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Holding children still for procedures

S Robinson1, J Collier

  • 1Department of Psychiatry, University of Nottingham.

Paediatric Nursing
|May 1, 1997
PubMed
Summary
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Paediatric nurses find restraining children distressing, often more than pain. Clearer guidelines and legal clarification are needed for child restraint during clinical procedures.

Area of Science:

  • Pediatric Nursing
  • Clinical Procedures
  • Child Psychology

Background:

  • Child restraint is a common practice during clinical procedures.
  • Concerns exist regarding the ethical and psychological impact of restraining children.
  • Paediatric nurses' perspectives on restraint practices are crucial for improving care.

Purpose of the Study:

  • To survey paediatric nurses' attitudes and concerns regarding child restraint during clinical procedures.
  • To identify factors influencing nurses' decisions to restrain children.
  • To assess the need for improved training and legal clarity on child restraint.

Main Methods:

  • A survey was conducted among 394 paediatric nurses.
  • Data collected focused on nurses' beliefs, decision-making factors, and training experiences related to child restraint.

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  • Quantitative analysis of survey responses was performed.

    • Main Results:

    • The majority of nurses (394) believed restraint causes more distress than pain.
    • Nurses considered child's age, procedure urgency, and type when deciding to restrain.
    • Most nurses lacked formal training in restraint techniques and were uncertain about legal implications.

    Conclusions:

    • Child restraint is a significant source of distress for children, perceived as worse than pain by most nurses.
    • Nurses require enhanced training and clear guidelines for appropriate child restraint during clinical procedures.
    • Clarification of the legal aspects surrounding child restraint is essential for paediatric nursing practice.