Recommended nursing care for people with mental disorders in mobile prehospital care: a scoping review.
Liliane Pena, Richardson Miranda Machado, Deborah Franscielle da Fonseca and 3 others
PMID 41370591WHAT IT FOUND
27 recommended nursing practices were mapped for mental health emergencies in mobile prehospital care: scene safety, assessment, verbal de-escalation, restraint only as last resort, and monitoring.
Key findings
01The review mapped 27 recommended nursing care practices across four domains: safety and protection, assessment, management, and mechanical restraint.
02Recommended management lists verbal de-escalation, medication only when non-pharmacological methods fail, and mechanical restraint only when there is imminent risk and other methods are ineffective.
03If mechanical restraint is used, the mapped recommendations include at least five professionals, direct nurse supervision, continuous visual monitoring, vital sign checks, and documentation.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The review presented a small sample of 23 studies with a low level of evidence, mainly descriptive studies, guidelines, directives, protocols and expert opinion, so it does not show that the recommended care improves outcomes. The review did not assess methodological quality of the included studies because of the scoping review methodology and the diversity of study types. Some relevant studies may be missing because only certain databases and gray literature sources were searched.
The easy way to misread this
Do not read the 27 recommended practices as proof that they improve patient outcomes. The review mapped existing guidance and descriptive studies, did not assess methodological quality, and reported a low level of evidence.