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Restraint to Induce Stress in Mice and Rats
03:48

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Published on: December 6, 2024

Physical restraint usage at a teaching hospital: a pilot study.

Antoinette Barton-Gooden1, Pauline E Dawkins2, Joanna Bennett3

  • 1University of the West Indies, Kingston 7, Jamaica, West Indies antoinette.bartongooden@uwimona.edu.jm.

Clinical Nursing Research
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PubMed
Summary

High physical restraint use in hospitals, at 75%, was observed, with nurses and doctors lacking formal training. Healthcare professionals reported moral distress due to inadequate support and potential patient harm from restraint practices.

Keywords:
hospitalmedical doctorsnursesrestraints

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Area of Science:

  • Medical Sociology
  • Nursing Practice
  • Healthcare Management

Background:

  • Physical restraint is a controversial practice in healthcare settings.
  • Understanding healthcare professionals' perceptions and training is crucial for improving patient care.
  • Previous research indicates varied prevalence and ethical concerns surrounding restraint use.

Purpose of the Study:

  • To determine the prevalence of physical restraint usage in medical-surgical and psychiatric units.
  • To explore nurses' and doctors' perceptions regarding physical restraint practices.
  • To assess the formal training received by healthcare professionals on applying physical restraints.

Main Methods:

  • A mixed-methods approach combining direct observation and chart audits.
  • Quantitative data collection involved observing 172 adult patients and auditing 47 patient charts.
  • Qualitative data were gathered through thematic analysis of focus group discussions with nurses and doctors.

Main Results:

  • A high prevalence of physical restraint use was found, reaching 75% in medical-surgical wards.
  • Nurses and doctors reported no formal training in restraint application, learning instead through peer observation.
  • Healthcare professionals expressed negative emotions (sadness, guilt, fear) and identified inadequate institutional support.

Conclusions:

  • High physical restraint prevalence, coupled with a lack of formal training and support, contributes to moral distress among healthcare professionals.
  • Inadequate institutional support and training may increase the risk of patient injury.
  • Further research and policy development are needed to address ethical challenges and improve patient safety related to restraint use.