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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/23892
Title: A systematic review of the safety and effectiveness of restraint and seclusion as interventions for the short-term management of violence in adult psychiatric inpatient settings and emergency departments
Authors: Louise Nelstrop
Jackie Chandler-Oatts
William Bingley
Tony Bleetman
Frank Corr
Jane Cronin-Davis
Donna Maria Fraher
Phil Hardy
Sophie Jones
Kevin Gournay
Sue Johnston
Stephen Pereira
Peter Pratt
Rick Tucker
Aki Tsuchiya
Royal College of Nursing
Mahidol University
Heartlands Hospital
Kneesworth House Hospital
Leeds Beckett University
Rampton Hospital
Guy's and St Thomas' NHS Foundation Trust
National Health Service
NHS Security Management Service
University of Sheffield
Keywords: Nursing
Issue Date: 1-Mar-2006
Citation: Worldviews on Evidence-Based Nursing. Vol.3, No.1 (2006), 8-18
Abstract: Aims: The aim of this review was to assess whether restraint and seclusion are safe and effective interventions for the short-term management of disturbed/violent behaviour. Staff and service user perspectives on the use of these interventions were also considered. The review was undertaken as part of the development process for a national guideline on the short-term management of disturbed/violent behaviour in adult psychiatric inpatient settings and emergency departments in the United Kingdom. Method: An exhaustive literature search was undertaken. Systematic reviews, before and after studies, as well as qualitative studies were included. Searches were run from 1985 to 2002. Findings: Thirty-six eligible studies were identified. However, none were randomised controlled trials. Most of the included studies had many limitations, such as small sample sizes, confounders not adequately accounted for, potential selection bias, poorly reported results, and lack of clarity as to whether mechanical restraints were used. This review must therefore be viewed as a mapping exercise, which illustrates the range and quality of studies that have been undertaken in this area to date. Conclusions and Implications for Practice: Insufficient evidence is available to determine whether seclusion and restraint are safe and/or effective interventions for the short-term management of disturbed/violent behaviour in adult psychiatric inpatient settings. These interventions should therefore be used with caution and only as a last resort once other methods of calming a situation and/or service user have failed. Copyright © 2006 Sigma Theta Tau International.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=33644823916&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/23892
ISSN: 17416787
1545102X
Appears in Collections:Scopus 2006-2010

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