Manchester Metropolitan University, Manchester, UK.
Int J Ment Health Nurs. 2023 Dec;32(6):1691-1700. doi: 10.1111/inm.13195. Epub 2023 Jul 18.
Physical restraint is a controversial practice in psychiatric inpatient settings. Research has clearly demonstrated its physical and psychological risks, but few studies investigate how mental health support workers understand their experiences of restraint use. This study uses interpretative phenomenological analysis to explore support workers' understanding of these experiences. The COREQ checklist was used to ensure explicit reporting of the study. Semi-structured interviews were conducted with three participants and were then analysed using an interpretative phenomenological process. One superordinate theme emerged: 'You have to be a certain sort of person'. Restraints require not only the ability to overcome one's emotions, but also the ability to connect with the person being restrained. The implications of these findings for psychiatric care provision and for further research are discussed.
身体约束在精神科住院环境中是一种有争议的做法。研究清楚地表明了它的身体和心理风险,但很少有研究调查心理健康支持工作者如何理解他们使用约束的经验。本研究使用解释性现象学分析来探讨支持工作者对这些经验的理解。使用 COREQ 清单来确保明确报告研究。对三名参与者进行了半结构化访谈,然后使用解释性现象学过程进行分析。出现了一个上位主题:“你必须是某种人”。约束不仅需要克服自己情绪的能力,还需要与被约束的人建立联系。讨论了这些发现对精神科护理提供和进一步研究的意义。