Patient Experience of Physical Restraint in the Acute Setting: A Systematic Review of the Qualitative Research Evidence

Safeguarding patients while implementing mechanical restraints: A qualitative study of nurses and ward staff’s perceptions and assessment

“…Our findings reveal that the nurses were concerned about the patients’ well‐being during the implementation of restraints and that the participants had relational competences because of their repeated participation in MAP to update their knowledge and skills. Increased competence in dealing with the patients’ emotions may contribute to a less traumatic experience of being belted, which differs from the findings of a review by Douglas et al ( 2021 ).…”

“…However, the findings indicate that professional measures for engaging in the safe monitoring of patients under mechanical coercive measures, such as guidelines, were absent at the system level, and assessments and decision-making be- It is paradoxical that although coercive measures are used to prevent harm to patients or ward staff, their use can inflict physical and mental harm to the patient. It is therefore important that nurses and ward staff exhibit broad competence in providing basic care to patients to prevent the risk of harm related to potentially deleterious physical and psychological effects and outcomes (Barnett et al, 2016;Berzlanovich et al, 2012;Cusack et al, 2018;Douglas et al, 2021;Jönsson et al, 2018;Kersting et al, 2019;Mohr et al, 2003;Nelstrop et al, 2006). The use of coercion in mental health involves ethical, legal and clinical issues.…”

“…Moreover, the researchers assumed that mental health nurses were in a prime position to use their skills for addressing the identified issues to eradicate the use of restraints and effectively meet the needs of those experiencing mental illness (Cusack et al, 2018 ). A systematic review by Douglas et al ( 2021 ), reporting on the qualitative evidence from the perspective of patients experiencing physical restraints, identifies a bio‐psychosocial impact, in addition to an impact on therapeutic relationships and patients’ needs. The studies included mostly focused on the psychological impact, which was negative and connected to trauma or re‐trauma.…”

“…A few studies have reported on the biological impact of pain and injury expressed through fear and distress. Conversely, studies addressing patients’ needs during the use of restraints, which highlighted the need for attention to patients’ comfort and safety, are sparse due to the practice of the restraint position and of asking the patient to sit up in order to breathe more easily (Douglas et al, 2021 ).…”

Application Research of Humanistic Care and Situational Integration in Nursing of Schizophrenia in Recovery Period

“…The humanities guided by biological-social-psychological modern medical model, nursing management is gradually gaining clinical acceptance. At present, most of the mental hospitals in our country adopt closed nursing mode, ignoring humanistic care and psychological care for patients [ 21 ]. Humanistic care nursing is a nursing method that starts from the concept of people-oriented, focuses on patient health, and aims to restore and rebuild social function and healthy behavior of mentally ill patients.…”