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Restraint-free care: how does a nurse decide?

E M Sullivan-Marx

    Journal of Gerontological Nursing
    |September 1, 1996
    PubMed
    Summary

    Nurses avoid physical restraint in older adults through comprehensive assessments and problem-solving. Their beliefs and knowledge significantly influence decisions, promoting restraint-free care interventions.

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    Area of Science:

    • Geriatric Nursing
    • Healthcare Policy
    • Patient Safety

    Background:

    • Physical restraint use in older adults is a complex issue.
    • Policies increasingly advocate for restraint elimination in geriatric care.
    • Nurses' attitudes and beliefs impact restraint decisions.

    Purpose of the Study:

    • To explore the decision-making process nurses use to avoid physical restraint.
    • To understand the influence of nurses' knowledge, autonomy, and accountability.
    • To advance the development of restraint-free care interventions.

    Main Methods:

    • Qualitative exploration of nurses' decision-making processes.
    • Analysis of factors influencing restraint avoidance.
    • Assessment of nurses' knowledge, autonomy, and accountability.

    Main Results:

    • Individualized assessment and creative problem-solving are key to avoiding restraint.
    • Nurses' beliefs about restraint efficacy play a significant role.
    • Understanding influencing factors is crucial for effective interventions.

    Conclusions:

    • Restraint-free care requires a nuanced approach considering individual patient needs and nurse decision-making.
    • Further research into nurses' knowledge, autonomy, and accountability is needed.
    • Interventions should support nurses in implementing restraint-free care for older adults.

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