Should I learn martial arts for psych nursing?

Specialties Psychiatric

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So I'm a new nurse, recently graduated and now working in critical care. There is this persistent calling within me to be a mental health nurse. (Bit of background info; I've always been very interested in the human mind, reading psychology textbooks as pleasure reading.)

During my psych rotations in nursing school, we were given a very brief lesson on self-defense for our encounters with a forensic inpatient population in a state hospital. The calling to do mental health nursing grows stronger each day, and I'm wondering if it is wise and/or prudent to learn a few self-defense methods so as to avoid injury that I may or may not encounter in dealing with mentally broken people.

Let me make myself clear here. I have absolutely no intention of using violence against any person, patient or otherwise. I'm only interested in keeping my own person safe.

If you, or someone you know, is a mental health nurse, have you taken up self-defense courses to prevent bodily harm?

Specializes in Psych (25 years), Medical (15 years).
Not helpful, but I can't help but think how AWESOME this topic would be for our next Jacob Rockstar RN installment!

Thanks for the inspiration and the plug, Tex!

https://allnurses.com/psychiatric-nursing/jacob-rockstar-rn-979458-page55.html#post8779077

Specializes in retired from healthcare.
Good enquiry, great responses!

I took a rather involved self-defense course, as a young adult, with an instructor who had a black belt in Taekwondo. Now, some techniques I learned has helped me in my 40 years in working as a DD Attendant...

I would encourage Lizzie B. Rock to go ahead and take the self-defense course, learn the boundaries of its use, if, for no other reason than to just feel safer.

It matters what kind of teacher you have since some are all about intense discipline, power, control and authority, are very impersonal, are in it for money and only teach the patterns and motions while others are protective of their students, are in it with heart and soul and teach morality. Then there are variations between the two extremes. If you take one of these classes, you might might want to ask around before jumping in and make sure your teacher has genuine concern about you and not just superficial charm.

If you get a job in psych, your employer will train you in deescalation and self-defense and restraint interventions approved for that facility. Using any kind of techniques not approved by your employer can get you in serious trouble with your employer and the state. In a worst case scenario, it could lead to criminal charges.

This. In our facility, we were trained on the MANDT system. It taught us how to deescalate the patients, as well as do take downs if needed. We were also given a specific class dedicated to self defense. We always had 2 officers with us, so I never had to actually utilize the physical portion of that training (thankfully), but the deescalation knowledge definitely came in handy!

Specializes in Psych ICU, addictions.

Your employer will offer training in whatever non-violent deescalation program (CPI, ProACT, etc.) they use at the facility.

If you are being physically attacked by the patient, you do not have to let yourself be a victim. You can do whatever you need to in order to break free even if what you do wasn't quite what you learned in class. However, once you have gotten free from the patient's grasp, you can't go on the offensive...and if you do use any holds, they have to be the approved ones.

If you practice martial arts, etc., don't think that mentioning that to the patient will ensure your safety. To some patients, that may just be a red cape you're waving in front of their face.

Here what's going to happen if there are any questions about patient abuse regarding an intervention? (I know, have been thru this scenario with lawyers).

During the deposition,

The lawyer will read to you national standards of care Re: Crisis intervention, JACHO CARF etc.

Second, they will review your hospital policy (CPI, PART, PMBD, etc.).

Then they will ask you to describe what happen, and ask if you were following the approved guidelines. If you did not follow policy to the letter, you're screwed, bigtime.

Specializes in Critical Care, Med-Surg, Psych, Geri, LTC, Tele,.

We only could use pro act. It was all about keeping us safe from getting seriously hurt.

I've heard about CPI, it teaches defensive blocks. We could not use them where I worked.

Thankfully, I worked with a great team and a call for staff typically resulted in several techs arriving to help within seconds!

Specializes in Psych (25 years), Medical (15 years).

Meriwhen has stated the answer to Lizzie B. Rock's question in this one sentence:

If you are being physically attacked by the patient, you do not have to let yourself be a victim.
If you are being physically attacked by the patient, you do not have to let yourself be a victim. You can do whatever you need to in order to break free even if what you do wasn't quite what you learned in class.

That's not been the case anywhere I've worked over the years. Of course we all know the old cliche', "better to be judged by twelve than carried by six" and everyone makes her/his own decision in that situation, but, everywhere I've worked, there was no "free pass" for using any unapproved techniques in the case of physical attack; you would still be accountable for having violated hospital policy and state mental health rules/regs and there would be consequences for that.

Specializes in mental health / psychiatic nursing.

I took martial arts in the past before I was a CNA. The only skills from that experienced I've used at work are how to remain calm in a high stress situation and an understanding of body mechanics that have made patient transfers safer on my back.

If you want to take martial arts of the mental and physical health benefits of training go for it! I personally was a happier and healthier person while training regularly and plan on getting back to it as soon as life allows.

If you want self-defense and deescalation techniques for work, find out what your work-place offers in terms of training. When I took conflict resolution / deescalation training at work they made it very clear that we had to follow the training and no improvising with techniques we might have learned elsewhere.

I read most of the responses here. Before continuing i will again emphasize what most here have... One should not train with any intent to use force on a patient. When one must go hands on, safety is the top priority. As far as martial arts... It definitely depends on what type of school. There are plenty that focus on internal training and defense/grappling rather than striking and as offensive techniques. I've studies martial arts for many years, and I can say that my personal experience and training has been beneficial for multiple reasons.

1: Quality internal/mindful arts have helped with my reaction time and ability to block/redirect or dodge a strike, as well as judge better when this may occur (the judgment comes into play more with behavioral than psychosis).

2: Quality training has also helped me with my response and resilience when being hit/attacked. To be struck and keep your facilities and respond intelligently and not aggressively is important.

*3: I cannot however stress the importance of being able to adjust your mindset based on where you are. My response to being struck/threatened at work is different than it would be on the street. I think many types of martial arts do not attach enough of the mindfulness training as to accomplish this, and could lead to one reacting with force on a patient, which is not what we want to do.

Overall, some will recommend it some will not. I would not personally recommend if only for your nursing career. The most important thing to learn from any type of training is to be able to be aware of your surroundings and non-verbal cues from your patients. I don't find CPI training to be all that comprehensive but it will give you a base to work with if you do not have any other experience or training.

"The best advice I give to my students, walk away or excuse yourself away from any situation you are becoming uncomfortable in. Get help, or as it's now politically correct terminology Show of Support”."

Funny how this didn't occur to me as I was pondering this issue. I've always told my sons the exact same thing. "Walk away." "Don't feed violence with violence." Not having any real experience yet, I posted this question with scenarios in my mind of what to do in a closed environment. Not wanting to escalate violence, per se, but only prevent any physical injuries. Thanks for speaking up about those who did react physically, and the consequences of their actions. It's certainly food for thought.

Heck, I wish I would have taken a course in Ballet just so I could look good getting away from a situation!

LOL! Davey Do, that's too funny! No doubt that'll throw someone off the angry train and crack some smiles! :roflmao: :D

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