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Tytuł:
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The restraint chair: A qualitative study of nurses' experience with the restraint chair versus four point restraint.
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Autorzy:
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Visaggio N; McLean Hospital, 115 Mill St., Belmont, MA 02478, United States of America. Electronic address: .
Phillips KE; Fairfield University, 1073 N. Benson Road, Fairfield, CT 06825, United States of America. Electronic address: .
Milne S; McLean Hospital, 115 Mill St., Belmont, MA 02478, United States of America; Endicott College, 376 Hale St., Beverly, MA 01915, United States of America. Electronic address: .
McElhinney J; McLean Hospital, 115 Mill St., Belmont, MA 02478, United States of America. Electronic address: .
Young SC; McLean Hospital, 115 Mill St., Belmont, MA 02478, United States of America. Electronic address: .
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Źródło:
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Archives of psychiatric nursing [Arch Psychiatr Nurs] 2020 Feb; Vol. 34 (1), pp. 2-6. Date of Electronic Publication: 2019 Dec 26.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Publication: Philadelphia, PA : W.B. Saunders
Original Publication: Orlando, FL : Grune & Stratton, c1987-
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MeSH Terms:
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Hospitals, Psychiatric*
Patient Safety*
Psychiatric Nursing*
Nursing Staff, Hospital/*psychology
Restraint, Physical/*psychology
Adult ; Female ; Focus Groups ; Humans ; Male ; Mental Disorders/psychology ; Qualitative Research ; Surveys and Questionnaires
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Contributed Indexing:
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Keywords: Qualitative; Restraint; Safety
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Entry Date(s):
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Date Created: 20200210 Date Completed: 20201103 Latest Revision: 20201103
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Update Code:
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20240105
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DOI:
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10.1016/j.apnu.2019.12.009
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PMID:
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32035585
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Restraint and seclusion continues to be a challenging topic in psychiatric nursing care. While there is a movement toward reduction and elimination of restraint, emergency situations still arise that require intervention for the safety of patients and staff. In addition to traditional methods of restraint (physical holds, four-point restraint, seclusion), the restraint chair has been introduced at some hospitals as an alternative to four-point restraint. The restraint chair allows the patient to be upright in a seated position during the restraint process. Little research on the restraint chair currently exists. The purpose of this study was to examine the nurses' experience with the restraint chair compared to four-point restraint. Results indicate nurses feel the restraint chair is easier to use, more humane, less traumatic, comforting, and enhances the therapeutic relationship compared to four-point restraint. Based on the reports of nurses in this study and prior quantitative work on the restraint chair (Castillo, Coyne, Chan, Hall, & Vilke, 2011; Visaggio et al., 2018), the restraint chair appears to be a safe and effective alternative to traditional four-point restraint. More research verifying these results at other hospitals in the United States and abroad is warranted.
Competing Interests: Declaration of competing interest None declared.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
