Nurses' and consumers' shared experiences of seclusion and restraint: A qualitative literature review.

Hawsawi, T; Power, T; Zugai, J; Jackson, D

Nurses' and consumers' shared experiences of seclusion and restraint: A qualitative literature review.

Hawsawi, T Power, T

Zugai, J

Jackson, D

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: International journal of mental health nursing, 2020, 29, (5), pp. 831-845
Issue Date:: 2020-10

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Field	Value	Language
dc.contributor.author	Hawsawi, T
dc.contributor.author	Power, T https://orcid.org/0000-0002-3334-0322
dc.contributor.author	Zugai, J https://orcid.org/0000-0002-2359-7183
dc.contributor.author	Jackson, D https://orcid.org/0000-0001-5252-5325
dc.date.accessioned	2021-04-09T02:07:39Z
dc.date.available	2020-02-22
dc.date.available	2021-04-09T02:07:39Z
dc.date.issued	2020-10
dc.identifier.citation	International journal of mental health nursing, 2020, 29, (5), pp. 831-845
dc.identifier.issn	1445-8330
dc.identifier.issn	1447-0349
dc.identifier.uri	http://hdl.handle.net/10453/147917
dc.description.abstract	Seclusion and restraint are coercive practices associated with physical and psychological harm. International bodies have called for an end to these practices. However, these practices continue to be used. Elimination programmes have had some success in reducing the rates of these practices. Understanding coercive practices through the perspectives of involved individuals may facilitate a complete cessation of seclusion and restraint from the practice. Therefore, this qualitative review explored how nurses and consumers experienced seclusion and restraint events in mental health care. Five databases were searched. The search strategy resulted in the inclusion of fourteen qualitative papers. A thematic analysis was used to synthesize the findings. Six themes emerged under three main categories; shared experiences: disruption in care, disruption in the therapeutic relationship and shared negative impacts; nurses' experiences: Absence of less coercive alternatives; and consumers' experiences: overpowered, humiliated and punished. Considering these experiences during planning for seclusion and restraint prevention might facilitate more effective implementation of seclusion and restraint elimination programmes. Our findings suggested that consumers should receive recovery-oriented, trauma-informed and consumer-centred care; while nurses should be better supported through personal, professional and organizational developmental strategies. Further research should focus on investigating shared interventions among consumers and nurses and exploring carers' experiences with coercive practices.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	International journal of mental health nursing
dc.relation.isbasedon	10.1111/inm.12716
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1110 Nursing, 1117 Public Health and Health Services, 1701 Psychology
dc.subject.classification	Nursing
dc.title	Nurses' and consumers' shared experiences of seclusion and restraint: A qualitative literature review.
dc.type	Journal Article
utslib.citation.volume	29
utslib.location.activity	Australia
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2021-04-09T02:07:38Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	29
utslib.citation.issue	5

Abstract:

Seclusion and restraint are coercive practices associated with physical and psychological harm. International bodies have called for an end to these practices. However, these practices continue to be used. Elimination programmes have had some success in reducing the rates of these practices. Understanding coercive practices through the perspectives of involved individuals may facilitate a complete cessation of seclusion and restraint from the practice. Therefore, this qualitative review explored how nurses and consumers experienced seclusion and restraint events in mental health care. Five databases were searched. The search strategy resulted in the inclusion of fourteen qualitative papers. A thematic analysis was used to synthesize the findings. Six themes emerged under three main categories; shared experiences: disruption in care, disruption in the therapeutic relationship and shared negative impacts; nurses' experiences: Absence of less coercive alternatives; and consumers' experiences: overpowered, humiliated and punished. Considering these experiences during planning for seclusion and restraint prevention might facilitate more effective implementation of seclusion and restraint elimination programmes. Our findings suggested that consumers should receive recovery-oriented, trauma-informed and consumer-centred care; while nurses should be better supported through personal, professional and organizational developmental strategies. Further research should focus on investigating shared interventions among consumers and nurses and exploring carers' experiences with coercive practices.

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http://hdl.handle.net/10453/147917