A Matter of Trust and Distrust

A Qualitative Investigation of Parents' Perceptions About the Use of Mechanical Restraint on Their Adult Children in a Forensic Psychiatric Setting

Ellen Boldrup Tingleff, Lise Hounsgaard, Stephen K. Bradley, Rhonda Wilson, Frederik Gildberg

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Introduction: Increased knowledge about forensic psychiatric patients' relatives' perceptions in regard to the use of mechanical restraint (MR) is necessary, if clinical practice is to be improved and to achieve a reduction in the use and frequency of MR. However, a specific knowledge deficit about relatives' perspectives on the use of MR limits the evidence base considerably. Aim: The aim of this study was to investigate the perceptions of MR held by relatives of forensic psychiatric patients' including factors impacting its use and duration. Method: Qualitative interviews were conducted with 15 parents of patients within a forensic psychiatry setting and thematically analyzed. Findings: Two main themes were identified, namely, "care and protection" and "inclusion and involvement," and one subtheme, "information." These themes revealed the framework used by parents to construct a sense of "trust or distrust" about the ability of staff to provide adequate and safe care for their adult children in the forensic psychiatric setting. Conclusion: Some parents in this study considered that forensic psychiatric staff used MR as a necessary protection. However, most parents held strong negative perceptions regarding the use of MR and the quality and safety of care provision. It is apparent that parents in this study believed they should be included and involved in the care in situations associated with the use of MR, because they considered that this could reduce its use. Further research is required to target interventions to reduce the use and duration of MR episodes and to improve clinical practice in forensic psychiatry.

Original languageEnglish
JournalJournal of Forensic Nursing
Volume15
Issue number2
Pages (from-to)120-130
ISSN1556-3693
DOIs
Publication statusPublished - 1. Apr 2019

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Parents
psychiatry
staff
qualitative interview
Quality of Health Care
deficit
inclusion
Interviews
Safety
ability
evidence
Research

Keywords

  • Coercion
  • family
  • forensic psychiatry
  • mechanical restraint
  • perceptions

Cite this

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title = "A Matter of Trust and Distrust: A Qualitative Investigation of Parents' Perceptions About the Use of Mechanical Restraint on Their Adult Children in a Forensic Psychiatric Setting",
abstract = "Introduction: Increased knowledge about forensic psychiatric patients' relatives' perceptions in regard to the use of mechanical restraint (MR) is necessary, if clinical practice is to be improved and to achieve a reduction in the use and frequency of MR. However, a specific knowledge deficit about relatives' perspectives on the use of MR limits the evidence base considerably. Aim: The aim of this study was to investigate the perceptions of MR held by relatives of forensic psychiatric patients' including factors impacting its use and duration. Method: Qualitative interviews were conducted with 15 parents of patients within a forensic psychiatry setting and thematically analyzed. Findings: Two main themes were identified, namely, {"}care and protection{"} and {"}inclusion and involvement,{"} and one subtheme, {"}information.{"} These themes revealed the framework used by parents to construct a sense of {"}trust or distrust{"} about the ability of staff to provide adequate and safe care for their adult children in the forensic psychiatric setting. Conclusion: Some parents in this study considered that forensic psychiatric staff used MR as a necessary protection. However, most parents held strong negative perceptions regarding the use of MR and the quality and safety of care provision. It is apparent that parents in this study believed they should be included and involved in the care in situations associated with the use of MR, because they considered that this could reduce its use. Further research is required to target interventions to reduce the use and duration of MR episodes and to improve clinical practice in forensic psychiatry.",
keywords = "Coercion, family, forensic psychiatry, mechanical restraint, perceptions",
author = "Tingleff, {Ellen Boldrup} and Lise Hounsgaard and Bradley, {Stephen K.} and Rhonda Wilson and Frederik Gildberg",
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A Matter of Trust and Distrust : A Qualitative Investigation of Parents' Perceptions About the Use of Mechanical Restraint on Their Adult Children in a Forensic Psychiatric Setting. / Tingleff, Ellen Boldrup; Hounsgaard, Lise; Bradley, Stephen K.; Wilson, Rhonda; Gildberg, Frederik.

In: Journal of Forensic Nursing, Vol. 15, No. 2, 01.04.2019, p. 120-130.

Research output: Contribution to journalJournal articleResearchpeer-review

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T2 - A Qualitative Investigation of Parents' Perceptions About the Use of Mechanical Restraint on Their Adult Children in a Forensic Psychiatric Setting

AU - Tingleff, Ellen Boldrup

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AU - Bradley, Stephen K.

AU - Wilson, Rhonda

AU - Gildberg, Frederik

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