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Summary
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.
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:
- 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.