title: Clinical holding with children who display behaviours that challenge.
abstract: Nurses hold children to administer treatment, prevent treatment interference and undertake clinical assessments, which can sometimes be invasive, as part of their regular duties. Clinical holding ensures this treatment or assessment is carried out safely, however, it has been reported that there is little training available in this area. This article explores the prevalent clinical holding techniques used by nursing staff when caring for children with behaviours that challenge. As an initial insight into what the researchers hope will become a more in-depth 2-year study, this investigation looks to explore current practice when holding children and the factors influencing this. It is hoped that this will inform the development of a training package offered to nurses when caring for these children. Thirteen semi-structured interviews took place with a small group of nurses, which were given thematic analysis. The overarching themes influencing holding practice were the nursing role itself along with intrinsic and external factors.
authors.affiliation: Associate Professor, Birmingham City University.
authors.forename: Andrea
authors.initials: A
authors.lastname: Page
authors.affiliation: Consultant Clinical Psychologist to and Director of Studio III Clinical Services and Director, Clinical Consultant and Team Leader to Studio III Training.
authors.forename: Andrew
authors.initials: A
authors.lastname: McDonnell
authors.affiliation: Associate Psychologist for Studio III Clinical Services.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Gayson
authors.affiliation: Associate Psychologist for Studio III Clinical Services.
authors.forename: Fiona
authors.initials: F
authors.lastname: Moss
authors.affiliation: Clinical Research Sister, NIHR/Wellcome Trust Clinical Research Facility, Birmingham Children's Hospital.
authors.forename: Needa
authors.initials: N
authors.lastname: Mohammed
authors.affiliation: Clinical Research Sister, NIHR/Wellcome Trust Clinical Research Facility, Birmingham Children's Hospital.
authors.forename: Claire
authors.initials: C
authors.lastname: Smith
authors.affiliation: Clinical Research Manager, NIHR/Wellcome Trust Clinical Research Facility, Birmingham Children's Hospital.
authors.forename: Nicola
authors.initials: N
authors.lastname: Vanes
mesh_terms: D001291:Attitude of Health Personnel; D002648:Child; D002652:Child Behavior; D006801:Humans; D007407:Interviews as Topic; D024802:Nurse's Role; D012149:Restraint, Physical
keywords: Child nursing; Clinical holding; Learning disabilities; Nursing education and training