{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:49:37Z","timestamp":1790952577923,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,4,4]],"date-time":"2023-04-04T00:00:00Z","timestamp":1680566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Adoles Psych Nursing"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>This pediatric psychiatric mental health hospital implemented a new mechanical restraint, the chair restraint, as an additional safety management intervention, to join the already utilized six\u2010point board.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of this project was to assess perceptions, thoughts, and feelings of psychiatric mental health nursing staff when utilizing the chair restraint on an adolescent unit. Furthermore, to explore decision making related to choosing the chair restraint verses choosing to use the six\u2010point board as a safety management intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology<\/jats:title><jats:p>This was a phenomenological qualitative study, utilizing semistructured interviews to explore the experiences of nursing staff, consisting of behavioral health specialists, and direct\u2010care staff nurses who work on an adolescent psychiatric unit utilizing both chair restraint and the six\u2010point board. Ten nursing staff were interviewed. Using thematic analysis, staff perceptions, thoughts, and feelings when using mechanical restraints for safety management were explored. Demographics were collected however, there was no variability in the responses and saturation was reached.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Five themes emerged from the interviews. The Five themes that emerged were: Restraint chair was less traumatic and preferred, feelings of defeat when de\u2010escalation was not successful, pushing away emotions as protection, units were short staffed, and patient behaviors were seen as a potential barrier to eliminating the six\u2010point board.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of this study will be used to guide to further develop behavioral health education, orientation for new staff, and to understand ways to support staff through their experiences in managing a patient's unsafe behaviors.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcap.12414","type":"journal-article","created":{"date-parts":[[2023,4,4]],"date-time":"2023-04-04T09:39:31Z","timestamp":1680601171000},"page":"171-178","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Year one review: Staff perception on the implementation of the chair restraint on an adolescent psychiatric inpatient unit"],"prefix":"10.1111","volume":"36","author":[{"given":"Valerie","family":"Seney","sequence":"first","affiliation":[{"name":"College of Nursing and Health Sciences University of Massachusetts\u00a0Dartmouth Dartmouth Massachusetts USA"},{"name":"Bradley Hospital East Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Safford","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Sciences University of Massachusetts\u00a0Dartmouth Dartmouth Massachusetts USA"},{"name":"Bradley Hospital East Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcap.12190"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0349.2008.00526.x"},{"key":"e_1_2_11_4_1","volume-title":"Psychiatric nursing: Contemporary practice","author":"Boyd M.","year":"2018"},{"key":"e_1_2_11_5_1","unstructured":"Center for Health Care Strategies Inc. (2018 August 8). What is Trauma\u2010Informed Care? Trauma\u2010Informed Care Implementation Resource Center.https:\/\/www.traumainformedcare.chcs.org\/what-is-trauma-informed-care\/"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.62.5.pss6205_0484"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(98)00017-8"},{"issue":"1","key":"e_1_2_11_8_1","first-page":"20","article-title":"Psychiatric nurses'\u00a0perceptions about physical restraint; A qualitative study","volume":"2","author":"Fereidooni Moghadam M.","year":"2014","journal-title":"International Journal of Community Based Nursing and Midwifery"},{"key":"e_1_2_11_9_1","unstructured":"Glossary. (2006 May 14). Www.Cms.Gov; US Centers for Medicare and Medicaid Services.https:\/\/www.cms.gov\/apps\/glossary\/default.asp?Letter=R%26Language"},{"key":"e_1_2_11_10_1","unstructured":"McLaughlin K.\u00a0(2017 April 1). The long shadow of adverse childhood experiences. Psychological Science Agenda.https:\/\/www.apa.org\/science\/about\/psa\/2017\/04\/adverse-childhood"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12444"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000270"},{"key":"e_1_2_11_13_1","unstructured":"Operational Excellence [OpEx]. (2020). Seclusion and restraint statistical data report. Bradley Hospital's Operational Excellence Report East Providence Rhode Island."},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.4103\/psychiatry.IndianJPsychiatry_104_19"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2021.106069"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-016-3830-z"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10578-015-0608-1"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2009.12.002"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2018.04.003"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2019.12.009"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0258346"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2019.04.002"}],"container-title":["Journal of Child and Adolescent Psychiatric Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcap.12414","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T02:50:49Z","timestamp":1692240649000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jcap.12414"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,4]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1111\/jcap.12414"],"URL":"https:\/\/doi.org\/10.1111\/jcap.12414","archive":["Portico"],"relation":{},"ISSN":["1073-6077","1744-6171"],"issn-type":[{"value":"1073-6077","type":"print"},{"value":"1744-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,4]]},"assertion":[{"value":"2023-01-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}