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Effectiveness and safety of physical restraint in managing aggression and violence in acute psychiatric settings:
Pages 24 (6024 words)
Effectiveness and safety of physical restraint in managing violence and aggressive behaviour in acute psychiatric settings Introduction Management of violent and aggressive behaviour in acute psychiatric settings is a reality for mental health nurses, and physical restraint does represent one of the open options for them (Hollins and Stubbs, 2010).
The National Institute of Clinical Excellence (NICE), (2005) recommend the use of physical restraint as the last resort to dissipate the impact of a severe physically aggressive behaviour. Harris (1996) cited in Hollins (2010) defines physical intervention/restraint as any method that involves some degree of direct force to limit or restrict movement and mobility. NICE (2005) states that physical restraint is hands on skill method of restraint that can prevent self-harm and harm to others. The purpose of the intervention is to safely immobilise the individual concerned Rationale The reported incident resulting in a service user’s death whilst being restrained (Blofeld, 2004), has resulted in a scrutiny of the intervention. As a result of the generated debate I would like to assess the challenges associated with employing physical restraint in managing aggression and violence in acute psychiatric settings. There is also a need to examine the supporting evidence base for the use of physical restraint as well as its implication for safe and effective practices. In view of the challenges faced by mental health nurses in tackling the problem of aggression and violence in acute settings, I would like to identify the legal frameworks or policies supporting the use of physical restraint as an intervention and whether there is suitable training for staff. Background. ...
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