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Restrictive practice: should all nurses be competent in safe holding and restraint?

13 February 2020
Education Matters
02 February 2020
Volume 29 · Issue 3

Abstract

Sarah Eales, Senior Lecturer, Mental Health Nursing, Bournemouth University, discusses the idea that all nurses should be able to demonstrate competence in restrictive practices, and the issues that raises

In writing a new set of nursing curricula for the Future Nurse standards (Nursing and Midwifery Council (NMC), 2018) I was struck by an extremely brief statement in one of the annexes of those standards. The annexes list the skills and procedures that nurses must demonstrate they are able to perform safely. The statement that caught my eye was:

‘Recognise and respond to challenging behaviour, providing safe holding and restraint.’

The requirement is that evidence-based, best practice approaches are adopted.

The Future Nurse standards not only set out our pre-registration nursing curricula expectations but also now set the expectations for all current qualified nurses. Educational teams across the country, in NHS trusts and the wider range of healthcare providers, are considering what is required to upskill their workforce to meet these new standards. Previous standards (NMC, 2010) referred to the ability of all registrants to safely manage challenging situations but not to undertake safe holding and restraint.

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