Lindekilde, C.R., Pedersen, M.L., Birkeland, S.F. et al. (3 more authors) (2024) Mental health patients' preferences regarding restrictive interventions: An integrative review. Journal of Psychiatric and Mental Health Nursing. ISSN 1365-2850
Abstract
Introduction
The use of restrictive interventions is a violation of patients' rights that causes physical and psychological harm and which is a well-known challenge globally. Mental health law and legislative principles and experts agree that when restrictive interventions are applied, the least restrictive alternative should be used. However, there is no consensus on what is the least restrictive alternative, especially from the patient perspective.
Aim
To investigate the literature on mental health patients' preferences regarding restrictive interventions applied during admission to a psychiatric hospital.
Method
An integrative review informed by the PRISMA statement and thematic analysis were undertaken.
Results
There were tendencies towards patients preferring observation and, for the majority, mechanical restraint was the least preferred restrictive intervention. Factors such as environment, communication and duration were found to influence patients' preferences.
Discussion
There is a lack of agreement on how best to measure patients' preferences and this complicates the choice of the least restrictive alternative. Nonetheless, our findings show that staff should consider environment, communication and duration when applying restrictive interventions.
Implications for Practice
More research on restrictive interventions and the least restrictive alternative is warranted, but agreement is needed on standard measures, and a standard global definition of restrictive interventions.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2024 The Authors. Journal of Psychiatric and Mental Health Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. |
Keywords: | coercive measures; mental health; patient preferences; psychiatry; restrictive practices; service users; systematic review |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Nursing Mental Health (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 11 Apr 2024 11:24 |
Last Modified: | 06 Jun 2024 14:50 |
Status: | Published online |
Publisher: | Wiley |
Identification Number: | 10.1111/jpm.13057 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:211388 |