Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/12998
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Developing a perspective on restraint and the least intrusive intervention
Authors: Paterson, Brodie
Contact Email: b.a.paterson@stir.ac.uk
Keywords: psychotropic agent
aggression
Europe
exercise
human
legal aspect
mental health service
methodology
organization and management
patient care
patient right
practice guideline
psychiatric nursing
review
risk assessment
standard
violence
Humans
Mental Health Services
Patient Isolation
Patient Rights
Practice Guidelines
Psychotropic Drugs
Restraint, Physical
Issue Date: Dec-2006
Publisher: Mark Allen Healthcare
Citation: Paterson B (2006) Developing a perspective on restraint and the least intrusive intervention, British Journal of Nursing, 15 (22), pp. 1235-1241.
Abstract: This article explores contemporary practice in the use of restraint in the light of recent European Council Guidance endorsing the principles of least restrictive environment/least intrusive intervention. Violence is a source of concern in many European mental health services but approaches to its immediate management continue to display remarkable diversity reflecting the adoption of differing perspectives on what constitutes 'least intrusiveness'. This article examines the basis for practice in terms of the range of procedures available, reviews the literature on restraint safety and presents a model based on the concept of reasonableness which can be used to evaluate whether a given intervention meets the European guidance. Current practice across Europe is largely a function of tradition and local values rather then evidence based. Collaborative large-scale studies are required to determine the relative risks of the range of interventions in use such that practice is informed by evidence rather than opinion.
Type: Journal Article
URI: http://hdl.handle.net/1893/12998
URL: http://www.internurse.com/cgi-bin/go.pl/library/abstract.html?uid=22562
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: HS Research - Stirling

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