Restraint Use with Emergency Psychiatric Patients: A New Perspective on Racial Bias

1982 ◽  
Vol 51 (2) ◽  
pp. 343-347 ◽  
Author(s):  
Thomas Kuhlman ◽  
Suzanne Telintelo ◽  
Carolyn Winget
Keyword(s):  
Predominantly White ◽  
Clinical Judgment ◽  
Racial Bias ◽  
Psychiatric Patients ◽  
Physical Restraint ◽  
Psychiatric Emergency Room ◽  
Restraint Use ◽  
Emergency Room Patients ◽  
White Therapists ◽  
New Perspective

This study examined the use of interventions of physical restraint by a staff of predominantly white therapists ( N = 37) with psychiatric emergency room patients ( N = 697) as a function of patients' race. Evidence of racial “bias” was found but not across all levels of severity of assessed psychopathology. This effect weakened after extended evaluation and treatment but did not disappear. The results question the value of the bias concept as a pervasive, cognitive set variable in its influence upon clinical judgment.

scholarly journals A New Perspective on Human Rights in the Use of Physical Restraint on Psychiatric Patients-Based on Merleau-Ponty’s Phenomenology of the Body

2021 ◽  
Vol 18 (19) ◽  
pp. 10078
Author(s):  
Younjae Oh
Keyword(s):  
Health Care ◽  
Human Rights ◽  
Health Care Professionals ◽  
Psychiatric Patients ◽  
Physical Restraint ◽  
The Body ◽  
Existential Crisis ◽  
Health And Illness ◽  
New Perspective ◽  
And Control

(1) Background: Physical restraint in psychiatric settings must be determined by health care professionals for ensuring their patients’ safety. However, when a patient cannot participate in the process of deciding what occurs in their own body, can they even be considered as a personal self who lives in and experiences the lifeworld? The purpose of this study is to review the existential capability of the body from Merleau-Ponty’s phenomenology to explore ways of promoting human rights in physical restraint. (2) Methods: A philosophical reflection was contemplated regarding notions of the body’s phenomenology. (3) Results: Merleau-Ponty’s body phenomenology can explain bodily phenomena as a source of the personal subject, who perceives and acts in the world, and not as a body alienated from the subject in health and illness. Patients, when they are physically restrained, cannot be the self as a subject because their body loses its subjecthood. They are entirely objectified, becoming objects of diagnosis, protection, and control, according to the treatment principles of health care professionals. (4) Conclusions: The foundation of human rights, human being’s dignity lies in the health professionals’ genuine understanding and response to the existential crisis of the patient’s body in relation to its surrounding environment.

Nursing professionals’ attitudes toward use of physical restraints in Styrian nursing homes Austria

Pflege ◽  
2019 ◽  
Vol 32 (1) ◽  
pp. 57-63
Author(s):  
Hannes Mayerl ◽  
Tanja Trummer ◽  
Erwin Stolz ◽  
Éva Rásky ◽  
Wolfgang Freidl
Keyword(s):  
Nursing Homes ◽  
Large Scale ◽  
Critical Role ◽  
Physical Restraint ◽  
Care Practice ◽  
Physical Restraints ◽  
Convenience Sample ◽  
Restraint Use ◽  
Positive Attitudes ◽  
Nursing Professionals

Abstract. Background: Given that nursing staff play a critical role in the decision regarding use of physical restraints, research has examined nursing professionals’ attitudes toward this practice. Aim: Since nursing professionals’ views on physical restraint use have not yet been examined in Austria to date, we aimed to explore nursing professionals’ attitudes concerning use of physical restraints in nursing homes of Styria (Austria). Method: Data were collected from a convenience sample of nursing professionals (N = 355) within 19 Styrian nursing homes, based on a cross-sectional study design. Attitudes toward the practice of restraint use were assessed by means of the Maastricht Attitude Questionnaire in the German version. Results: The overall results showed rather positive attitudes toward the use of physical restraints, yet the findings regarding the sub-dimensions of the questionnaire were mixed. Although nursing professionals tended to deny “good reasons” for using physical restraints, they evaluated the consequences of physical restraint use rather positive and considered restraint use as an appropriate health care practice. Nursing professionals’ views regarding the consequences of using specific physical restraints further showed that belts were considered as the most restricting and discomforting devices. Conclusions: Overall, Austrian nursing professionals seemed to hold more positive attitudes toward the use of physical restraints than counterparts in other Western European countries. Future nationwide large-scale surveys will be needed to confirm our findings.

Decline in Physical Restraint Use Following Implementation of Institutional Guidelines

2021 ◽  
Vol 51 (6) ◽  
pp. 318-323
Author(s):  
Lisa B. E. Shields ◽  
Avalena Edelen ◽  
Michael W. Daniels ◽  
Kimberly Flanders
Keyword(s):  
Physical Restraint ◽  
Restraint Use

A study into perioperative anaesthetic adverse events in Thailand (PAAd THAI): An analysis of suspected emergence delirium

2018 ◽  
Vol 28 (12) ◽  
pp. 347-354
Author(s):  
Tanyong Pipanmekaporn ◽  
Yodying Punjasawadwong ◽  
Manee Raksakietisak ◽  
Wimonrat Sriraj ◽  
Varinee Lekprasert ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Elective Surgery ◽  
Physical Restraint ◽  
Policy Changes ◽  
Contributing Factors ◽  
Emergence Delirium ◽  
Restraint Use ◽  
Incident Reports ◽  
And Training

The purpose of this study is to demonstrate the characteristics, contributing factors and recommended policy changes associated with emergence delirium. Relevant data were extracted from the PAAd Thai database of 2,006 incident reports which were conducted from 1 January to 31 December 2015. Details pertinent to the patient, surgery, anaesthetic and systematic factors were reviewed independently. Seventeen incidents of emergence delirium were recorded. Emergence delirium was common in the following categories: male (70.6%), over 65 years of age (53%), elective surgery (76%) and orthopedic surgery (35%). Physical restraint was required in 53% (9 of 17) of cases and 14 patients (82%) required medical treatment. One patient developed postoperative delirium and required medical treatment. The study led to the following recommendations: Development of a classification of practice guidelines and a screening tool, and training for restraint use.

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