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Related Experiment Videos

Reducing restraints: where to start

T L Terpstra1, T L Terpstra, E Van Doren

  • 1Battle Creek Veterans Affairs Medical Center, Michigan, USA.

Journal of Continuing Education in Nursing
|March 20, 1998
PubMed
Summary
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Nursing staff at a VA medical center showed high knowledge but limited ability to suggest alternatives for physical restraint use. Perceptions of restraint importance varied, impacting reduction program planning.

Area of Science:

  • Nursing
  • Gerontology
  • Patient Safety

Background:

  • Physical restraints are frequently used in healthcare settings, particularly in psychiatric and long-term care.
  • Initiating restraint reduction programs requires understanding current staff perceptions and knowledge.
  • Veterans Affairs (VA) medical centers face unique challenges in managing patient care and safety.

Purpose of the Study:

  • To assess nursing staff's perceptions and knowledge regarding physical restraint use.
  • To identify reasons for restraint application in a large neuropsychiatric medical center.
  • To inform the development of a restraint reduction program.

Main Methods:

  • A cross-sectional survey was administered to 113 nursing staff members across various care units.

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  • Validated instruments, including the Perceptions of Restraint Use Questionnaire and a knowledge test, were utilized.
  • Data on personal characteristics and reasons for restraint use were collected.

    • Main Results:

    • Staff identified preventing intravenous line removal, suture disruption, and falls as primary reasons for restraint.
    • High knowledge scores did not correlate with the ability to propose alternative interventions.
    • Restraint use was perceived as a moderately important intervention by respondents.

    Conclusions:

    • Nursing staff possess significant knowledge about restraints but need enhanced training on alternatives.
    • Addressing staff perceptions and myths is crucial for successful restraint reduction initiatives.
    • Tailoring educational strategies based on staff level of practice can improve restraint management and patient quality of life.