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Related Concept Videos

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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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Related Experiment Video

Updated: Jan 8, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
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Barriers to Minimising Restraint Implementation by ICU Nurses: A Qualitative Study.

Wenqi Xu1, Jing Hui Liu2, Yatian Hou3

  • 1Zhongshan City People's Hospital, Henan University School of Nursing and Health, Kaifeng, China.

Nursing in Critical Care
|December 17, 2025
PubMed
Summary

ICU nurses face challenges implementing minimal restraint due to concept deficits, resource shortages, and collaboration issues. Addressing these barriers through training and improved strategies is crucial for enhancing patient care and nurse decision-making.

Keywords:
ICUminimise restraintsphysical restraintsqualitative study

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Area of Science:

  • Nursing Practice
  • Patient Safety
  • Healthcare Management

Background:

  • Minimizing patient restraints in Intensive Care Units (ICUs) is a key goal for improving patient experience and achieving humanistic care.
  • Enhancing nurses' decision-making capabilities regarding restraint use is a significant challenge in critical care settings.

Purpose of the Study:

  • To investigate the obstacles faced by ICU nurses in implementing minimal restraint practices.
  • To provide insights for improving future nursing interventions and strategies in critical care.

Main Methods:

  • Purposeful sampling was used to recruit 16 healthcare workers from ICU settings in a tertiary hospital in Southern China.
  • Semi-structured interviews were conducted, and data were organized using NVivo 14 software.

Main Results:

  • Seven themes emerged: concept deficits, lack of proactive assessment, human resource shortages, ineffective pain management collaboration, need for enhanced professional awareness, impact of past experiences, and demand for better organizational strategies.
  • Barriers include hospital regulations, management culture, professional roles, and individual nurse competencies.

Conclusions:

  • Addressing barriers requires comprehensive assessment, strengthened support for minimal restraint decisions, and standardized decision-making processes.
  • Training, advocacy for teamwork, and fostering a collaborative environment are essential to enhance nurses' confidence and practice of minimal restraint.
  • Findings aim to improve ICU nurses' understanding and application of minimal restraint techniques in clinical settings.