Aggressive and violent behaviours often lead to the use of coercive interventions in health and forensic institutions. Restraint minimization is now a legal or governmental requirement in most jurisdictions. While physical restraint and seclusion are relatively well-understood, chemical restraint remains problematic to define and measure. The aim of this review is to explore the international understandings of chemical restraint and to formulate an operational definition to support the development of quality indicators and care standards. This review was the first step prior to a realist synthesis to clarify the scope of chemical restraint intervention. PRISMA extension for Scoping Review was used. A keyword-based literature review (2006–2020, French and English) was conducted in health and social science databases. involves an emergency (STAT), as needed (PRN), regular or continuous medication with sedative properties, administered with the intention of preventing or controlling harmful behaviours or behaviours that interfere with diagnostic or therapeutic interventions, AND/OR administered to avoid physical restraint or seclusion; AND/OR without the person's consent. This first operational definition of chemical restraint could support the development of quality indicators in addition to allowing initiatives to improve health outcomes, safety and promote person-centred care.

中文翻译：

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定义化学限制：测量和质量评估的初步步骤


攻击性和暴力行为常常导致卫生和法医机构使用强制干预措施。现在，在大多数司法管辖区，最小化限制已成为法律或政府的要求。虽然物理约束和隔离相对容易理解，但化学约束的定义和衡量仍然存在问题。本次审查的目的是探索国际上对化学限制的理解，并制定可操作的定义以支持质量指标和护理标准的制定。这次审查是现实综合以澄清化学抑制干预范围之前的第一步。使用 PRISMA 扩展进行范围界定审查。在健康和社会科学数据库中进行了基于关键词的文献综述（2006-2020 年，法语和英语）。涉及紧急情况 (STAT)、按需 (PRN)、定期或连续服用具有镇静特性的药物，旨在预防或控制有害行为或干扰诊断或治疗干预的行为，和/或避免身体束缚或隔离;和/或未经本人同意。化学约束的第一个操作定义除了允许采取举措改善健康结果、安全和促进以人为本的护理之外，还可以支持质量指标的制定。