Restraint and security: a marriage of inconvenience?

Britton, Ian (2014) Restraint and security: a marriage of inconvenience? BSc dissertation, University of Portsmouth.

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    Restraint of patients in acute NHS hospitals is a subject that NHS trusts do not appear to acknowledge. The extensive academic research certainly covers the subject of restraint but it is the premise of the research that not all the significant actors are recognised. One significant group of individuals who may not appear to be considered are security officers. The main aim of the research was to critically analyse the role and attitudes of security officers within an NHS trust in relation towards the restraint of patients, predominately dementia patients. A mixed methodology of primary and secondary data was used to establish a fixed point of reference by triangulation of data gathered. The primary research was conducted with a small team of directly employed NHS security offices, with secondary data resources from NHS Protect, NHS Staff Survey and twenty-eight additional acute NHS trusts.
    The physiological toll of undertaking restraint by security personnel needs to be acknowledged, especially when dealing with vulnerable adults. With an ageing population, the incidents of restraint due to aggression, agitation and wandering will undoubtedly rise as an absolute number. Clinicians have an important responsibility to find alternative therapies to the present chemical restraint and sedation. The combination of primary and secondary data highlights that whilst the acute NHS trusts themselves may not be willing to be open regarding the scale of patient restraint, the evidence from the literature review and the primary research is clear, restraint is a patient safeguarding issue that frequently exists across the NHS, predominately to the elderly and causes harm to both the restrained and the restrainer. Further research is urgently required to look beyond the classic clinician, non-clinician domains to further the understanding of restraint and the establishment of alternatives to chemical sedation.

    Item Type: Dissertation
    Departments/Research Groups: Faculty of Humanities and Social Sciences > Institute of Criminal Justice Studies
    Depositing User: Beth Atkins
    Date Deposited: 06 Mar 2015 14:30
    Last Modified: 06 Mar 2015 14:30

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