Holding and restraining children for clinical procedures within an acute care setting: an ethical consideration of the evidence

Abstract

(2014) Holding and restraining children for clinical procedures within an acute care setting: an ethical consideration of the evidence. Nursing Inquiry, 22 (2). pp. 157167. ISSN 13207881It is advisable to refer to the publisher's version if you intend to cite from the work.http://dx.doi.org/10.1111/nin.12074For more information about UCLan's research in this area go to http://www.uclan.ac.uk/researchgroups/ and search for <name of research Group>. which may not be urgent, children's rights will continue to be compromised.

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

“…Furthermore, defining restraint as something very negative (and thus almost non-existent) may also have unintended side-effects. Bray, Snodin, and Carter (2015) suggested that over time the emotional upset of children during medical procedures can become an accepted and expected part of practice and be regarded as something that is not necessary to mitigate or prevent. It means that procedures can be completed despite a child’s upset and lack of cooperation (Bray et al, 2016).…”

“…Pearch (2005) and others has called for discussions on restraint during medical procedures (Bray et al, 2016, 2015). When there is a lack of professional consensus, personal meanings and reasoning are ascribed to the situation and may result in differing priorities and actions (Blumer, 1969).…”

“It goes against the grain”: A qualitative study of the experiences of parents’ administering distressing health‐care procedures for their child at home

“…Effective management of child distress is also critical as it minimizes the need for restraint, something which parents reported sometimes having to do and which could cause both them and their child further distress. In the context of procedures carried out by staff, where the “holding” of children may be carried out by staff or parents, Bray et al . question the ethics of restraint.…”

Australasian radiographers’ choices of immobilisation strategies for paediatric radiological examinations

“…4,6,8,9,12e15,19,20 Psychological immobilisation did not appear to have been well-used in medical imaging, a finding which is in contrast to the results of this study. 12,13 As suggested by some participants, changing standards of practice or training might account for this; there is a strong focus on patient-centred care in current healthcare literature 10,36,37 and professional capabilities documents 38 which would require radiographers to think critically about the effects of their actions on patient safety and quality of care. This concern was evident in the interview responses.…”