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Role of nurses and the nursing assistants in the implementation and monitoring of physical restraint in psychiatry

Published online by Cambridge University Press:  01 September 2022

O. Maatouk*
Affiliation:
Razi Hospital, F Adult Psychiatry Department, Manouba, Tunisia
A. Larnaout
Affiliation:
Razi Hospital, Psychiatry D, Manouba, Tunisia
B. Abassi
Affiliation:
Razi Hospital, F Adult Psychiatry Department, Manouba, Tunisia
R. Lansari
Affiliation:
Razi Hospital, Psychiatry D, Manouba, Tunisia
N. Staali
Affiliation:
Razi Hospital, Psychiatry D, Manouba, Tunisia
W. Melki
Affiliation:
Razi Hospital, Psychiatry D, Manouba, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Physical restraint is a therapeutic procedure allowing to immobilize an agitated patient.Although it is an effective method especially in the states of psychomotor instability, its practice is not devoid of risks which imposes a codified technique with particular monitoring.

Objectives

The aim of this work was to evaluate the knowledge of nurses and nursing assistants in the practice and monitoring of physical restraint and to establish a suitble protocol codifing it.

Methods

Our study was a descriptive cross-sectional study based on a questionnaire grouping together a set of questions on general and professional characteristics, the decision of physical restraint, its prescription, its means, its monitoring, informing the patient and his relatives, physical restraint’s risks, the patient’s experience, the caregiver’s experience as well as the relationship between caregiver and patient. Our target population was composed of nurses and orderlies of the psychiatry department <<D>> of the Razi hospital in Manouba.

Results

We collected 30 professinals.90% of them were women. 30% of our sample had less than five years of experience. Only 23.30% of caregivers had mental health training at the beginning of their professional career. 50% of them received training focused on physical restraint.83.30% reported using physical restraint for psychomotor agitation.56.6% ignored the psychological effects of the physical straint on patients. 73.3% of caregivers informed patients before straint.

Conclusions

A physical restraint protocol, codifying the technique of implementation and monitoring parameters is needed in order to improve the relation patient-cargiver and ensure an optimal care .

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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