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Canadian critical care nurses and physical restraints.

B A Leith1

  • 1Montreal Neurological Hospital, Intensive Care Unit, Quebec.

Official Journal of the Canadian Association of Critical Care Nurses
|May 29, 1999
PubMed
Summary

Canadian critical care nurses have moderate knowledge of physical restraints but lack uniform practices. Further education and research are needed to improve restraint use and identify alternatives.

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Area of Science:

  • Nursing
  • Critical Care Medicine
  • Healthcare Practices

Background:

  • Physical restraints are common in Canadian critical care units.
  • Limited research exists on the practice of physical restraint use.
  • Nurses' knowledge, practice, and attitudes regarding restraints require investigation.

Purpose of the Study:

  • To assess Canadian critical care nurses' knowledge of physical restraints.
  • To identify current practices and attitudes towards physical restraint use.
  • To inform educational needs and standardize protocols.

Main Methods:

  • A survey was conducted among nurses attending a 1998 conference.
  • Participants were members of the Canadian Association of Critical Care Nurses (Manitoba chapter).
  • Data collected on knowledge, practice, and attitudes regarding physical restraints.

Main Results:

  • Nurses achieved a mean knowledge score of 77% regarding restraints.
  • Significant variation in restraint practices was observed.
  • Many nurses reported negative emotional responses to using restraints.
  • Wrist restraints were commonly used to prevent device removal or injury.
  • Constant observation and medication were identified as primary alternatives.

Conclusions:

  • Critical care nurses need enhanced education on physical restraint use.
  • Standardization of nursing practice protocols for restraints is necessary.
  • Further research is essential to develop effective restraint alternatives in critical care settings.

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