Understanding the use of mechanical restraints in psychiatry: A phenomenological study of nurses’ lived experience

Varia
By Pascale Corneau, Jean Daniel Jacob, Dave Holmes, Désiré Rioux
English

The use of mechanical restraints in psychiatric settings is currently the subject of ethical controversy. However, both patients’ and nurses’ voices are absent in the debate over this controversial intervention. The aim of this qualitative study was to examine the experience of psychiatric nurses who use mechanical restraints. Twenty-one nurses working in either the acute psychiatric inpatient unit and/or the emergency psychiatric unit of a university affiliated Canadian hospital participated in semi-structured interviews, which were then transcribed, coded, and analyzed using the interpretative phenomenological analysis (IPA) method. Three main themes were identified: 1) the practice setting; 2) the mechanical restraint process; and 3) resorting to mechanical restraints. These results highlight the organizational and emotional challenges faced by psychiatric nurses. Foucault and Goffman’s work were the primary theoretical sources that guided the critical analysis of this qualitative research.

Keywords

  • physical restraints
  • psychiatric nursing
  • qualitative research
  • phenomenology
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