Restraint Use for Reduction and Instructional Methods

Date:  2021-03-15 06:02:54
5 pages  (1428 words)
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Martin, A., Krieg, H., Esposito, F., Stubbe, D., & Cardona, L. (2015). Reduction of restraint and seclusion through collaborative problem solving: a five-year prospective inpatient study. Psychiatric Services.

The authors of this article set up a study to establish the difference in the use of restraint and seclusion from a collaborative problem solving method when dealing with aggressive children and adolescents. It was their findings that the use of CPS can be instrumental in the reduction of restraint in the care setting.

LeBel, J., Huckshorn, K. A., & Caldwell, B. (2010). Restraint use in residential programs: why are best practices ignored?. Child welfare, 89(2), 169.

In this article, the authors sought to establish why best practices are ignored in care homes and, therefore, the use of restraint and seclusion is mostly used. They established that restraint has been associated with harm to the dependents, huge costs, reduction in the quality of care as well as the disengagement of the dependents with their families.

Azeem, M. W., Aujla, A., Rammerth, M., Binsfeld, G., & Jones, R. B. (2011). Effectiveness of six core strategies based on trauma informed care in reducing seclusions and restraints at a child and adolescent psychiatric hospital. Journal of Child and Adolescent Psychiatric Nursing, 24(1), 11-15.

The aim of the study conducted in this research was to evaluate the effectiveness of the use of six core strategies based on trauma and informed care in order to reduce the use of restraint. . Medical records were reviewed from 2004-2007. It was their findings that the six core strategies can lead to the reduction of the use of restraints and seclusion.

Schimmelmann, B. G. (2011). Seclusion and restraints: a neglected area of research in child and adolescent psychiatry?. European child & adolescent psychiatry, 20(5), 219-220.

The author sought to discuss how the use of seclusion and restraint in the management of aggression in children and adolescents raised ethical issues as well as the conflict between the needs of the patient and his/her legal rights. As such, he concluded that there is need for more research on the best methods to reduce these concerns.

Wale, J. B., Belkin, G. S., & Moon, R. (2011). Reducing the use of seclusion and restraint in psychiatric emergency and adult inpatient services: Improving patient-centered care. Perm J, 15(2), 57-62.

This research studied New York City Health and Hospital Corporation with the aim of establishing the methods that were used in the reduction of the use of restraint and seclusion. It was the findings of the authors that the initiation of the seclusion and restraint reduction behavior led to significant decreases in the injury of patients and the use of restraint/seclusion.

Beghi, M., Peroni, F., Gabola, P., Rossetti, A., & Cornaggia, C. M. (2013). Prevalence and risk factors for the use of restraint in psychiatry: a systematic review. Rivista di psichiatria, 48(1), 10-22.

Beghi et al. sought to examine why the use of coercive procedures is prevalent despite the inadequacy of evidence showing their effectiveness. After doing a search on PubMed and Embase, it was their realization that there is need for the introduction of alternatives to restraint as their efficacy is in doubt.

Yang, C. P. P., Hargreaves, W. A., & Bostrom, A. (2014). Association of empathy of nursing staff with reduction of seclusion and restraint in psychiatric inpatient care. Psychiatric Services.

The scholars aimed at establishing the disruptive behaviors that lead to the increased use of seclusion and restraint with high acuity mental illnesses. They established that greater nursing staff empathy skills as well as motivation were instrumental in the reduction of the use of seclusion and restraint.

Ashcraft, L., & Anthony, W. (2015). Eliminating seclusion and restraint in recovery-oriented crisis services. Psychiatric Services.

The authors state that the use of restraint is incompatible with the vision of recovery while the therapeutic benefits of the use of restraint have not been clearly substantiated. Therefore, they conducted a review on the records of healthcare organizations using restraint. It was their findings that reduction strategies exists and should, therefore, be used to bring about complete and wholesome recovery.

Lewis, M., Taylor, K., & Parks, J. (2009). Crisis prevention management: a program to reduce the use of seclusion and restraint in an inpatient mental health setting. Issues in mental health nursing, 30(3), 159-164.

The authors agree with the previous ones that the use of seclusion and restraint in the treatment of patients is controversial and highly dangerous. As such, they explored the effectiveness of evidence based performance improvement program by psychiatric nurses in a large urban teaching hospital. They established that a 75% reduction in restraint use as well as reduction in patient and staff injuries was the effect.

Barton, S. A., Johnson, M. R., & Price, L. V. (2009). Achieving restraint-free on an inpatient behavioral health unit. Journal of Psychosocial Nursing and Mental Health Services, 47(1), 34-40.

Just like Lewis, Taylor & Parks (2009) above, the authors of this article were unanimous that the use of restraint is a highly controversial practice. As a result, they evaluated the use of an action plan developed by the National Executive Training Institute of the National Association of State Mental Health Program Directors. It was their findings that person centered care contributed to the restraint-free environment and less medication use.

Happell, B., & Harrow, A. (2010). Nurses' attitudes to the use of seclusion: A review of the literature. International Journal of Mental Health Nursing, 19(3), 162-168.

The authors concurred with others that restraint use is coercive and, therefore, should be reduced at all costs. In this regard, they reviewed the literature for the best ways to manage the use of seclusion. They found that the use of necessary interventions such as staff composition, and change of workplace culture could be instrumental in the reduction of the use of restraint.

Enns, E., Rhemtulla, R., Ewa, V., Fruetel, K., & HolroydLeduc, J. M. (2014). A controlled quality improvement trial to reduce the use of physical restraints in older hospitalized adults. Journal of the American Geriatrics Society, 62(3), 541-545.

The authors proposed the use of controlled quality improvement mechanism in the reduction of restraint. They obtained this by conducting a step-wedge trial from persons during the monthly restraint audits. As such, they established that a multi-component team could decrease the use of physical restraint.

Pearl, F. R. (2015). Improving patient safety by decreasing restraint use.

This article used an improvement project to reduce restraint use in a medical/surgical care unit in a 200-bed teaching hospital. After the researcher conducted a review of literature, he established that Multidisciplinary Rounding (MDR) was a good evidence-based intervention in the reduction of restraint use.

References

Ashcraft, L., & Anthony, W. (2015). Eliminating seclusion and restraint in recovery-oriented crisis services. Psychiatric Services.

Azeem, M. W., Aujla, A., Rammerth, M., Binsfeld, G., & Jones, R. B. (2011). Effectiveness of six core strategies based on trauma informed care in reducing seclusions and restraints at a child and adolescent psychiatric hospital. Journal of Child and Adolescent Psychiatric Nursing, 24(1), 11-15.

Barton, S. A., Johnson, M. R., & Price, L. V. (2009). Achieving restraint-free on an inpatient behavioral health unit. Journal of Psychosocial Nursing and Mental Health Services, 47(1), 34-40.

Beghi, M., Peroni, F., Gabola, P., Rossetti, A., & Cornaggia, C. M. (2013). Prevalence and risk factors for the use of restraint in psychiatry: a systematic review. Rivista di psichiatria, 48(1), 10-22.

Enns, E., Rhemtulla, R., Ewa, V., Fruetel, K., & HolroydLeduc, J. M. (2014). A controlled quality improvement trial to reduce the use of physical restraints in older hospitalized adults. Journal of the American Geriatrics Society, 62(3), 541-545.

Happell, B., & Harrow, A. (2010). Nurses' attitudes to the use of seclusion: A review of the literature. International Journal of Mental Health Nursing, 19(3), 162-168.

LeBel, J., Huckshorn, K. A., & Caldwell, B. (2010). Restraint use in residential programs: why are best practices ignored?. Child welfare, 89(2), 169.

Lewis, M., Taylor, K., & Parks, J. (2009). Crisis prevention management: a program to reduce the use of seclusion and restraint in an inpatient mental health setting. Issues in mental health nursing, 30(3), 159-164.

Martin, A., Krieg, H., Esposito, F., Stubbe, D., & Cardona, L. (2015). Reduction of restraint and seclusion through collaborative problem solving: a five-year prospective inpatient study. Psychiatric Services.

Pearl, F. R. (2015). Improving patient safety by decreasing restraint use.

Schimmelmann, B. G. (2011). Seclusion and restraints: a neglected area of research in child and adolescent psychiatry?. European child & adolescent psychiatry, 20(5), 219-220.

Wale, J. B., Belkin, G. S., & Moon, R. (2011). Reducing the use of seclusion and restraint in psychiatric emergency and adult inpatient services: Improving patient-centered care. Perm J, 15(2), 57-62.

Yang, C. P. P., Hargreaves, W. A., & Bostrom, A. (2014). Association of empathy of nursing staff with reduction of seclusion and restraint in psychiatric inpatient care. Psychiatric Services.

 

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