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Physical restraint intervention in the intensive care unit: An observational pilot study
Gülendam Hakverdioğlu Yönt1, Süreyya Bulut2, Maria Müller-Staub3
1Department of Nursing Fundamentals , Faculty of Health Sciences, İzmir Tınaztepe University, Izmir, Turkey.
International Journal of Nursing Knowledge
|May 10, 2024
Summary
Physical restraint (PR) use in Turkish ICUs shows low adherence to best practices and high complication rates. Implementing PR guidelines is crucial for improving patient safety and comfort.
Area of Science:
- Nursing
- Intensive Care Medicine
- Patient Safety
Background:
- Physical restraint (PR) is used in intensive care units (ICUs) for patient safety and to prevent device removal.
- However, PR can cause adverse effects and discomfort.
- Current PR guidelines are not yet implemented in Turkey.
Purpose of the Study:
- To obtain baseline data on the types and frequency of PR activities in Turkish ICUs.
- To assess the rate of patient complications associated with PR.
- To inform the development and implementation of PR guidelines in Turkey.
Main Methods:
- An observational pilot study was conducted in adult ICUs in Turkey.
- Data were collected from 31 patients using a basic form and a PR observation guide.
- Descriptive statistics were used to analyze patient demographics, PR activities, and complications.
Main Results:
- 61.3% of patients were male, and 74.2% were aged 60-79 years.
- 58.1% of patients experienced PR-related complications.
- Key PR activities from the Nursing Interventions Classification (NIC) were infrequently applied, with some never used in 33% of patients.
Conclusions:
- This study provides the first evaluation of PR NIC activities in a Turkish ICU.
- Findings indicate low performance of recommended PR activities and a high incidence of complications.
- The results support the need for implementing PR guidelines to enhance patient safety and comfort in Turkish ICUs.
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