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Development and Validation of Clinical Practice Standards for Physical Restraint in Hospitalized Patients: A

Ronghong Luo1, Meiling Yu1, Chun Zhou2

  • 1Department of Infectious Diseases, Third Affiliated Hospital of Chongqing Medical University, Chongqing, 401120, People's Republic of China.

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Summary

Developing standardized clinical practice guidelines for physical restraint significantly improved nurses

Keywords:
know-trust-behaviour scorenurses staffobservational study standardphysical restraint

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Area of Science:

  • Nursing Practice
  • Patient Safety
  • Clinical Standards Development

Background:

  • Physical restraint is widely used in healthcare for patient safety but lacks standardized application.
  • Current practices may result in adverse physical and psychological effects for patients.
  • There is a need for evidence-based guidelines specifically for nurses' use of physical restraint.

Purpose of the Study:

  • To develop and validate clinical practice standards for physical restraint in hospitalized patients from a nursing perspective.
  • To assess the impact of these standards on nurses' knowledge, attitudes, and behaviors.
  • To evaluate the effect of the standards on patient outcomes.

Main Methods:

  • A multi-stage research design including cross-sectional surveys, interviews, Delphi consultation, and a controlled trial.
  • Involved 202 nurses and 100 patients in a tertiary hospital.
  • Comparison between an intervention group receiving standardized training and a control group following routine protocols.

Main Results:

  • High consensus (Cr = 0.85) was achieved during expert consultation.
  • The intervention group demonstrated significant improvements in knowledge, attitude, and practice scores (P < 0.05) post-training.
  • Restraint use and duration decreased significantly (P < 0.05) in the intervention group, with a non-significant trend towards reduced adverse events.

Conclusions:

  • The developed clinical practice standards effectively enhance nursing practice regarding physical restraint.
  • Implementation of these standards leads to reduced unnecessary restraint use and improved patient safety.
  • The standards support integration into clinical nursing management for better patient care.