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Related Experiment Videos

Making the transition to restraint-free care.

J A Blakeslee, B D Goldman, D Papougenis

    Journal of Gerontological Nursing
    |February 1, 1991
    PubMed
    Summary
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    Implementing restraint-free care requires organizational education and communication to overcome staff resistance. Gradual introduction of alternatives, supported by surveys and sensitivity sessions, facilitates successful change management in healthcare settings.

    Area of Science:

    • Healthcare Management
    • Patient Safety
    • Organizational Behavior

    Background:

    • Physical restraints are common in healthcare but raise ethical and safety concerns.
    • Resistance to changing restraint policies often stems from staff perceptions and experiences.
    • Effective strategies are needed to facilitate the transition to restraint-free care.

    Purpose of the Study:

    • To identify effective strategies for implementing restraint-free care.
    • To explore methods for overcoming staff resistance to policy changes.
    • To understand the role of education and communication in healthcare change.

    Main Methods:

    • Utilized anonymous attitudinal surveys to gauge staff concerns about physical restraints.
    • Employed sensitivity sessions as a tool to "unfreeze" staff and address perceptions.

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  • Advocated for a slow, methodical introduction of alternative care strategies.

    • Main Results:

    • Education and communication across all organizational levels are key to overcoming resistance.
    • Attitudinal surveys and sensitivity sessions effectively highlight concerns and the need for change.
    • Gradual introduction of alternatives, starting with easier cases, builds momentum for challenging ones.

    Conclusions:

    • A phased approach, incorporating education, communication, and addressing staff attitudes, is crucial for successful restraint-free care implementation.
    • Overcoming resistance requires understanding diverse staff perspectives and fostering a collective recognition of the need for change.
    • Successive positive experiences with alternative methods encourage continued adoption of restraint-free practices.