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Physical restraint and the therapeutic relationship

机译:身体约束与治疗关系

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The role of the forensic mental health nurse has led to many debates due to the conflicts between security and therapeutic aspects of their role. Physical restraint is a security element of the role which may have an impact on their ability to work therapeutically with patients. This study examined the impact of physical restraint on the nursing staff-patient therapeutic relationship. This was investigated in a secure unit in the North of England. Eight semi-structured interviews were conducted with patients across the service, and thematic analysis was undertaken. Five themes were identified from the data which highlighted the impact of the physical restraint as a power imbalance, the experience as traumatic, the importance of justification, the negative attributes and motives of some staff and the impact of coping with powerlessness. Clinical implications and research recommendations are discussed further in this article.
机译:由于安全性和治疗性角色之间的冲突,法医精神卫生护士的角色引起了许多争论。身体约束是该角色的安全因素,可能会影响他们与患者进行治疗性工作的能力。这项研究检查了身体约束对护理人员-病人治疗关系的影响。在英格兰北部的一个安全部队中对此进行了调查。整个服务期间对患者进行了八次半结构化访谈,并进行了主题分析。从数据中确定了五个主题,这些主题突出了物理约束对权力失衡的影响,遭受创伤的经历,辩护的重要性,某些员工的消极属性和动机以及应对无能为力的影响。本文将进一步讨论临床意义和研究建议。

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