Healthcare staff's experiences of using manual physical restraint: A meta-synthesis review.

Manual restraint is a hands-on type of physical restraint used to prevent harm to service users and staff, and to administer necessary treatments. This article reports on a review and meta-synthesis of the qualitative literature on healthcare staff's experiences of using manual restraint. Three electronic databases (CINAHL Complete, MEDLINE, and PsycINFO) were systematically searched, and 19 studies were included. Thematic synthesis was used to synthesize the findings. The Critical Appraisal Skills Programme (CASP) checklist was used to appraise study quality. The synthesis generated one overarching interpretive theme, "unpleasant but necessary," and five subthemes: "maintaining safety triumphs all," "emotional distress," "significance of coping," "feeling conflicted," and "depletion." Seven studies indicated that, from staff perspectives, manual restraint was not always used as a last resort. Healthcare staff experience manual restraint as a psychologically and physically unpleasant practice, yet paradoxically deem its use to be sometimes necessary to keep themselves and service users safe from harm. The findings indicate a need for healthcare staff support, post-restraint debriefing meetings with service users, and the implementation of manual restraint minimization programs in healthcare settings.

"It's not a nice thing to do, but ": A phenomenological study of manual physical restraint within inpatient adolescent mental health care.

AIM: To explore nursing staff's experiences of using manual (physical) restraint within inpatient adolescent mental health care. DESIGN: This was a descriptive phenomenological study. METHODS: Individual semi-structured interviews were conducted with 12 nursing staff between March 2021 and July 2021. The nursing staff were recruited from four inpatient adolescent mental health hospitals across three National Health Service Trusts in England. Interviews were transcribed verbatim and analysed using Braun and Clarke's reflexive approach to thematic analysis. RESULTS: Four themes were generated from the analysis: (1) it needs to be done sometimes; (2) it's not a nice thing to do; (3) it does not really damage the therapeutic relationship; and (4) importance of team support. Despite strongly reporting that it was sometimes necessary to manually restrain young people for substantial safety reasons, participants spoke with dislike about its use, and described consequential aversive experiences of emotional distress, patient aggression, pain and injury, and physical exhaustion. Participants reported relying on each other for emotional and practical support. Three participants reported observing premature restraint use by non-permanent staff. CONCLUSION: The findings detail a paradoxical picture of the nursing staff's experiences where restraint is experienced as psychologically and physically aversive yet deemed as sometimes necessary to prevent significant harm. REPORTING METHOD: The Standards for Reporting Qualitative Research (SRQR) checklist was used to guide reporting. IMPACT: This study suggests a need for the targeting of non-permanent staff for restraint minimization interventions, and highlights how the treatment of non-permanent staff by permanent staff may contribute to avoidable restraint practices. The findings indicate several ways in which the staff-young person therapeutic relationship can be preserved in the context of restraint. However, this needs to be treated with caution given that young people's voices were missing from this study. PATIENT OR PUBLIC CONTRIBUTION: This study focused on nursing staff's experiences.

Protocol for scoping review on well-being among theatre nurses in large public hospitals in low-income and middle-income countries.

INTRODUCTION: Theatre nurses report higher levels of stress and burn-out due to the nature of their work environment. Workplace stress among nurses is associated with decreased well-being resulting is poor health outcomes for patients. However, evidence on well-being among nurses varies considerably, due to the multiple perspectives, definitions and focus on different aspects of well-being. Existing literature has not been consolidated to map out well-being concepts and instruments. In addition, due to limited research in low-income and middle-income countries, the most contextually relevant instruments for this context has not been identified. The aim of this scoping review is to map out existing literature on well-being, key concepts and instruments used to measure well-being among theatre nurses working in public hospitals in low-income and middle-income countries. METHODS AND ANALYSIS: A scoping review guided by the Joanna Briggs Institute's methodological approach will be used. PubMed, Scopus, Ebscohost, Web of Science, Emerald Insight, Informa World, Oxford Journals, ScienceDirect and Google scholar will be searched for literature published from 2000 to date. Reference lists of selected articles will also be reviewed. Two reviewers will conduct the screening of articles and data extraction independently and differences will be resolved through a discussion. Data analysis will be guided by both qualitative and quantitative methods.The scoping review will take place from 1 May 2022 to 1 November 2022, completing the screening, data extraction and analysis phases. ETHICS AND DISSEMINATION: The study does not require ethical approval. Findings will be published and shared at events to raise awareness on the importance of monitoring well-being among theatre nurses as a strategy to improve surgical outcomes. The review could shed light on an instrument most suitable for low-income and middle-income contexts.

Sickle cell disease deserves a place in nurse education.

Sickle cell disease (SCD) is the most common serious genetic condition in England. According to the National Institute for Health and Care Excellence (NICE), there are an estimated 12,500 to 15,000 people with sickle cell disease in the UK.

Evidence-based solution-focused care for school-age children experiencing cyberbullying: using the Omaha System to guide and document psychiatric nursing interventions.

Cyberbullying is a global phenomenon. The experiences of bullied children are the same across cultures and languages, and psychiatric nursing interventions are known to be effective. It is critical to widely disseminate effective interventions to identify and address cyberbullying. Therefore, evidence-based care plans addressing cyberbullying at the individual and community levels were developed using the Omaha System, a terminology that is used internationally to guide and document care. This article presents a case study in which an evidence-based intervention was used to help a bullied child arrive at a solution, and demonstrates the use of the Omaha System to document evidence-based cyberbullying interventions with individuals and communities.