The aim of this discussion is to explore the issue's procedural restraint of children raises for nursing staff caring for children, from both a policy and a research perspective. Specifically the discussion defines the various terms that describe the process of restraint and proceeds to examine the issues that continue to challenge nursing practice in this area: the professional and policy context; professional considerations; parental perceptions; and involvement. Whilst recognizing the difficulties faced by student nurses when involved in restraint. The pivotal role played by the child's nurse will determine the quality of the service experienced; whilst acting as the child's advocate they are the health professional most directly involved in care. The discussion closes by highlighting the main issues nurses face when deciding to restrain and child and thoughts for future practice.