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AnteayerEvidence-Based Nursing

Mental health patients perceive observation as the least restrictive intervention

Por: Yesodharan · R. · Renjith · V.

Commentary on - Lindekilde CR, Pedersen ML, Birkeland SF, Hvidhjelm J, Baker J, Gildberg FA. Mental health patients' preferences regarding restrictive interventions: an integrative review. J Psychiatr Ment Health Nurs. 2024 May 2. doi: 10.1111/jpm.13057.

Implications for practice and research

  • Mental health patients perceive observation as the least restrictive intervention. Mental health professionals should consider environment, communication and duration that could influence patient preferences for restrictive interventions.

  • More research is needed on developing a global definition for restrictive interventions and also to understand patient preferences and views regarding various restrictive interventions.

    • Context

    Philippe Pinel has been honoured in history for his ‘humane treatment’ and ‘unchaining the mentally ill’.1 However, the use of restrictive interventions (RIs) in psychiatric hospitals continues in the 21st century. Ensuring safety for self and others is one of the major reasons for using these RIs.2...

    Beyond the debate: centring people in conversations about dying

    Por: Tatterton · M. J. · Hayes · A.

    Assisted dying is changing. Countries around the world, including the UK,1 are considering changing the law, or have legalised assisted death.2 This editorial does not focus on legal, moral or ethical issues that surround assisted dying, but on the people at the centre of the debate: people with life-limiting conditions and their families.

    The opportunity to write this editorial could not be more timely, having recently been invited to join the Independent Expert Panel of the UK Government’s Health and Social Care Committee, evaluating the state of palliative care in England.3 Our focus was palliative and end of life care, and not assisted dying; however, during discussions, we did talk about the importance of death literacy, specifically the lack of our willingness to talk about death and dying, even by and with people who have life-limiting conditions.

    There is a wealth of research...

    Ensuring racial inclusion in research: the role of research ethics committees and patient and public involvement and engagement

    Por: Dube · A. · Ataiyero · Y. · Jones · S.
    Introduction

    Although the UK is a multicultural society, racially minoritised populations are often under-represented in healthcare research owing to the significant barriers to participation they experience.1 Under-representation of racially minoritised groups in research impacts the quality of evidence and applicability of findings to these groups. This, in part, explains why these communities are more likely to report poorer health and poorer experiences of using healthcare services than their White counterparts,2 given that their cultural and spiritual preferences are often ignored.3 This commentary will explore some of the persistent multifaceted barriers and the role of research ethics committees (RECs) in enabling inclusive healthcare research among racially minoritised communities, given their key responsibility in building public confidence, ensuring ethical conduct and safeguarding research participants. In addition, patient and public involvement and engagement (PPIE) can complement the roles of RECs in embracing diversity in healthcare...
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