Restraint in the care of children

Darby, C. E.; Cardwell, Pauline

doi:10.7748/en2011.11.19.7.14.c8810

Cited by 15 publications

(9 citation statements)

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“…The preschool children’s views and opinions of the procedures can be difficult to obtain, but their expressions of resistance can indicate that the situations with restraint are not neutral to them (Svendsen et al, 2015). The naming of actions is relevant because it may signal the level of force needed to accomplish a procedure (Darby & Cardwell, 2011; Graham & Hardy, 2004; Hart et al, 2008) and may also reflect the healthcare providers’ moral evaluation of coercive practices as unproblematic, as a necessary evil, as something we should prevent and mitigate to a further extent, or as deeply problematic. Regardless of the amount of force used, the child and parents may experience the situation as more intrusive and distressing than the term “holding” indicates.…”

Section: Discussionmentioning

confidence: 99%

Exploring perspectives on restraint during medical procedures in paediatric care: a qualitative interview study with nurses and physicians

Svendsen

Pedersen

Moen

et al. 2017

International Journal of Qualitative Studies on Health and Well

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The aim of this study was to explore nurses’ and physicians’ perspectives on and reasoning about the use of restraint during medical procedures on newly admitted preschoolers in somatic hospital care.We analysed qualitative data from individual interviews with a video recall session at the end with seven physicians and eight nurses. They had earlier participated in video recorded peripheral vein cannulations on preschool children. The data were collected between May 2012 and May 2013 at a paediatric hospital unit in Norway.The analysis resulted in three main themes: (1) disparate views on the concept of restraint and restraint use (2), ways to limit the use of physical restraint and its negative consequences, and (3) experience with the role of parents and their influence on restraint. Perspectives from both healthcare professions were represented in all the main themes and had many similarities.The results of this study may facilitate more informed and reflective discussions of restraint and contribute to higher awareness of restraint in clinical practice. Lack of guidance and scientific attention to restraint combined with conflicting interests and values among healthcare providers may result in insecurity, individual dogmatism, and a lack of shared discussions, language, and terminology.

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Section: Discussionmentioning

confidence: 99%

Exploring perspectives on restraint during medical procedures in paediatric care: a qualitative interview study with nurses and physicians

Svendsen

Pedersen

Moen

et al. 2017

International Journal of Qualitative Studies on Health and Well

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“…It is challenging when children do not want to have the procedure performed and there is justifiable clinical need. Nursing students and qualified staff have reported distress, anxiety, guilt and professional conflict when involved in restraining a child for clinical procedures (Valler-Jones and Shinnick 2005, Lloyd et al 2008, Darby and Cardwell 2011.…”

Section: Effects On Children Parents and Nursesmentioning

confidence: 99%

Alternatives to restraining children for clinical procedures

Coyne

Scott²

2014

Nursing Children and Young People

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On children's wards, restraint appears to be used often, rather than as a last resort, to assist the delivery of clinical procedures. The difference between restrictive physical intervention and therapeutic holding seems to depend on the degree of force used and whether the child gives consent. Restraint can have a negative emotional and psychological effect on children, parents or carers, and nurses. Healthcare staff need to examine their daily practice and always employ a range of interventions to seek a child's co-operation with procedures. Restraint should only be used when there is no alternative in a life-threatening situation. It is essential that all hospitals providing care for children have an explicit restraint policy and provide education, training and guidance for all healthcare staff.

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“…The same study shows that children feel less worried, calmer and respected when they are provided with information and asked about the care [12]. According to [13] this also leads to an increased feeling of control which in turn leads to improved compliance and more effective care.…”

Section: Communication and Communication Problems In Health Care Situmentioning

confidence: 88%

Meeting the Communicative Rights of People with Autism — Using Pictorial Supports During Assessment, Intervention and Hospital Care

Thunberg¹,

Johansson²,

Wikholm³

2015

Autism Spectrum Disorder - Recent Advances

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The main purpose of this chapter is to describe how assessment, intervention and hospital visits more generally can be managed to meet the communicative rights of people with autism spectrum disorders and improve aspects of activity and participation. " working model, built upon the United Nations conventions on the Rights of the child [ ] and the Rights of persons with disability [ ], using the principle of universal design [ ] and augmentative and alternative communication ""C methods was developed within the project KomHIT-communication support in paediatric and dental care. "n evaluation of this model in the form of a focus group interview with a multiprofessional team at a neuropsychiatric clinic will also be presented alongside with the examples of the pictorial supports that were used. . Communication problems and communication rights in clinical settings . . Communication in children with Autism Spectrum Disorders ASDMajor advances have been made over the two past decades in understanding the socialcommunication difficulties of children with "SD, resulting in greater emphasis on early socialcommunication features in the diagnostic criteria. Most parents of children with autism first begin to be concerned that something is not quite right in their child's development because of early delays or regressions in the development of speech [ ]. Problems with communication, in terms of both understanding and expression, are often said to be one of the main causes of The convention is built on eight general principles, for example individual autonomy including the freedom to make one's own choices, full and effective participation and inclusion in society and accessibility, and respect for the evolving capacities of children with disabilities and respect for the right of children with disabilities to preserve their identities. "rticle postulates that health professionals are required to provide care of the same quality to persons with disabilities as to others and to take all appropriate measures to ensure access. "ccording to article this includes the freedom to seek, receive and impart information and ideas on an equal basis with others and through all forms of communication of their choice, including augmentative and alternative communication. Furthermore, the idea of "Universal design" is put forth, meaning that the design of products, environments, programmes and services should be usable by all people, to the greatest extent possible, without the need for adaptation or specialized design [ ]. . . Communication and communication problems in health care situationsPeople with disability often have many health contacts. "ccording to Mahon and Kibirige [ ] children with disability more frequently are in need of health care and are cared for longer than children without disabilities. Due to the communication difficulties being part of the autism spectrum visits to health care or hospital stays can be very problematic. Children with "SD are particularly stressed due to lack of structure and predictability [ ]. It...

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Restraint in the care of children

Cited by 15 publications

References 0 publications

Exploring perspectives on restraint during medical procedures in paediatric care: a qualitative interview study with nurses and physicians

Exploring perspectives on restraint during medical procedures in paediatric care: a qualitative interview study with nurses and physicians

Alternatives to restraining children for clinical procedures

Meeting the Communicative Rights of People with Autism — Using Pictorial Supports During Assessment, Intervention and Hospital Care

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