Agitated to be restrained during hospitalization: Nursing roles and Management
Keywords:
restraint; agitated; nursingAbstract
This article tries to show how to understand patients feeling, how to identify violence of patient and how to manage it. The psychiatric patient with violence behaviors were usually anxious or agitated in hospital setting. They need appropriate nursing care for reducing their violence. They need not to be restrained. Nurses and health personal have to use special skills to identify risks of violence, predicted violence symptoms which could occur in future prior to appropriate nursing management. Nurses can learn from their effective experience to reduce violence for standard quality of psychiatric nursing.
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References
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2. Gallo K, Smith LG Editor.Building a culture of patient safety through simulation An interprofressional learning model. New York; Springer publishing company; 2015.
3. Annamalai J, Gan TS, Xie H, Effectiveness of non-pharmacological interventions to reduce the use of physical restraint in mental health settings: a systematic review protocol. JBP Library. 12 (6);2014. (http://joannabriggslibrary.org/index.php/jbisrir/article/view/1395)
4. Wieman DA, Camacho-Gonsalves T,Huckshorn KA.Leff S. Multisite study of an evidence –based practice to reduce seclusion and restraint in psychiatric inpatient facilities. Psychiatr serv 2014;65(3):345-51.doi:10.1176/appi.ps.201300210.
5. Satikunaporn Dusida. Patient right and decision making on physical restraint and psychiatric nurses. J of Psychiatric-mental health nursing 2014;28(3):1-12. (in Thai)
6. Pukdeemongkul K, Unipun C. Kunthasaibua,P. The Development of primary nursing service: model for schizophrenia patients having violence behavior. J of Psychiatric-Mental Health Nursing. 2005; 20(2):25-38. (in Thai)
7. ANA broad of directors.Reduction-of-Patient-Restraint-and-Seclusion-in-Health-Care-Settings, March 12,2012.-http://www.nursingworld.org/MainMenuCategories/EthicsStandards/Ethics-Position-Statements/Reduction-of-Patient-Restraint-and-Seclusion-in-Health-Care-Settings.
8. Department of mental health, MENTAL HEALTH ACT, B.E. 2551 (2008), 2016. http://www.omhc.dmh.go.th/law/filesweb.pdf (in Thai)
9. APNA position on the use of seclusion and restraint. Revised, 2014. http://www.apna.org/i4a/pages/index.cfm?pageid=3728
10. Department of social service. Australia government. Decision –making tool: handbook-supporting a restraint free environment in residential age care. Ageing and age care -https://www.dss.gov.au/...care/...restraint...care/decision-making-tool-sup. Sep 26, 2014
11. CANHR, Restraint free care. Jan 8, 2015. www.canhr.org/factsheets/nh_fs/html/fs_RestraintFreeCare.htm.
12. Sullivan AM , Bezmen J, Barron CT, Rivera J, Curley-Casey L& Marino D. Reducing Restraints: Alternatives to Restraints on an Inpatient Psychiatric Service—Utilizing Safe and Effective Methods to Evaluate and Treat the Violent Patient. Psychiatric Quarterly 2005;76(1):51-65.
13. Lynda C. Burton, Pearl S. German, Barry W. Rovner, Larry J. Brant, and Rebecca D. Mental Illness and the Use of Restraints in Nursing Homes The gerontologist 2016;32(2):164-170.
14. Barton SA, Johnson MR, Price LV. Achieving restraint-free on an inpatient behavioral health unit. J.Psychosoc Nurs Ment Health Serv 2014;47(1):34-40.
15. Stewart D, Van der Merwe M, Bowers L, Simpson A, Jones J .Review of Interventions to Reduce Mechanical Restraint and Seclusion among Adult Psychiatric Inpatients .Issues in Mental Health Nursing 2010;31(1):413-424.DOI:10.3109/01612840903484113
16. Johnson ME. Violence and Restraint Reduction Efforts on Inpatient Psychiatric Units. Issues in Mental Health Nursing 2010;31(1):181-197. DOI: 10.3109/01612840903276704.
2. Gallo K, Smith LG Editor.Building a culture of patient safety through simulation An interprofressional learning model. New York; Springer publishing company; 2015.
3. Annamalai J, Gan TS, Xie H, Effectiveness of non-pharmacological interventions to reduce the use of physical restraint in mental health settings: a systematic review protocol. JBP Library. 12 (6);2014. (http://joannabriggslibrary.org/index.php/jbisrir/article/view/1395)
4. Wieman DA, Camacho-Gonsalves T,Huckshorn KA.Leff S. Multisite study of an evidence –based practice to reduce seclusion and restraint in psychiatric inpatient facilities. Psychiatr serv 2014;65(3):345-51.doi:10.1176/appi.ps.201300210.
5. Satikunaporn Dusida. Patient right and decision making on physical restraint and psychiatric nurses. J of Psychiatric-mental health nursing 2014;28(3):1-12. (in Thai)
6. Pukdeemongkul K, Unipun C. Kunthasaibua,P. The Development of primary nursing service: model for schizophrenia patients having violence behavior. J of Psychiatric-Mental Health Nursing. 2005; 20(2):25-38. (in Thai)
7. ANA broad of directors.Reduction-of-Patient-Restraint-and-Seclusion-in-Health-Care-Settings, March 12,2012.-http://www.nursingworld.org/MainMenuCategories/EthicsStandards/Ethics-Position-Statements/Reduction-of-Patient-Restraint-and-Seclusion-in-Health-Care-Settings.
8. Department of mental health, MENTAL HEALTH ACT, B.E. 2551 (2008), 2016. http://www.omhc.dmh.go.th/law/filesweb.pdf (in Thai)
9. APNA position on the use of seclusion and restraint. Revised, 2014. http://www.apna.org/i4a/pages/index.cfm?pageid=3728
10. Department of social service. Australia government. Decision –making tool: handbook-supporting a restraint free environment in residential age care. Ageing and age care -https://www.dss.gov.au/...care/...restraint...care/decision-making-tool-sup. Sep 26, 2014
11. CANHR, Restraint free care. Jan 8, 2015. www.canhr.org/factsheets/nh_fs/html/fs_RestraintFreeCare.htm.
12. Sullivan AM , Bezmen J, Barron CT, Rivera J, Curley-Casey L& Marino D. Reducing Restraints: Alternatives to Restraints on an Inpatient Psychiatric Service—Utilizing Safe and Effective Methods to Evaluate and Treat the Violent Patient. Psychiatric Quarterly 2005;76(1):51-65.
13. Lynda C. Burton, Pearl S. German, Barry W. Rovner, Larry J. Brant, and Rebecca D. Mental Illness and the Use of Restraints in Nursing Homes The gerontologist 2016;32(2):164-170.
14. Barton SA, Johnson MR, Price LV. Achieving restraint-free on an inpatient behavioral health unit. J.Psychosoc Nurs Ment Health Serv 2014;47(1):34-40.
15. Stewart D, Van der Merwe M, Bowers L, Simpson A, Jones J .Review of Interventions to Reduce Mechanical Restraint and Seclusion among Adult Psychiatric Inpatients .Issues in Mental Health Nursing 2010;31(1):413-424.DOI:10.3109/01612840903484113
16. Johnson ME. Violence and Restraint Reduction Efforts on Inpatient Psychiatric Units. Issues in Mental Health Nursing 2010;31(1):181-197. DOI: 10.3109/01612840903276704.
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Published
2020-09-29
How to Cite
1.
Sawangchareon K, Juntapim S, Thongkrajai E. Agitated to be restrained during hospitalization: Nursing roles and Management. J Nurs Ther Care [internet]. 2020 Sep. 29 [cited 2026 Jan. 25];38(3):6-13. available from: https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/243902
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Academic articles
