Physical restraint in mental health nursing: A concept analysis
Objective: Physical restraint is frequently used in medical services, such as in mental health settings, intensive care units and nursing homes, but its nature varies in different institutions. By reviewing related literature, this study aims to clarify the concept of physical restraint in mental he...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-07-01
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| Series: | International Journal of Nursing Sciences |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S235201321830663X |
| _version_ | 1818129818756055040 |
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| author | Junrong Ye Chen Wang Aixiang Xiao Zhichun Xia Lin Yu Jiankui Lin Yao Liao Yu Xu Yunlei Zhang |
| author_facet | Junrong Ye Chen Wang Aixiang Xiao Zhichun Xia Lin Yu Jiankui Lin Yao Liao Yu Xu Yunlei Zhang |
| author_sort | Junrong Ye |
| collection | DOAJ |
| description | Objective: Physical restraint is frequently used in medical services, such as in mental health settings, intensive care units and nursing homes, but its nature varies in different institutions. By reviewing related literature, this study aims to clarify the concept of physical restraint in mental health nursing. Method: Three databases (PubMed, PsycINFO and CINAHL) were retrieved, and Walker and Avant's concept analysis method was used to analyze the concept of physical restraint in mental health nursing. Results: Physical restraint is a coercive approach that enables the administration of necessary treatment by safely reducing the patient's physical movement. It should be the last option used by qualified personnel. Antecedents of physical restraint are improper behavior (violence and disturbance) of patients, medical assessment prior to implementation and legislation governing clinical usage. Consequences of physical restraint are alleviation of conflict, physical injury, mental trauma and invisible impact on the institution. Discussion: This study defined the characteristics of physical restraint in mental health nursing. The proposed concept analysis provided theoretical foundation for future studies. Keywords: Concept analysis, Mental health services, Physical restraint, Qualitative study, Walker and Avant's model |
| first_indexed | 2024-12-11T07:55:12Z |
| format | Article |
| id | doaj.art-193bc7c1e0094e81ba1504cfbd618588 |
| institution | Directory Open Access Journal |
| issn | 2352-0132 |
| language | English |
| last_indexed | 2024-12-11T07:55:12Z |
| publishDate | 2019-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Sciences |
| spelling | doaj.art-193bc7c1e0094e81ba1504cfbd6185882022-12-22T01:15:15ZengElsevierInternational Journal of Nursing Sciences2352-01322019-07-0163343348Physical restraint in mental health nursing: A concept analysisJunrong Ye0Chen Wang1Aixiang Xiao2Zhichun Xia3Lin Yu4Jiankui Lin5Yao Liao6Yu Xu7Yunlei Zhang8Nursing Administration Department, Affiliated Brain Hospital of Guangzhou Medical University, ChinaEarly Intervention Department, Affiliated Brain Hospital of Guangzhou Medical University, ChinaNursing Administration Department, Affiliated Brain Hospital of Guangzhou Medical University, China; Corresponding author. 36 Mingxin Road Liwan District, Guangzhou City, Guangdong Province, 510370, China.Nursing Administration Department, Affiliated Brain Hospital of Guangzhou Medical University, ChinaTraditional Chinese Medicine Department, Affiliated Brain Hospital of Guangzhou Medical University, ChinaNursing Administration Department, Affiliated Brain Hospital of Guangzhou Medical University, ChinaCardiovascular Surgery Department, Jingzhou Central Hospital, ChinaIntensive Care Unit Department, West China Hospital of Sichuan University, ChinaCardiovascular Surgery Department, Jingzhou Central Hospital, ChinaObjective: Physical restraint is frequently used in medical services, such as in mental health settings, intensive care units and nursing homes, but its nature varies in different institutions. By reviewing related literature, this study aims to clarify the concept of physical restraint in mental health nursing. Method: Three databases (PubMed, PsycINFO and CINAHL) were retrieved, and Walker and Avant's concept analysis method was used to analyze the concept of physical restraint in mental health nursing. Results: Physical restraint is a coercive approach that enables the administration of necessary treatment by safely reducing the patient's physical movement. It should be the last option used by qualified personnel. Antecedents of physical restraint are improper behavior (violence and disturbance) of patients, medical assessment prior to implementation and legislation governing clinical usage. Consequences of physical restraint are alleviation of conflict, physical injury, mental trauma and invisible impact on the institution. Discussion: This study defined the characteristics of physical restraint in mental health nursing. The proposed concept analysis provided theoretical foundation for future studies. Keywords: Concept analysis, Mental health services, Physical restraint, Qualitative study, Walker and Avant's modelhttp://www.sciencedirect.com/science/article/pii/S235201321830663X |
| spellingShingle | Junrong Ye Chen Wang Aixiang Xiao Zhichun Xia Lin Yu Jiankui Lin Yao Liao Yu Xu Yunlei Zhang Physical restraint in mental health nursing: A concept analysis International Journal of Nursing Sciences |
| title | Physical restraint in mental health nursing: A concept analysis |
| title_full | Physical restraint in mental health nursing: A concept analysis |
| title_fullStr | Physical restraint in mental health nursing: A concept analysis |
| title_full_unstemmed | Physical restraint in mental health nursing: A concept analysis |
| title_short | Physical restraint in mental health nursing: A concept analysis |
| title_sort | physical restraint in mental health nursing a concept analysis |
| url | http://www.sciencedirect.com/science/article/pii/S235201321830663X |
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