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Further thoughts on the process of restraint.
1University of Sheffield, Humphry Davy House, Manvers Campus, Wath, UK. G.Winship@sheffield.ac.uk
Journal of Psychiatric and Mental Health Nursing
|January 31, 2006
Summary
Physical restraint in acute psychiatric care remains largely unchanged despite evolving treatments. This essay explores the historical context of restraint use, influenced by key reports and guidelines on managing patient violence.
Area of Science:
- Psychiatry
- Nursing
- Medical History
Background:
- Physical restraint is a persistent intervention in psychiatric care, especially for nurses in acute settings.
- Unlike many other psychiatric treatments, physical restraint methods have seen minimal evolution.
- The frequent use of restraint contrasts with a notable lack of extensive research.
Purpose of the Study:
- To examine the historical foundations of physical restraint in psychiatry.
- To contextualize restraint practices in light of significant reports and guidelines.
- To highlight the ongoing challenges and research gaps in managing disturbed patients.
Main Methods:
- Historical analysis of psychiatric treatment evolution.
- Review of key inquiry reports and clinical guidelines.
- Examination of nursing procedures in acute inpatient psychiatry.
Main Results:
- Physical restraint has remained a consistent, yet largely unmodified, practice in psychiatry.
- Historical treatments have been abandoned or evolved, unlike restraint techniques.
- The David Bennett Inquiry Report and NICE guidelines underscore the relevance of restraint management.
Conclusions:
- The historical persistence of physical restraint warrants further investigation.
- Understanding the historical context is crucial for contemporary psychiatric nursing.
- There is a need for more research into the efficacy and ethics of physical restraint.