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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...

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Related Experiment Video

Updated: Jul 1, 2026

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

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Published on: November 30, 2022

Inappropriate restraint practices in Australian teaching hospitals.

¹Curtin University of Technology, Perth, Western Australia.

The Australian Journal of Advanced Nursing : a Quarterly Publication of the Royal Australian Nursing Federation

|July 24, 2008

Summary

This summary is machine-generated.

Patient restraint use in hospitals is an ethical concern. A study found 9.4% of patients were restrained, with higher rates in older adults, highlighting the need for better practices.

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Area of Science:

Healthcare Ethics
Nursing Practice
Patient Safety

Background:

Restraint use in healthcare settings presents significant ethical challenges for nursing professionals.
Understanding restraint patterns is crucial for improving patient care and safety.
Previous Australian studies indicate variable restraint rates in acute care hospitals.

Purpose of the Study:

To define and quantify the prevalence of patient restraint use in an Australian teaching hospital.
To identify the primary reasons necessitating the application of physical restraints.
To analyze the relationship between staffing levels and restraint rates.

Main Methods:

A point prevalence study design was employed.
Data were collected through direct observation of 256 patients.
Restraint status, patient demographics, and staffing information were recorded.

Main Results:

A prevalence rate of 9.4% of restrained patients was observed.
Patients aged 85 years and over exhibited a significantly higher restraint rate (one-third).
Restraint rates were consistent with findings from previous Australian acute hospital studies.

Conclusions:

Patient restraint remains a prevalent issue in Australian teaching hospitals, particularly affecting the elderly.
Further research is needed to explore underlying factors and develop evidence-based alternatives to restraint.
Addressing the ethical implications of restraint use is paramount for contemporary nursing practice.