Post-Restraint Debriefing Effects on the Therapeutic Relationship: A Mixed Methods Research Study
Disciplines
Psychiatric and Mental Health
Abstract (300 words maximum)
Post-Restraint Debriefing Effects on the Therapeutic Relationship: A Mixed Methods Research Study
Alisha Gobin Department of Nursing Kennesaw State University 1000 Chastain Road, Kennesaw, GA 30144
The use of restraints in psychiatric facilities poses as a threat to all participants of its implementation, not only on a physical level, but also a psychological one. Restraints exist physically as belts, straps, and ties; chemically as antipsychotics, benzodiazepines, and sedatives; and environmentally in the form of seclusion. Ultimately, restraints limit the freedom(s) of an individual and, therefore, lead to feelings of depression, dehumanization, and isolation. The purpose of this proposed mixed methods research study is to evaluate among psychiatric patients, the effect of a post-restraint debriefing, in comparison to standard practice, on the therapeutic relationship between healthcare professional and client. The study is to be conducted in an inpatient psychiatric hospital over the course of a year. The sample will consist of participants who have been restrained and are competent enough to answer a survey in the form of a questionnaire. The control group will continue with standard practice post-restraint and the experimental group will have a post-restraint debrief in 24-to-48-hours post-incident. Both groups will answer the survey 72-hours post incident. Qualitative conclusions will be drawn from discussions and statements shared during post-restraint debrief. Quantitative conclusions will be drawn based off the results of the survey as lower scores will be indicative of a negative/impaired/broken therapeutic relationship and higher scores indicative of a positive/improved/preserved therapeutic relationship. This is a proposed research study, therefore there are no results.
Keywords: Restraints, seclusion, post-restraint debriefing, psychiatric interventions, therapeutic relationship
Academic department under which the project should be listed
Department of Nursing
Primary Investigator (PI) Name
Emerson, Christie
Additional Faculty
White, Anne, Nursing, awhite@kennesaw.edu
Post-Restraint Debriefing Effects on the Therapeutic Relationship: A Mixed Methods Research Study
Post-Restraint Debriefing Effects on the Therapeutic Relationship: A Mixed Methods Research Study
Alisha Gobin Department of Nursing Kennesaw State University 1000 Chastain Road, Kennesaw, GA 30144
The use of restraints in psychiatric facilities poses as a threat to all participants of its implementation, not only on a physical level, but also a psychological one. Restraints exist physically as belts, straps, and ties; chemically as antipsychotics, benzodiazepines, and sedatives; and environmentally in the form of seclusion. Ultimately, restraints limit the freedom(s) of an individual and, therefore, lead to feelings of depression, dehumanization, and isolation. The purpose of this proposed mixed methods research study is to evaluate among psychiatric patients, the effect of a post-restraint debriefing, in comparison to standard practice, on the therapeutic relationship between healthcare professional and client. The study is to be conducted in an inpatient psychiatric hospital over the course of a year. The sample will consist of participants who have been restrained and are competent enough to answer a survey in the form of a questionnaire. The control group will continue with standard practice post-restraint and the experimental group will have a post-restraint debrief in 24-to-48-hours post-incident. Both groups will answer the survey 72-hours post incident. Qualitative conclusions will be drawn from discussions and statements shared during post-restraint debrief. Quantitative conclusions will be drawn based off the results of the survey as lower scores will be indicative of a negative/impaired/broken therapeutic relationship and higher scores indicative of a positive/improved/preserved therapeutic relationship. This is a proposed research study, therefore there are no results.
Keywords: Restraints, seclusion, post-restraint debriefing, psychiatric interventions, therapeutic relationship