The use of mechanical restraints in psychiatric settings is currently the subject of ethical controversy. However, both patients' and nurses' voices are absent in the debate over this controversial intervention. The objective of this qualitative study was to examine the experience of psychiatric nurses using mechanical restraints. Twentyone nurses working on either the acute psychiatric inpatient unit and/or the emergency psychiatric unit of a university affiliated Canadian hospital participated in semi-structured interviews, which were then transcribed, coded and analyzed using the interpretative phenomenological analysis (IPA) method. Three main themes were identified : 1) Practice setting ; 2) Mechanical restraint process ; and 3) Resorting to mechanical restraints. These results highlight the organizational and emotional challenges faced by psychiatric nurses. Foucault and Goffman's work were the primary theoretical sources that guided the critical analysis of this qualitative research.
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http://dx.doi.org/10.3917/rsi.128.0041 | DOI Listing |
Background: Research data on the extent of and protocols related to physical restraint (PR) in pediatric intensive care units (PICUs) are scarce. Most previous studies in China on this topic have focused on the prevalence, reasons, and background of PR use among adult patients.
Purpose: This study was designed to delineate the application of PR and the factors associated with PR use in PICUs in China.
Materials (Basel)
December 2024
Centre of Materials and Building Technologies (C-MADE), Department of Civil Engineering and Architecture, University of Beira Interior (UBI), 6201-001 Covilhã, Portugal.
The paper examines the impact of passive restraint on fire-induced spalling in concrete, utilizing a concrete mixture to minimize compositional variability. A variety of specimen geometries was prepared, including standard cubes and cylinders for the determination of mechanical properties and slabs of different dimensions for fire spalling tests conducted under controlled conditions. A top-opening Dragon furnace, which applies ISO 834-1 fire curves, was used to evaluate the influence of "cold rim" boundaries, where slab edges were insulated to create thermal restraint.
View Article and Find Full Text PDFIn Vivo
December 2024
Laboratory of Physiology, School of Health Sciences, Toyohashi SOZO University, Toyohashi, Japan;
Background/aim: Lactate is a physiologically active substance secreted by skeletal muscle that has been suggested to stimulate muscle mass gain. However, the molecular mechanism for lactate-associated muscle hypertrophy remains unclear. The purpose of the present study was to investigate whether oral administration of lactate increases muscle mass under different loading conditions.
View Article and Find Full Text PDFJ Forensic Nurs
December 2024
Author Affiliations:Forensic Mental Health Research Unit, Middelfart, Faculty of Health Science, Department of Regional Health Research, University of Southern Denmark.
Background: Although hotly disputed, coercive measures are widely used in mental health services globally. In Denmark, to ensure the rights of patients, special psychiatric legislation that emphasizes the imperative to always use the least intrusive intervention has been implemented. This raises the question of which coercive measures are perceived as being less intrusive than others.
View Article and Find Full Text PDFACS Omega
December 2024
Metamaterials Laboratory, Electrical and Computer Engineering Department, Northeastern University, Boston, Massachusetts 02115, United States.
Janus micro- and nanoparticles, featuring unique dual-interface designs, are at the forefront of rapidly advancing fields such as optics, medicine, and chemistry. Accessible control over the position and orientation of Janus particles within a cluster is crucial for unlocking versatile applications, including targeted drug delivery, self-assembly, micro- and nanomotors, and asymmetric imaging. Nevertheless, precise mechanical manipulation of Janus particles remains a significant practical challenge across these fields.
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