Attitudes of Nursing Staff in Hospitals towards Restraint Use: A Cross-Sectional Study

Thomann, Silvia; Gleichner, Gesche; Hahn, Sabine; Zwakhalen, Sandra

doi:10.3390/ijerph19127144

Cited by 2 publications

(3 citation statements)

References 38 publications

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“…Mental health problems in Indonesia are substantial and cause a significant health burden. The number of people with severe mental disorders reaches 1.7 per mile or around 1-2 people per 1000 population (Riskesdas, 2013), as the years go by, the number of people with severe mental disorders is 7 miles per 1000 population (Riskesdas, 2018). This data shows that out of 1,000 households, around 70 households (ART) experience schizophrenia/severe psychosis.…”

Section: Introductionmentioning

confidence: 85%

“…This data shows that out of 1,000 households, around 70 households (ART) experience schizophrenia/severe psychosis. While the province with the highest prevalence of mental disorders in Indonesia is the province of Bali, with a percentage of 11.1% per 1000 households with ART with people with schizophrenia, the province of D.I.Yogyakarta occupies the second rank with a percentage of 10.4% per 1000 households, then followed the provinces of West Nusa Tenggara, West Sumatra, South Sulawesi, Aceh, Central Java, Central Sulawesi, South Sumatra and West Kalimantan (Riskesdas, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Effectivity of Restrain Management Training on Nurses at RSKD Dadi, South Sulawesi Province

Anna. AS,

Suarniati,

Halim

et al. 2023

JKM

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Background: Schizophrenia is a mental disorder with a very high prevalence in Indonesia, which is around 7 million per 1000 population (Riskedas, 2018). Schizophrenia can cause sufferers to behave aggressively, which can cause injury to the patient himself or other people, including nurses. If the client's aggressive behavior increases, the actions that can be applied are crisis management and restraint strategies. Objective: to determine the effect of restraint management on the knowledge, skills, and attitudes of nurses at RSKD DADI, South Sulawesi Province. Method: The type of research used is a quasi-experiment. The sample was divided into two groups: intervention and control groups. This research was conducted in November 2022. The population for this study were nurses at RSKD DADI South Sulawesi Province; the sample was determined by consecutive sampling, namely 20 people in the intervention group and 20 people in the control group, so the total sample was 40 people. Results: There is a significant difference in the mean knowledge of nurses regarding restraint management between the control group (M=7.75, SD=1.585) and the intervention group (M=10.05, SD=3.170) with a t-test value of 3.359, and a p-value of <0.003. There is a significant difference in the mean skills of nurses between the control group (M=29.85, SD=3.92) and the intervention group (M=34.25, SD=1.743) with a t-test value of 5.646 and a p-value of <0.000. There is a significant difference in the attitudes of nurses between the control group (M=21.35, SD=4.107) and the intervention group (M=24.70, SD=5.611) with a t-test value of 2.258, and a p-value of <0.036. Conclusion: The research findings showed a significant increase in the mean scores of knowledge, attitude, and skills after participating in the restraint training.

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Section: Introductionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Effectivity of Restrain Management Training on Nurses at RSKD Dadi, South Sulawesi Province

Anna. AS,

Suarniati,

Halim

et al. 2023

JKM

View full text Add to dashboard Cite

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“…Many studies highlight the existence of internal conflict for nurses in mental health settings (Hawsawi et al., 2020). While negative emotions such as anxiety, sadness, stress and guilt are experienced about these practices, (Butterworth et al., 2022; Mérineau‐Côte & Morin, 2014; Sequiera & Halstead, 2004), opinions and feelings are conflicted because staff also viewed seclusion and restraint as an integral part of nursing, necessary for maintaining control and preventing harm (Bigwood & Crowe, 2008; Korkeila et al., 2016; Thomann et al., 2022).…”

Section: Introductionmentioning

confidence: 99%

Reducing seclusion and restraint in an acute adolescent psychiatric ward: A feasibility study

Lee‐Aube,

Vakili,

Padhi

et al. 2023

Psychiatric Ment Health Nurs

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Accessible SummaryWhat is known on the subject Restraining and secluding health consumers for safety reasons continue to be used in psychiatric inpatient facilities even though they have no therapeutic value and have negative effects on consumers, families and staff. Six Core Strategies (6CS) for reducing seclusion and restraint have been developed to address this problem but there are very few effectiveness studies in inpatient adolescent psychiatric facilities. What the paper adds to existing knowledge We used a mixed methods approach to evaluate the implementation of 6CS in an adolescent psychiatric facility. The implementation was successful. It eliminated the use of seclusion, substantially reduced the use of restraints and significantly reduced staff absenteeism. Using thematic analysis on feedback surveys, we identified five dominant themes that described consumers' and carers' experiences during their stay at the facility: communication, service delivery, flexibility, consistency and internal feeling states. What are the implications for practice This study provides support for the feasibility of a comprehensive and broad‐based intervention program such as 6CS to reduce seclusion and restraint practices in inpatient mental health facilities. This study also demonstrates the value of using surveys to gather consumer and carer feedback and improve outcomes for service users. AbstractIntroductionSeclusion and restraint practices are routinely used in psychiatric facilities but are controversial for ethical, legal and safety reasons, and can cause significant harm to consumers, staff and organisations. Six Core Strategies (6CS) for reducing seclusion and restraint were developed to address this problem but very few studies have examined their effectiveness in adolescent settings.Aim/QuestionTo evaluate the implementation of 6CS in an adolescent inpatient psychiatric facility.MethodWe retrieved archival data from an acute adolescent psychiatric ward that implemented the 6CS. Using a mixed methods approach, we evaluated outcomes on the use of seclusion and restraint, nursing staff sick leave and feedback surveys.ResultsFindings showed an elimination of seclusion, and a significant reduction in restraint use and staff absenteeism in the 12 months after project implementation. Thematic analysis of feedback survey responses identified communication, service delivery, flexibility, consistency and internal feeling states as dominant themes in consumers' and carers' experience on the unit.DiscussionThe 6CS is feasible and may be effective in reducing seclusion and restraint, which in turn may have a positive impact on staff wellbeing.Implications for PracticeImplementation of the 6CS with executive support, combined with staff and programmatic changes at a local level is recommended.

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Attitudes of Nursing Staff in Hospitals towards Restraint Use: A Cross-Sectional Study

Cited by 2 publications

References 38 publications

Effectivity of Restrain Management Training on Nurses at RSKD Dadi, South Sulawesi Province

Effectivity of Restrain Management Training on Nurses at RSKD Dadi, South Sulawesi Province

Reducing seclusion and restraint in an acute adolescent psychiatric ward: A feasibility study

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