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Restraint in a Neurosurgical Setting: A Mixed-Methods Study.

Amina Guenna Holmgren¹, Niklas Juth², Anna Lindblad²

¹Department of Learning, Informatics, Management and Ethics (LIME), Stockholm Centre for Healthcare Ethics (CHE), Karolinska Institutet, Stockholm, Sweden; Neuro Theme, Karolinska University Hospital, Stockholm, Sweden.

World Neurosurgery

|October 1, 2019

Summary

This summary is machine-generated.

Restraint is used in 11% of neurosurgical patients, primarily in intensive care, often for safety. However, poor documentation hinders assessment and risks patient safety.

Keywords:

Autonomy Nursing Observational study Physical restraint

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Area of Science:

Neurosurgery
Patient Safety
Healthcare Quality

Background:

Restraint is a measure used in patient care.
Its application in neurosurgery requires investigation.

Purpose of the Study:

To determine the frequency of restraint use in neurosurgical care.
To understand the circumstances and documentation practices surrounding restraint.

Main Methods:

A mixed-methods, cross-sectional study.
Data collected via nurse questionnaires and electronic medical record review.
Quantitative and qualitative data analysis.

Main Results:

11% of 517 neurosurgical inpatients experienced restraint.
Restraint predominantly occurred in the neurointensive care unit.
Most restraint instances were undocumented.
Common diagnoses included traumatic brain injury and subarachnoid hemorrhage.

Conclusions:

Restraint is primarily used to prevent self-harm or harm to others in neurosurgery.
Lack of documentation impedes open assessment of restraint measures.
Inadequate documentation poses risks to patient safety.