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Related Experiment Video

Updated: Dec 16, 2025

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
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Nurses' behaviours towards physical restraint use in the ICU: A descriptive qualitative study.

Xiufang Shen1, Bo Hu2, Xufeng Pang3

  • 1School of Nursing, Department of Medicine, Qingdao University, Qingdao, China.

International Journal of Nursing Practice
|July 2, 2020
PubMed
Summary

Nurses

Keywords:
descriptiveintensive care unitnursephysical restraintqualitative

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Area of Science:

  • Nursing
  • Critical Care
  • Patient Safety

Background:

  • Intensive care unit (ICU) patients are vulnerable, necessitating careful consideration of physical restraint (PR) use.
  • Limited qualitative research exists on nurses' behaviors regarding PR in ICUs, highlighting the need for deeper understanding.
  • Developing effective PR minimization programs requires insight into nurses' reasoning and decision-making processes.

Purpose of the Study:

  • To explore and describe nurses' behaviors concerning physical restraint (PR) use in intensive care units (ICUs).
  • To identify key characteristics of nurses' experiences with physical restraint application in ICUs.

Main Methods:

  • A descriptive qualitative study design was employed.
  • Data were collected through 24 semi-structured, in-depth individual interviews with nurses across six ICUs.
  • Data analysis utilized QSR NVivo 11.0 software and the Qualitative Analysis Guide of Leuven, adhering to COREQ guidelines.

Main Results:

  • Nurses' PR behaviors involve hazard perception, hesitation, and decision-making when other control options are exhausted.
  • Nurses reflect on and rationalize their PR behaviors after application.
  • The PR process is influenced by nurses, intensivists, patients, and their families.

Conclusions:

  • Nurses' behaviors regarding PR use are complex and safety-centered.
  • Decision-making for PR should involve intensivists, patients, and family caregivers.