Sarı Ayşe, Ertuğrul Büşra, Duman Zekiye Çetinkaya
Department of Psychiatric Nursing, İzmir Democracy University Faculty of Health Sciences, İzmir, Türkiye.
Department of Midwifery and Health Systems, University College Dublin School of Nursing, Dublin, Ireland.
Florence Nightingale J Nurs. 2025 May 29;33(1):1-9. doi: 10.5152/FNJN.2025.24197.
To investigate team collaboration experiences of the nurses and physicians working in inpatient psychiatry units related to physical restraint practices in Türkiye. METHODS: The present study was conducted in the Adult Psychiatry Inpatient Unit of a university hospital in a province in western Türkiye between May 2022 and January 2023. The study data were collected through 11 individual, face-to-face, semi-structured interviews. The present study has a descriptive qualitative research design. In the analysis of the data obtained from the interviews, the content analysis method was used. RESULTS: Nurses stated that they play a central role in patient observation and initial intervention during escalating behavior. The formal decision to apply physical restraint was legally attributed to physicians. Participants described the physical restraint process as emotionally and physically distressing, emphasizing that clinical experience, clear communication, and teamwork were essential facilitators, while staff shortages and the presence of uninformed patient relatives posed significant barriers. In the study, the following five main themes emerged: "being a part of the process but not taking part in it, staying a step away from it," "another side of psychiatry-an unpleasant practice," "facilitators," "barriers," and "recommendations." CONCLUSION: There are uncertainties in the decision-making and implementation processes of physical restraint. These research results affect patient safety in psychiatric inpatient units providing mental health services.
调查土耳其住院精神科病房护士和医生在身体约束措施方面的团队协作经验。方法：本研究于2022年5月至2023年1月在土耳其西部某省一家大学医院的成人精神科住院部开展。研究数据通过11次个人面对面半结构式访谈收集。本研究采用描述性定性研究设计。在对访谈所得数据进行分析时，使用了内容分析法。结果：护士表示，在行为升级期间，他们在患者观察和初步干预中发挥核心作用。实施身体约束的正式决定在法律上归属于医生。参与者将身体约束过程描述为在情感和身体上令人痛苦，强调临床经验、清晰沟通和团队合作是重要的促进因素，而人员短缺和不知情的患者家属的存在构成了重大障碍。在该研究中，出现了以下五个主要主题：“参与过程但不参与其中，与之保持距离”、“精神科的另一面——一种不愉快的做法”、“促进因素”、“障碍”和“建议”。结论：身体约束的决策和实施过程存在不确定性。这些研究结果影响着提供心理健康服务的精神科住院病房的患者安全。
