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The alternatives to restraints.

Journal of Gerontological Nursing

|February 1, 1991

Summary

This summary is machine-generated.

Nurses often feel conflicted about using physical restraints but rarely reduce their use. Alternative approaches and continuous patient assessment can decrease reliance on restraints for safety.

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Area of Science:

Nursing Practice
Patient Safety
Geriatric Care

Background:

Nurses express ambivalence regarding the use of physical restraints.
Despite ambivalence, efforts to decrease restraint use are lacking.
Factors influencing restraint decisions include perceived safety threats, staff tolerance, and knowledge gaps.

Purpose of the Study:

To explore the reasons behind nurses' continued use of restraints.
To identify strategies for reducing the reliance on physical restraints in patient care.

Main Methods:

Qualitative analysis of nurses' perceptions and decision-making processes regarding restraint use.
Review of existing literature on alternative interventions and best practices.

Main Results:

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Restraint use is influenced by perceived safety concerns, staff tolerance, and insufficient knowledge of alternatives.
Ongoing patient assessment and restorative nursing care can mitigate the need for restraints.

Conclusions:

Implementing comprehensive patient assessment and restorative nursing care can decrease the perceived necessity of physical restraints.
Addressing knowledge gaps and staff tolerance levels is crucial for reducing restraint utilization.