Use physical restraint with mental patients in various focus health care settings.

by



Acknowledgement

I would take this opportunity to thank my research supervisor, family and friends for their support and guidance without which this research would not have been possible.

Declaration

I, [type your full first names and surname here], declare that the contents of this dissertation/thesis represent my own unaided work, and that the dissertation/thesis has not previously been submitted for academic examination towards any qualification. Furthermore, it represents my own opinions and not necessarily those of the University.

Signed __________________ Date _________________

Abstract

Background of the study

There is still an ongoing debate concerning, whether or not to use physical restraint with mental patients in various mental health care settings. Healthcare professional's views and attitudes towards the use of physical restraints in controlling patient's behaviour, and ensuring patient safety may create conflicts with patient's rights, including their autonomy in making decisions for their own care.

Purpose

The purposes of the study are to identify healthcare professional's knowledge, attitudes and practise issues regarding the use of physical restraints in mental healthcare settings and to examine the factors influencing staff decisions to use restraints on their patients.

Methods

 The research will be based on secondary data collection. The data will be extracted from various journals, articles and books. In secondary research data will be extracted from various journals, books and articles. Data Collection and analysis: Two reviewers independently carried out data extraction from the included studies. A meta-analysis for this review could not be undertaken, as there was considerable variation in the measured outcomes in the trials identified, therefore data is presented in narrative summary. Inclusion criteria:The review will include both research and non-research evidence published and non-published from 2006 to 2009 using both or either quantitative and qualitative research designs. Exclusion criteria:The exclusion criteria will include studies that do not incorporate the inclusion criteria and those that are written in any other languages than English. Data Collection Method:The criteria of selection for the literature will relevance to the research topic and the year of publication. Both public and private libraries as well as online libraries will visit to access the data. Some of the online databases that will access are ebsco, questia, emerald, phoenix and so on.

Conclusion

The investigation of nurses' mind-set is very important, but there are furthermore other components that need methodical concern in any concerted effort to decrease the use of seclusion. However, the complexity of mind-set formation proposes that workplace culture solely will not completely interpret attitudes. While the study to designated day has searched to assess nurses' mind-set to seclusion, there has been little try to realise what individual or workplace characteristics might leverage these attitudes.

Table of Contents

CHAPTER 1: INTRODUCTION6

Background of the study6

Problem Statement7

Aims and objective of the study10

Research questions11

Search and Review Strategy11

CHAPTER 2: LITERATURE REVIEW13

Workplace culture20

Staff composition and experience22

Relationship between restraint use and cognitive decline24

Falls/related wounds and affiliated mortality25

Conflict26

Reduction/removal/alternatives to use27

Nurses' attitudes30

Nurse Practice Environment34

Nurse Participation in Hospital Affairs35

Nursing Foundations for Quality of Care37

Nurse Manager Ability, Leadership, and Support of Nurses38

Staffing and Resource Adequacy39

Collegial Nurse-Physician ...