A “Necessary Evil”: Staff Perspectives of Soft Restraint Kit Use in a High-Security Hospital

A “Necessary Evil”: Staff Perspectives of Soft Restraint Kit Use in a High-Security Hospital

IntroductionForensic mental health nurses working at the forefront of services can intermittently face enduring and somewhat harrowing or stressful situations. Enclosed is an example of the use of mechanical restraints (Soft Restraint Kit) for a two month period. Staff experience of working under su...

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Bibliographic Details
Main Authors: Helen Walker, Lindsay Tulloch
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-05-01
Series:Frontiers in Psychiatry
Subjects:
mechanical restraints
emergency response belts
forensic mental health
soft restraint kit
high secure hospital
seclusion and restraint
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2020.00357/full
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spelling doaj-76c9ea38f38a491c81b207644af7974d2020-11-25T03:07:48ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-05-011110.3389/fpsyt.2020.00357488233A “Necessary Evil”: Staff Perspectives of Soft Restraint Kit Use in a High-Security HospitalHelen Walker0Lindsay Tulloch1Department of Health and Life Sciences, University of the West of Scotland, Paisley, United KingdomThe State Hospital, Carstairs, ScotlandIntroductionForensic mental health nurses working at the forefront of services can intermittently face enduring and somewhat harrowing or stressful situations. Enclosed is an example of the use of mechanical restraints (Soft Restraint Kit) for a two month period. Staff experience of working under such circumstances is an under reported area.MethodsThe experience of nursing a patient under extreme conditions was captured through use of a qualitative study, using semi structured interviews with a purposive sample of (n = 10) staff nurses and nursing assistants in a high-security hospital.ResultsThematic analysis was undertaken generating four themes: sense of responsibility, aptitude, enablers/inhibitors, and consequence. Conclusions suggest that Soft Restraint Kits provide a useful method of containment, although prolonged use presents considerable challenges for staff. The importance of preparation and training cannot be underestimated and continued support and supervision are absolutely essential.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00357/fullmechanical restraintsemergency response beltsforensic mental healthsoft restraint kithigh secure hospitalseclusion and restraint
collection DOAJ
language English
format Article
sources DOAJ
author Helen Walker
Lindsay Tulloch
spellingShingle Helen Walker
Lindsay Tulloch
A “Necessary Evil”: Staff Perspectives of Soft Restraint Kit Use in a High-Security Hospital
Frontiers in Psychiatry
mechanical restraints
emergency response belts
forensic mental health
soft restraint kit
high secure hospital
seclusion and restraint
author_facet Helen Walker
Lindsay Tulloch
author_sort Helen Walker
title A “Necessary Evil”: Staff Perspectives of Soft Restraint Kit Use in a High-Security Hospital
title_short A “Necessary Evil”: Staff Perspectives of Soft Restraint Kit Use in a High-Security Hospital
title_full A “Necessary Evil”: Staff Perspectives of Soft Restraint Kit Use in a High-Security Hospital
title_fullStr A “Necessary Evil”: Staff Perspectives of Soft Restraint Kit Use in a High-Security Hospital
title_full_unstemmed A “Necessary Evil”: Staff Perspectives of Soft Restraint Kit Use in a High-Security Hospital
title_sort “necessary evil”: staff perspectives of soft restraint kit use in a high-security hospital
publisher Frontiers Media S.A.
series Frontiers in Psychiatry
issn 1664-0640
publishDate 2020-05-01
description IntroductionForensic mental health nurses working at the forefront of services can intermittently face enduring and somewhat harrowing or stressful situations. Enclosed is an example of the use of mechanical restraints (Soft Restraint Kit) for a two month period. Staff experience of working under such circumstances is an under reported area.MethodsThe experience of nursing a patient under extreme conditions was captured through use of a qualitative study, using semi structured interviews with a purposive sample of (n = 10) staff nurses and nursing assistants in a high-security hospital.ResultsThematic analysis was undertaken generating four themes: sense of responsibility, aptitude, enablers/inhibitors, and consequence. Conclusions suggest that Soft Restraint Kits provide a useful method of containment, although prolonged use presents considerable challenges for staff. The importance of preparation and training cannot be underestimated and continued support and supervision are absolutely essential.
topic mechanical restraints
emergency response belts
forensic mental health
soft restraint kit
high secure hospital
seclusion and restraint
url https://www.frontiersin.org/article/10.3389/fpsyt.2020.00357/full
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