Rights statement: This is an Accepted Manuscript of an article published by Taylor & Francis Group in Journal of Forensic Psychiatry and Psychology on 23/04/2015, available online:http://www.tandfonline.com/10.1080/14789949.2015.1034752
Accepted author manuscript, 131 KB, PDF document
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Physical restraint and the therapeutic relationship
AU - Knowles, Susan Frances
AU - Hearne, Joanna
AU - Smith, Ian
N1 - This is an Accepted Manuscript of an article published by Taylor & Francis Group in Journal of Forensic Psychiatry and Psychology on 23/04/2015, available online:http://www.tandfonline.com/10.1080/14789949.2015.1034752
PY - 2015/7
Y1 - 2015/7
N2 - 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.
AB - 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.
KW - Mental health
KW - physical restraint
KW - secure services
KW - Therapeutic alliance
U2 - 10.1080/14789949.2015.1034752
DO - 10.1080/14789949.2015.1034752
M3 - Journal article
VL - 26
SP - 461
EP - 475
JO - Journal of Forensic Psychiatry and Psychology
JF - Journal of Forensic Psychiatry and Psychology
SN - 1478-9949
IS - 4
ER -