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Reducing restrictive practice: a pertinent issue for children's services.

Sheena Bynoe1, Jacqueline Collin2, Louise L Clark3

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Summary
This summary is machine-generated.

Restrictive practices in healthcare, encompassing control and restraint, can lead to challenging behaviors. Applying bio-psycho-social support plans can effectively minimize these issues across all patient groups.

Keywords:
Behavioural support plansBio-psycho-pharmaco-social approachChallenging behaviourChildren's nursingCommunicationEnvironmentRestrictive practice

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Area of Science:

  • Child Health
  • Mental Health Services
  • Healthcare Practice

Background:

  • Restrictive practices are increasingly recognized in adult and mental health services.
  • Definitions of restrictive practices and interventions remain unclear across healthcare sectors.
  • This article addresses the applicability of restrictive practice principles to children's nursing.

Purpose of the Study:

  • To highlight the relevance of restrictive practice in children's nursing.
  • To argue for the universal application of restrictive practice principles across all health provisions.
  • To explore strategies for minimizing restrictive practice and challenging behaviors.

Main Methods:

  • The article reviews the concept of restrictive practice and its impact.
  • It discusses the distinction between restrictive practices and restrictive interventions.
  • It explores behavioral support plans as a strategy to minimize restrictive practice and challenging behaviors.

Main Results:

  • Restrictive practices, including attitudes of control and unnecessary rules, can precipitate challenging behaviors and restrictive interventions.
  • Behavioral support plans utilizing a bio-psycho-pharmaco-social approach have demonstrated effectiveness.
  • These approaches are effective in mental health and adult nursing settings.

Conclusions:

  • The principles of reducing restrictive practice are relevant across all healthcare settings, including children's nursing.
  • Bio-psycho-pharmaco-social behavioral support plans are recommended for children's nursing to manage challenging behaviors.
  • Clear definitions and strategic interventions are crucial for minimizing restrictive practices and their adverse outcomes.