The restraint chair: A qualitative study of nurses' experience with the restraint chair versus four point restraint

Assessment of Nurses’ Knowledge, Attitude and Practice Regarding Physical Restraint: A Scoping Review

“…According to the study on the restraint chair carried out by Visaggio et al . (2018), [ 14 ] which aimed to describe psychiatric nurses’ experience of using the restraint chair in comparison to the traditional four-point restraints, the restraint chair appears to be a safer and more effective alternative to traditional four-point restraint. The main themes noted were as follows: humane, easier to use, less traumatic, comforting and enhanced therapeutic relationships.…”

Year one review: Staff perception on the implementation of the chair restraint on an adolescent psychiatric inpatient unit

“…The responses from the nursing staff were aligned with the literature related to use of the chair restraint. Staff experience the chair restraint to be less traumatic and more humane when compared to four-point restraint (Visaggio et al, 2020). The sentiment of feeling uncomfortable, saddened, or hesitant to implement restraints seems to summarize staff's feelings well; while the they felt it was necessary for safety management, the staff reported it did not feel therapeutic to implement mechanical restraints as an any type of intervention.…”

“…When the chair restraint was implemented in this study, the mean time of restraint and staff injury decreased, and the likelihood of accepting oral medication increased when compared to a traditional four‐point restraint (Visaggio et al, 2018). Nurses who implemented the chair restraint reported they felt the chair restraint to be easier to use, more humane, less traumatic, comforting, and enhancing to the therapeutic relationship (Visaggio et al, 2020). The importance of the therapeutic relationship cannot be overstated and is an integral part of patient care (Boyd, 2018).…”

“…The importance of the therapeutic relationship cannot be overstated and is an integral part of patient care (Boyd, 2018). As one nurse noted, “I think the fact that we can put someone in the chair and speak with them eye to eye, we keep them as our peer, and not just a patient” (Visaggio et al, 2020. p. 4).…”

“…As one nurse noted, "I think the fact that we can put someone in the chair and speak with them eye to eye, we keep them as our peer, and not just a patient" (Visaggio et al, 2020. p. 4). The chair restraint was felt to give the patient more dignity and respect, and to be less traumatic again reiterating the preferred position of being upright to strapped with their legs open "…I remember thinking about that with four points and thinking how really awful that is, how vulnerable…[the restraint chair] leaves them in a less vulnerable position that when they're lying on a bed" (Visaggio et al, 2020;p. 4).…”