ways to support staff through their experiences in managing a patient's unsafe behaviors.

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Section: Review Of Literaturementioning

confidence: 99%

Section: Review Of Literaturementioning

confidence: 99%

Year one review: Staff perception on the implementation of the chair restraint on an adolescent psychiatric inpatient unit

Seney

Safford

2023

Child Adoles Psych Nursing

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“…His aggressive episodes became more frequent, with more directed aggression driven by delusions of persecution, unlike the purposeless movements with his catatonic excitement. His assaultive behavior toward staff required placement in a restraint chair on several occasions, as evidence suggests this method provides a more humane and less traumatic experience than conventional four-point restraints 22 …”

Section: Questions To the Consultantsmentioning

confidence: 99%

“…His assaultive behavior toward staff required placement in a restraint chair on several occasions, as evidence suggests this method provides a more humane and less traumatic experience than conventional four-point restraints. 22 Mr. C improved greatly with evidenced-based treatments of lorazepam, ECT, and the addition of clozapine. 18 Over time, he came to accept his catatonia, despite his episodic memory loss during this period, and he remained challenged by his lack of insight into his mania and marijuana use.…”

Section: Mary Lou England Rnmentioning

confidence: 99%

A Case of Catatonia and Psychosis: A Multidisciplinary Approach and Perspective

Becicka

England²,

Kwass³

et al. 2021

Harv Rev Psychiatry

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“…Flowchart of the study selection process. control (which is usually followed by chemical control) (Visaggio, N et al, 2018).…”

Section: Chemical Restraintmentioning

confidence: 99%

Analysis of the Restraint Model for Mental Disorder Clients in Health Care Facilities

Sulaihah

Khadijah

Darni

2020

J. Ners

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Introduction: The reduction or elimination of restraint for psychiatric patients continues to be an area of concern and debate. The lack of accessible alternatives to restraint shows that nurses need to use restraints. The aim of the study was to gain insights from the restraint model used by mental disorder client nurses in health care facilities.Methods: The method used was the identification of interventions in the literature, the identification of the relevant literature by topic and title, obtaining the literature in full-text form and the analysis of the results from the various interventions used in the literature. We systematically searched Scopus, Proquest and Science Direct by including keywords such as ‘restraint models’ and ‘clinical restraint’. The years were limited to 4 (2015-2018).Results: From the 80 potentially relevant articles, 15 met our eligibility criteria with qualitative and quantitative designs; all discussed restraint interventions. The restraint models for mental disorder clients were physical, mechanical and chemical.Conclusion: This study reports on the latest experience that restraint cannot be eliminated from use. Nurses tended to disagree if the restraint method was removed. Restraint with physical, chemical, and mechanical solutions could be tailored to the client's case in health care facilities. The results of this review should be considered when developing interventions aimed at reducing the use of restraint.

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Is it safe? The restraint chair compared to traditional methods of restraint: A three hospital study

Cited by 5 publications

References 21 publications

Year one review: Staff perception on the implementation of the chair restraint on an adolescent psychiatric inpatient unit

Year one review: Staff perception on the implementation of the chair restraint on an adolescent psychiatric inpatient unit

A Case of Catatonia and Psychosis: A Multidisciplinary Approach and Perspective

Analysis of the Restraint Model for Mental Disorder Clients in Health Care Facilities

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