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Restraint to Induce Stress in Mice and Rats
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A non-pharmacologic approach to decrease restraint use.

Kari Johnson1, Valerie Curry2, Alison Steubing2

  • 1HonorHealth John C Lincoln Medical Center, 250 East Dunlap Avenue, Phoenix, AZ 85020, United States.

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|December 15, 2015
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Summary
This summary is machine-generated.

An educational intervention significantly reduced patient restraint use in the Trauma Intensive Care Unit (TICU). Nurses

Keywords:
CAM-ICUDeliriumNurse perceptionRestraintsSedationTrauma Intensive Care Unit

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Area of Science:

  • Critical Care Nursing
  • Patient Safety
  • Quality Improvement

Background:

  • Patient restraints are frequently used in Trauma Intensive Care Units (TICUs).
  • Understanding nurses' perceptions is crucial for effective restraint reduction strategies.
  • Delirium assessment is a key component in managing TICU patients.

Purpose of the Study:

  • To evaluate an educational intervention designed to decrease physical restraint use in TICU patients.
  • To assess nurses' perceptions and attitudes towards the use of physical restraints.
  • To measure restraint utilization rates before and after the educational intervention.

Main Methods:

  • A pre-post-intervention study design was employed.
  • Restraint use was quantified over a 24-hour period pre- and post-intervention.
  • Nurses' perceptions were measured using the Perceptions of Restraint Use Questionnaire (PRUQ).

Main Results:

  • A statistically significant reduction in restraint use was observed post-intervention (p=0.008).
  • Mean restraint use decreased from 314.1 to 237.8 per 1000 patient days.
  • Nurses reported positive attitudes towards restraints in specific situations, primarily to prevent falls.

Conclusions:

  • A low-risk educational intervention effectively reduced physical restraint use in the TICU.
  • Educational initiatives focusing on alternative devices can be successful in minimizing restraint application.
  • Addressing nurses' perceptions is important when implementing restraint reduction strategies.