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Published on: September 26, 2012
Mechanical restraint--which interventions prevent episodes of mechanical restraint?- a systematic review
Jesper Bak1, Mette Brandt-Christensen, Dorte Maria Sestoft
1Mental Health Centre Sct. Hans, Roskilde, Denmark. jesper.bak@regionh.dk
Purpose:
To identify interventions preventing mechanical restraints.
Design And Methods:
Systematic review of international research papers dealing with mechanical restraint. The review combines qualitative and quantitative research in a new way, describing the quality of evidence and the effect of intervention.
Findings:
Implementation of cognitive milieu therapy, combined interventions, and patient-centered care were the three interventions most likely to reduce the number of mechanical restraints.
Practice Implications:
There is a lack of high-quality and effective intervention studies. This leaves patients and metal health professionals with uncertainty when choosing interventions in an attempt to prevent mechanical restraints.
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