Immediate Staff Debriefing Following Seclusion or Restraint Use in Inpatient Mental Health Settings: A Scoping Review

Mangaoil, Remar A; Cleverley, Kristin; Peter, Elizabeth

doi:10.1177/1054773818791085

Cited by 25 publications

(23 citation statements)

References 73 publications

(151 reference statements)

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“…Care providers' experiences and views on PIRs' potential for emotional and relational processing are in line with previous studies that suggest PIRs help the care providers' deal with emotional and moral stress [10,11,13,49]. As PIRs with the patient mainly focus on the patients' experiences and considerations, care providers' personal needs for defusing after restraint events belongs to other arenas [1,11,51]. From patients' perspectives, we have in our review [11] found one small study suggesting PIRs are beneficial regarding patients' processing of the restraint incident [47].…”

Section: Discussionsupporting

confidence: 82%

Post-incident reviews—a gift to the Ward or just another procedure? Care providers’ experiences and considerations regarding post-incident reviews after restraint in mental health services. A qualitative study

Hammervold

Norvoll²,

Vevatne

et al. 2020

BMC Health Serv Res

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Public guidelines in many western countries recommend post-incident reviews (PIRs) with patients after restraint use in mental health care. PIRs are one of several elements of seclusion and restraint reduction in internationally used programmes. PIRs may improve restraint prevention, patients' recovery processes and care providers' ethical mindfulness. The knowledge base on PIRs is, however, vague. This qualitative study explores professional care providers' experiences and considerations regarding PIRs that included patients after restraint use in a Norwegian context. Methods: Within a phenomenological hermeneutical framework, 19 multidisciplinary care providers were interviewed about their experiences and views regarding PIRs that included patients after restraint events. The interviews were performed over the period 2015-2016. Data analysis followed a data-driven stepwise approach in line with thematic content analysis. A group of two patient consultants in mental health services, and one patient's next of kin, contributed with input regarding the interview guide and analysis process. Results: Care providers experienced PIRs as having the potential to improve the quality of care through a) knowledge of other perspectives and solutions; b) increased ethical and professional awareness; and c) emotional and relational processing. However, the care providers considered that PIRs' potential could be further exploited as they struggled to get hold on the patients' voices in the encounter. The care providers considered that issue to be attributable to the patients' conditions, the care providers' safety and skills and the characteristics of institutional and cultural conditions.

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Section: Discussionsupporting

confidence: 82%

Post-incident reviews—a gift to the Ward or just another procedure? Care providers’ experiences and considerations regarding post-incident reviews after restraint in mental health services. A qualitative study

Hammervold

Norvoll²,

Vevatne

et al. 2020

BMC Health Serv Res

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“…Most participants discussed the need for trauma-informed debriefing. This finding is supported by a scoping review finding a beneficial effect of debriefing immediately following critical events such as implementing seclusion or restraint of a patient during violent behavior (Mangaoil et al, 2018). Formal support programs, including immediate debriefing following violent incidents, would support staff and their feeling of safety (Edward et al, 2016).…”

Section: Service Gapsmentioning

confidence: 92%

Mental health workers' experiences of support and help‐seeking following workplace violence: A qualitative study

Rodrigues

Ham

Kirsh

et al. 2021

Nursing & Health Sciences

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The consequences of workplace trauma among mental health staff can include physical injuries and somatic disorders, professional exhaustion and burnout, depression, anxiety, and other occupational stress injuries. For the well‐being of staff and patients, there is a need to understand mental health workers' experiences following exposure to workplace trauma, any subsequent mental health problems, and the process of help‐seeking. The nuances of these experiences can best be captured through qualitative exploration. In this study, we explored inpatient mental health workers' experiences of support and help‐seeking following workplace violence. Four overall themes emerged from interviews with 12 participants: (i) validation as motivation for help‐seeking; (ii) stigma as a barrier to help‐seeking; (iii) gaps in services provided; and (iv) desire for accessible and effective trauma support and education. This study demonstrates the need for supportive management responses and peer support, access to specialized and confidential trauma‐informed mental health services, and reductions in stigma, victim blaming, and other barriers to help‐seeking among mental health workers.

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“…A scoping review of post‐restraint de‐briefing found little consistency of implementation of de‐briefing in practice (Mangaoil et al . 2018). De‐briefing for staff and service users is considered important because physical restraint can re‐awaken previous traumatic events (Bonner 2007).…”

Section: Introductionmentioning

confidence: 99%

Acute mental health nurses’ experience of forcibly touching service users during physical restraint

Bailey

Nawaz

Jackson

2020

Int J Mental Health Nurs

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Mental health nurses use forcible touch during physical restraint. Little research considers nurses’ experiences and the meanings they give to forcible touch. This study investigated nurses’ lived experiences of forcibly touching service users during physical restraint. A qualitative approach informed by phenomenology guided the study. The COREQ checklist ensured explicit and detailed reporting of the study. Fourteen nurses participated in semi‐structured interviews analysed using a phenomenological process. The participants’ experienced their touch during restraint as a problematic aspect of practice. They expressed preferences for holding different parts of the service user’s body, described their proximity to the service user’s body, and their experience of intimacy. The meanings of touch included forced, gentle, protective, and compassionate touches. Three themes revealed the complexity of this previously unproblematized area of nursing practice identified through their narratives. These were ‘needing to justify’, ‘inconsistent knowing’, and ‘compassionate whilst careworn’. Physical restraint training requires reconceptualization towards touch to help nurses connect with the meanings of their bodily contact with service users, and the potential influence upon care. Articulation of these touch meanings will help to develop a nursing discourse on this neglected area of nursing practice. Training courses orientate primarily towards techniques, whilst nurses’ conversations about touch are unclear. Training courses and practice fora can enhance understanding of the nursing contribution to physical restraint by addressing the nature of nurses’ bodywork. This discourse will help to reveal the complexity of this touch intervention, identify areas of good practice, and areas for practice development.

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Immediate Staff Debriefing Following Seclusion or Restraint Use in Inpatient Mental Health Settings: A Scoping Review

Cited by 25 publications

References 73 publications

Post-incident reviews—a gift to the Ward or just another procedure? Care providers’ experiences and considerations regarding post-incident reviews after restraint in mental health services. A qualitative study

Post-incident reviews—a gift to the Ward or just another procedure? Care providers’ experiences and considerations regarding post-incident reviews after restraint in mental health services. A qualitative study

Mental health workers' experiences of support and help‐seeking following workplace violence: A qualitative study

Acute mental health nurses’ experience of forcibly touching service users during physical restraint

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