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Reducing physical restraints: developing an educational program
Journal of Gerontological Nursing
|November 1, 1992
Summary
This study shows that an educational program can reduce the use of patient restraints by changing staff beliefs and knowledge. Interactive teaching and problem-solving are key to successful restraint reduction initiatives.
Area of Science:
- Healthcare education
- Patient safety
- Behavioral science
Background:
- Restraint use in healthcare settings remains a concern.
- Traditional approaches often focus on behavior control rather than understanding.
- A shift towards individualized care is needed to improve patient well-being.
Purpose of the Study:
- To explore the philosophical underpinnings of restraint reduction programs.
- To identify essential components for effective staff education on restraint reduction.
- To evaluate the impact of an educational intervention on restraint practices.
Main Methods:
- Developed an educational program based on philosophical premises of quality care and individualized approaches.
- Employed interactive teaching methods, encouraging staff discussion and problem-solving.
- Assessed changes in staff beliefs, knowledge, and restraint practices post-intervention.
Main Results:
- The educational program's philosophical premises align with quality care and individualized approaches.
- Interactive teaching and staff collaboration are crucial for successful implementation.
- Altering staff beliefs and increasing knowledge led to short-term changes in restraint practices.
Conclusions:
- Educational interventions can positively influence staff attitudes and practices regarding restraint reduction.
- A focus on understanding behavior and individualized care is fundamental.
- Further research is needed to sustain these changes long-term.