The Impact of ‘Being There’: Psychiatric Staff Attitudes on the Use of Restraint

Dahan, Sagit; Levi, Galit; Behrbalk, Pnina; Bronstein, I. P.; Hirschmann, Shmuel; Lev‐Ran, Shaul

doi:10.1007/s11126-017-9524-9

Cited by 24 publications

(30 citation statements)

References 30 publications

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Section: Resultsmentioning

confidence: 97%

“…Nurses who had closer contact with restraint methods were more likely to consider these methods as a manner of achieving security and care than nurses who did not have as many direct experiences of using restraint (Dahan et al 2017). According to Wynn et al (2011), staff appeared to be careful in their use of the maximum restrictive methods and preferred less restrictive methods whenever possible.…”

Section: Behavioural Component Of Attitudementioning

confidence: 99%

“…Attitudes towards restraint also differed based on the level of experience and participation in restraint situations (Dahan et al 2017). Mahmoud (2017) found that nurses have a positive attitude towards physical restraint.…”

Section: Cognitive Component Of Attitudementioning

confidence: 99%

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Psychiatric nursing staffs’ attitudes towards the use of containment methods in psychiatric inpatient care: An integrative review

Laukkanen

Vehviläinen‐Julkunen

Louheranta

et al. 2019

Int J Mental Health Nurs

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One of the international objectives in psychiatric care is reducing the use of coercion. Containment methods are meant to keep patients safe, yet usually include coercion. Nurses play a key role in deciding whether or not containment should be used and, as such, their attitudes towards containment can significantly impact the extent to which these methods are applied. The aim of this integrative review was to identify, analyse, and synthesize the available research on psychiatric nursing staffs’ attitudes towards containment methods in inpatient psychiatric care. An electronic search was conducted using the CINAHL, Scopus, and PsycINFO databases. In addition, the citations of identified studies were screened for relevant research. A total of 24 relevant papers published between 2002 and 2017 were selected for further analysis. These studies revealed variation in nursing staffs’ attitudes towards the use of containment methods. The use of containment methods seems to be widely accepted and nurses reported rarely considering alternative measures. It appears that attitudes towards containment have continuously become more negative, although the change has not been very pronounced. The concept of attitude was only defined in two studies. Thus, future research should strive to clarify this concept, as a generally accepted definition for attitude within nursing research and the utilization of all dimensions of this concept are both essential to the nursing field. Currently, it would be important to focus on changing attitudes among psychiatric nursing staff to reduce the use of containment methods; this calls for more research on nursing staffs’ attitudes.

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Section: Resultsmentioning

confidence: 97%

Section: Behavioural Component Of Attitudementioning

confidence: 99%

See 1 more Smart Citation

Psychiatric nursing staffs’ attitudes towards the use of containment methods in psychiatric inpatient care: An integrative review

Laukkanen

Vehviläinen‐Julkunen

Louheranta

et al. 2019

Int J Mental Health Nurs

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“…Este concepto fue definido por Festinger en 1956 como la desarmonía interna o la incongruencia entre ideas, creencias o emociones y conducta. El profesional de enfermería (Cocho et al, 2018;Dahan, et al, 2017;Staniulienė et al, 2013) se dedica al cuidado holístico de la persona, haciéndola partícipe de sus propios cuidados y fomentando la autonomía, el hecho de aplicar la técnica de la contención mecánica a la persona que está cuidando puede entrar en conflicto con los códigos éticos de los propios profesionales de enfermería. Según la bibliografía consultada (Cocho et al, 2018;Dahan, et al, 201;Riahi et al, 2016;Staniulienė et al, 2013) existen diversos mecanismos para el alivio de la disonancia cognitiva que genera en el profesional de enfermería el utilizar medidas coercitivas.…”

Section: Discusión Vivencia Del Profesional De Enfermería Respecto a unclassified

La contención mecánica en los cuidados del paciente con trastorno mental: Una aproximación conceptual y crítica

Bor

Abellán²,

Falcó‐Pegueroles

2019

RPESM

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La agitación psicomotriz constituye una importante situación de emergencia. Su abordaje va dirigido a la contención de esta conducta mediante la intervención verbal, contención farmacológica, aislamiento y contención mecánica. Esta última consiste en restringir el movimiento de la persona mediante correas comercializadas para ello que tienen por objetivo evitar el daño a el/ella mismo/a y a terceros. A pesar de que la contención mecánica requiere indicación médica, en muchas ocasiones son los profesionales de enfermería quiénes deben decidir si inician o no el proceso. OBJETIVOS: Describir el concepto de contención mecánica en el contexto de la salud mental; analizar críticamente su aplicación y exponer el impacto en el profesional de enfermería. METODOLOGIA: Se realizó un análisis de concepto mediante la revisión de literatura sobre el tema. RESULTADOS: La utilidad por sí sola de la contención mecánica no ha sido demostrable, así pues es una técnica que se utiliza en última instancia, lo que puede generar sentimientos de frustración y culpa en el profesional. La decisión de contener o no a un paciente, a pesar de tomarse por seguridad del mismo y terceros, no está exenta de generar conflictos en el profesional, ya que puede perjudicar la relación terapéutica establecida hasta el momento. CONCLUSIONES: Existen diversas intervenciones encaminadas a la disminución del uso de la contención mecánica, pero sin duda será primordial la formación de los profesionales sobre el manejo y la desescalada de conflictos para dotarlos de herramientas para manejar estas situaciones tan tensas de manera eficaz.

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“…Earlier research has also shown that gender and age are related to attitudes towards containment methods (Hottinen et al, 2012; Whittington, Bowers, Nolan, Simpson, & Neil, 2009). Previous involvement in restrictive situations is also related to greater acceptance of containment methods (Dahan et al, 2018; Whittington et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

Psychiatric nursing managers' attitudes towards containment methods in psychiatric inpatient care

et al. 2020

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Aims This research was conducted to examine psychiatric nursing managers' attitudes towards containment methods. Background Nursing management is regarded as a key issue in the reduction of coercion and containment. However, there has been little research on managers' attitudes towards containment methods. Methods This descriptive, cross‐sectional study utilized a survey design. Finnish inpatient psychiatric nursing managers (n = 90) completed the Attitudes to Containment Measures Questionnaire (ACMQ). The results were described with statistics, and the associations between attitudes and background variables were analysed using parametric tests. Results Psychiatric nursing managers had the most negative attitude towards net bed and mechanical restraint, and the most positive attitudes towards as necessary medication and intermittent observation. A few associations were discovered between attitudes and background variables such as gender and number of employees. Conclusions In general, Finnish psychiatric nursing managers' attitudes towards containment methods seem to be quite negative, but more research is needed. Implications for Nursing Management This study provides fresh and unique data on the attitudes of psychiatric nursing managers towards containment methods. Managers' attitudes are important because of their ability to encourage investment in coercion reduction by nursing staff.

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The Impact of ‘Being There’: Psychiatric Staff Attitudes on the Use of Restraint

Abstract: These findings highlight the importance of proximity of staff members to incidences of restraints. This may have implications in understanding the professional and social discourse concerning mechanical restraints.

Cited by 24 publications

References 30 publications

Psychiatric nursing staffs’ attitudes towards the use of containment methods in psychiatric inpatient care: An integrative review

Psychiatric nursing staffs’ attitudes towards the use of containment methods in psychiatric inpatient care: An integrative review

La contención mecánica en los cuidados del paciente con trastorno mental: Una aproximación conceptual y crítica

Psychiatric nursing managers' attitudes towards containment methods in psychiatric inpatient care

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