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Experiencing restraint: A dialogic narrative inquiry from a service user perspective.
Pauline Cusack1, Sue McAndrew2, Jean Duckworth1
1University of Central Lancashire, Preston, UK.
International Journal of Mental Health Nursing
|August 22, 2023
Summary
Service users
Area of Science:
- Mental Health Care
- Psychiatry
- Nursing
Background:
- Growing concerns regarding violence and restrictive practices in mental health care.
- Nurses face role conflict between caring and controlling during violent incidents.
- Service users possess unique insights into the experience of physical restraint.
Purpose of the Study:
- To explore the lived experiences of individuals subjected to physical restraint in mental health settings.
- To analyze service users' narratives of restraint to inform practice.
- To investigate the potential of individual stories to influence the broader discourse on restraint.
Main Methods:
- Qualitative narrative study involving 11 mental health service users.
- Dialogical narrative analysis guided by Frank's socio-narratology.
- Presentation of four representative 'quest narratives' from the study.
Main Results:
- Individual service user narratives offer valuable insights into the experience of physical restraint.
- These personal accounts can challenge and inform the dominant discourse on restraint.
- Findings highlight the potential for service user perspectives to shape mental health care practices.
Conclusions:
- Incorporating service user perspectives on restraint is crucial for improving mental health care.
- Understanding the lived experience of restraint can lead to more empathetic and effective interventions.
- Further research from service user viewpoints is needed to refine restraint minimization strategies.
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