Healthcare staff's experiences of using manual physical restraint: A meta-synthesis review.

Autor: Kodua M; School of Health and Social Care, University of Essex, Colchester, UK., Duxbury J; Faculty of Health & Education, Manchester Metropolitan University, Manchester, UK., Eboh WO; School of Health and Social Care, University of Essex, Colchester, UK., Asztalos L; School of Health and Social Care, University of Essex, Colchester, UK., Tweneboa J; North East London NHS Foundation Trust, London, UK.
Jazyk: angličtina
Zdroj: Nursing & health sciences [Nurs Health Sci] 2023 Sep; Vol. 25 (3), pp. 271-289. Date of Electronic Publication: 2023 Aug 10.
DOI: 10.1111/nhs.13045
Abstrakt: Manual restraint is a hands-on type of physical restraint used to prevent harm to service users and staff, and to administer necessary treatments. This article reports on a review and meta-synthesis of the qualitative literature on healthcare staff's experiences of using manual restraint. Three electronic databases (CINAHL Complete, MEDLINE, and PsycINFO) were systematically searched, and 19 studies were included. Thematic synthesis was used to synthesize the findings. The Critical Appraisal Skills Programme (CASP) checklist was used to appraise study quality. The synthesis generated one overarching interpretive theme, "unpleasant but necessary," and five subthemes: "maintaining safety triumphs all," "emotional distress," "significance of coping," "feeling conflicted," and "depletion." Seven studies indicated that, from staff perspectives, manual restraint was not always used as a last resort. Healthcare staff experience manual restraint as a psychologically and physically unpleasant practice, yet paradoxically deem its use to be sometimes necessary to keep themselves and service users safe from harm. The findings indicate a need for healthcare staff support, post-restraint debriefing meetings with service users, and the implementation of manual restraint minimization programs in healthcare settings.
(© 2023 The Authors. Nursing & Health Sciences published by John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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