Children's Nursing

Reducing restrictive practice: a pertinent issue for children's services

Lecturer, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London

was Lecturer, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, at the time of writing

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Louise L Clark

Senior Teaching Fellow, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London

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Published Online:12 Jan 2021https://doi.org/10.12968/bjon.2021.30.1.70

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Abstract

The reduction of restrictive practice has gained momentum in mental health services and it is now becoming evident in mainstream adult services. There remains confusion as to the definition of ‘restrictive practices’ across all sectors of health care, including the difference between ‘restrictive practices’ (such as attitudes of control, limit setting and unnecessary ward rules) and ‘restrictive interventions’ (including physical, chemical or mechanical restraint). This article highlights the relevance of restrictive practice to children's nursing and argues that the principles apply across all health provision. Acts of restrictive practice may result in challenging behaviour, or even restrictive interventions, strategies to minimise both restrictive practice and subsequent acts of challenging behaviour are explored. Behavioural support plans adopting a bio-psycho-pharmaco-social approach have been shown to be effective in both mental health and adult nursing and are recommended for use in children's nursing.

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14 January 2021Volume 30Issue 1

ISSN (print): 0966-0461
ISSN (online): 2052-2819

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History

Accepted 1 July 2020

Published online 12 January 2021

Published in print 14 January 2021

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