Saudi Cultural Missions Theses & Dissertations
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Item Restricted Effectiveness of Strategies, Models, or Training programmes on Reducing Physical Restraints for Managing Challenging Behaviour in Mental Health Nursing Settings: A Systematic Review.(2023-06-08) Alruwaythi, Ohud; Galway, KarenBackground: The use of physical restraints to handle challenging behaviour in mental health nursing settings is a controversial issue that can have unfavourable effects on patients and staff. To decrease the use of physical constraints, it is critical to identify successful strategies, models, or training programmes. Objectives: This systematic review aimed to evaluate the effectiveness of various strategies, models, or training programmes used to reduce physical restraints for managing challenging behaviour in mental health nursing settings. To achieve this aim and guide the review, three objectives were determined. Methods: The review included studies published from 2012 to 2022 and adhered to PRISMA guidelines. A systematic search was undertaken of the following electronic databases: CINAHL (Cumulative Index to Nursing and Allied Health Literature), PubMed, PsycINFO, Scopus, and Medline. The systematic search strategy was created with the help of a professional librarian. In addition, manual article searches were conducted, and the reference lists of relevant papers were examined. The quality of each study was evaluated using a predetermined framework. Results: A total of 14 studies met the inclusion criteria and were included in the review. These assessed a variety of interventions, including the use of alternative interventions such as de-escalation methods, the Six Core Strategies, the Safewards Model, training programmes for healthcare workers, and policy implementations. The findings demonstrated that staff training programmes were successful in lowering the frequency and length of physical restraint usage. Moreover, the introduction of these programmes was associated with a boost in employee attitude and confidence as well as a decline in violence and injuries. Conclusion: This review suggests that strategies, models, and training programmes designed to reduce the use of physical restraints in mental health nursing settings can be effective. However, the heterogeneity of the interventions, duration of the training, and the reported outcomes emphasize the need for additional research to determine the most successful approaches. Nonetheless, this review offers significant insights into possible alternatives to physical restraints that can enhance patient outcomes and uphold human rights principles in mental health care.29 0