Walker Helen, Tulloch Lindsay
Department of Health and Life Sciences, University of the West of Scotland, Paisley, United Kingdom.
The State Hospital, Carstairs, Scotland.
Front Psychiatry. 2020 May 14;11:357. doi: 10.3389/fpsyt.2020.00357. eCollection 2020.
Forensic 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.
The 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.
Thematic 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.
处于服务前沿的法医精神健康护士可能会间歇性地面临持久且有些令人痛苦或压力巨大的情况。随附的是一份为期两个月使用机械约束（软约束套件）的示例。在这种情况下工作人员的工作体验是一个报道不足的领域。
通过定性研究来获取在极端条件下护理患者的体验，对一家高度戒备医院中（n = 10）的在职护士和护理助理进行有目的抽样的半结构化访谈。
进行了主题分析，产生了四个主题：责任感、能力、促进因素/抑制因素以及后果。结论表明，软约束套件提供了一种有用的控制方法，尽管长期使用给工作人员带来了相当大的挑战。准备和培训的重要性不可低估，持续的支持和监督绝对至关重要。
