5 research outputs found
An integrative review exploring decision-making factors influencing mental health nurses in the use of restraint
Introduction: While mechanical and manual restraint as an institutional method of control within mental health settings may be perceived to seem necessary at times, there is emergent literature highlighting the potential counter-therapeutic impact of this practice for patients as well as staff. Nurses are the professional group who are most likely to use mechanical and manual restraint methods within mental health settings. In-depth insights to understand what factors influence nursesâ decision-making related to restraint use are therefore warranted.
Aim: To explore what influences mental health nursesâ decision-making in the use of restraint. Method: An integrative review using Cooperâs framework was undertaken. Results: Eight emerging themes were identified: âsafety for allâ, ârestraint as a necessary interventionâ, ârestraint as a last resortâ, ârole conflictâ, âmaintaining controlâ, âstaff compositionâ, âknowledge and perception of patient behavioursâ, and âpsychological impactâ. These themes highlight how mental health nursesâ decision-making is influenced by ethical and safety responsibilities, as well as, interpersonal and staff-related factors.
Conclusion: Research to further understand the experience and actualization of âlast resortâ in the use of restraint and to provide strategies to prevent restraint use in mental health settings are needed
Design and preliminarily validation of a tool to assess the impact of chronic nonâcancer pain on peopleâs daily life in Spanishâlanguage: PAIN_Integral Scale ©
Aim: To build and preliminarily validate a Spanish-language
instrument to assess the
impact that CNCP has on the daily lives of people who suffer from it.
Background: The experience of pain is multifactorial and a correct assessment of it
helps to control the intensity of pain. Although there are instruments that evaluate
areas on which Chronic Non-Cancer
Pain impacts, it would be necessary to include
other aspects that scientific literature identifies as relevant.
Design: Instrument and construct cross-sectional
study for psychometric validation.
Methods: A total of 157 items based on items from validated questionnaires were
evaluated by a group of 21 chronic pain experts using Delphi methodology in three
evaluation rounds. A final questionnaire of 55 items with a 5-point
Likert-type
scale
was formed. This questionnaire was piloted on a total of 30 patients to assess their
understanding of the items and the psychometric validation process was carried out
(January to March 2020) on a subsequent sample of 395 people, all of whom attended
Pain Units and Primary Care Centres of the Public Health System in Spain.
Results: The PAIN_Integral Scale© showed acceptable internal consistency scores
measured by Cronbach's alpha. Exploratory Factor Analysis indicated a structure of
nine factors that explain 71.02% of the total variance, from 157 to a final total of 36
items. Confirmatory Factor Analysis showing adequate values confirmed this structure.
The effect size was used to calculate the cut-off
points for the overall scale, setting
them at scores of 130 and 135.
Conclusion: This instrument would allow to assess other constructs and dimensions
not included in the instruments previously available such as treatment compliance,
proactivity, resilience, hopelessness due to pain and pain catastrophizing. However,
despite the fact that the preliminary analysis shows good results, it is necessary to
continue with its validation process in subsequent studies