Nursing attitudes and perceptions on restraint practices in Italian mental health settings

Author:

Vitale Elsa1,Lupo Roberto2,Conte Luana3,Farì Martina4,Fanton Marta5,Lezzi Alessia6,Calabrò Antonino7,Ercolani Maurizio8,Carvello Maicol9,De Nunzio Giorgio3

Affiliation:

1. Centre of Mental Health Modugno, Local Healthcare Company Bari

2. “San Giuseppe da Copertino” Hospital, ASL (Local Health Authority

3. University of Salento

4. “Villa Mafalda” Nursing Home

5. Azienda Ospedaliera Nazionale “SS Antonio e Biagio e Cesare Arrigo” Alessandria

6. National Cancer Association (ANT) Italia Foundation ONLUS

7. “Nuovo Ospedale degli Infermi” Hospital, ASL (Local Health Authority

8. “ASUR Marche Area Vasta 2” Health Mental Department

9. “Brisighella Community Hospital”, ASL (Local Health Authority) of Romagna

Abstract

Abstract An observational, cross sectional, on-line study was carried out on nurses employed in mental health facilities in order to analyze psychiatric nursing attitudes and believes on restraint nursing approaches. 268 psychiatric nurses were enrolled in this study. The data reported that most of the participants had over six years of work experience in mental health and 80% received training on physical restraint during their nursing degree, mostly in the post-base update. Conflicting opinions with respect to physical constraints as safe tools to prevent skin lesions, and to the risks associated with this practice, were revealed. Implementing educational programs for healthcare personnel seemed imperative, focusing on equipping them with strategies to minimize the use of restraint and to effectively adapt to the anticipated transformations in contemporary psychiatry.

Publisher

Research Square Platform LLC

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