Jacob JD, Holmes D, Rioux D, Corneau P, MacPhee C. Convergence and divergence: An analysis of mechanical restraints.
Nurs Ethics 2017;
26:1009-1026. [PMID:
29129122 DOI:
10.1177/0969733017736923]
[Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND
Psychiatric nurses are regularly confronted with the uses and effects of control interventions such as mechanical restraints. Although there are evident tensions in the literature regarding the use of mechanical restraints, very little research has focused on the lived and embodied experience of their use, whether from the patient's perspective or the perspective of nursing staff responsible for their application.
RESEARCH AIMS
(1) to gain access to the bodily phenomenon of being placed in mechanical restraints; (2) to give voice to the intimate experiential understanding of this experience; and (3) through phenomenological interpretation, to understand the subjective processes and meaning-making of this experience.
RESEARCH DESIGN
For this research, we adopted a distinctly ethics-oriented application of the methodology known as interpretative phenomenological analysis, that is, the interpretive dimension of the research focused on ethical practice in mental healthcare - one that is informed by experiential accounts of the lived body.
PARTICIPANTS AND RESEARCH CONTEXT
A total of 40 in-depth semi-structured, nondirected interviews with both nurses (n = 21) and patients (n = 19) we conducted to meet the aims of this article. Participants were recruited from an inpatient psychiatric unit of a Canadian general hospital.
ETHICAL CONSIDERATIONS
The research received research ethics board clearance from both the hospital where the study took place and the University of Ottawa.
FINDINGS
The comparative analysis is presented under the following headings: (1) context of care, (2) meaning of quality of care, (3) emotional reactions and nurse-patient relationship, (4) meeting the needs and (5) need for alternatives.
DISCUSSION/CONCLUSIONS
The research findings are discussed in light of current literature and implications for practice.
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