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Psychiatric Patients Experiences with Mechanical Restraints: An Interview Study.

Lanthén, Klas; Rask, Mikael LU and Sunnqvist, Charlotta LU (2015) In Psychiatry Journal 2015.
Abstract
Objective. To examine psychiatric patients' experience of mechanical restraints and to describe the care the patients received. Background. All around the world, threats and violence perpetrated by patients in psychiatric emergency inpatient units are quite common and are a prevalent factor concerning the application of mechanical restraints, although psychiatric patients' experiences of mechanical restraints are still moderately unknown. Method. A qualitative design with an inductive approach were used, based on interviews with patients who once been in restraints. Results. This study resulted in an overbridging theme: Physical Presence, Instruction and Composed Behaviour Can Reduce Discontent and Trauma, including five categories. These... (More)
Objective. To examine psychiatric patients' experience of mechanical restraints and to describe the care the patients received. Background. All around the world, threats and violence perpetrated by patients in psychiatric emergency inpatient units are quite common and are a prevalent factor concerning the application of mechanical restraints, although psychiatric patients' experiences of mechanical restraints are still moderately unknown. Method. A qualitative design with an inductive approach were used, based on interviews with patients who once been in restraints. Results. This study resulted in an overbridging theme: Physical Presence, Instruction and Composed Behaviour Can Reduce Discontent and Trauma, including five categories. These findings implicated the following: information must be given in a calm and sensitive way, staff must be physically present during the whole procedure, and debriefing after the incident must be conducted. Conclusions. When mechanical restraints were unavoidable, the presence of committed staff during mechanical restraint was important, demonstrating the significance of training acute psychiatric nurses correctly so that their presence is meaningful. Nurses in acute psychiatric settings should be required to be genuinely committed, aware of their actions, and fully present in coercive situations where patients are vulnerable. (Less)
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author
organization
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type
Contribution to journal
publication status
published
subject
in
Psychiatry Journal
volume
2015
external identifiers
  • PMID:26199931
ISSN
2314-4327
DOI
10.1155/2015/748392
language
English
LU publication?
yes
id
17c4b1c2-9929-443d-adc0-511a762d984f (old id 7721460)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26199931?dopt=Abstract
date added to LUP
2015-08-10 15:19:27
date last changed
2016-09-20 03:34:25
@misc{17c4b1c2-9929-443d-adc0-511a762d984f,
  abstract     = {Objective. To examine psychiatric patients' experience of mechanical restraints and to describe the care the patients received. Background. All around the world, threats and violence perpetrated by patients in psychiatric emergency inpatient units are quite common and are a prevalent factor concerning the application of mechanical restraints, although psychiatric patients' experiences of mechanical restraints are still moderately unknown. Method. A qualitative design with an inductive approach were used, based on interviews with patients who once been in restraints. Results. This study resulted in an overbridging theme: Physical Presence, Instruction and Composed Behaviour Can Reduce Discontent and Trauma, including five categories. These findings implicated the following: information must be given in a calm and sensitive way, staff must be physically present during the whole procedure, and debriefing after the incident must be conducted. Conclusions. When mechanical restraints were unavoidable, the presence of committed staff during mechanical restraint was important, demonstrating the significance of training acute psychiatric nurses correctly so that their presence is meaningful. Nurses in acute psychiatric settings should be required to be genuinely committed, aware of their actions, and fully present in coercive situations where patients are vulnerable.},
  author       = {Lanthén, Klas and Rask, Mikael and Sunnqvist, Charlotta},
  issn         = {2314-4327},
  language     = {eng},
  series       = {Psychiatry Journal},
  title        = {Psychiatric Patients Experiences with Mechanical Restraints: An Interview Study.},
  url          = {http://dx.doi.org/10.1155/2015/748392},
  volume       = {2015},
  year         = {2015},
}