Research
The Impact of Mechanical vs Physical Restraints: A Call for Awareness
There are various illnesses and drug-induced medical conditions that can trigger violent behavior in individuals, directed towards others or even themselves. In such cases, the use of mechanical or physical restraints becomes necessary to manage the violence. This article sheds light on the ethical, psychological, and physical aspects associated with the utilization of restraints. It also discusses current practices, regulations, and proposes alternative approaches that prioritize the well-being, safety and dignity of individuals affected by these restraints and medical staff.
Improving Nursing Night Shifts: The Importance of Low Light and Proper Breaks
The article explores the physiological importance of circadian rhythms, regulated by hormones like melatonin and cortisol, and reviews studies demonstrating the benefits of dim lighting and structured naps during shifts. Evidence from international research, such as a Brazilian study on nap duration, highlights the optimal 2.1–3-hour nap window for recovery and performance. However, Ontario hospitals often rely on informal "tacit agreements" for breaks, lacking formal policies or proper facilities to support restorative rest. The article calls for action by Accreditation Canada and hospital councils to adopt evidence-based policies. Recommendations include dimming night time lighting to protect circadian rhythms and formalizing extended, supported break periods.
