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Reducing patient restraint use

R Johnson1, H Beneda

  • 1Vencor Hospital--Orange County, Westminster, Calif., USA.

Nursing Management
|November 10, 1998
PubMed
Summary
This summary is machine-generated.

Nurses can use a new assessment tool to reduce patient restraint use. This tool helps identify reasons for restraint and find alternatives, leading to a 95% reduction in one hospital.

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Area of Science:

  • Nursing
  • Patient Safety
  • Healthcare Management

Background:

  • Patient restraint is a common practice in healthcare settings.
  • Identifying underlying reasons for restraint is crucial for effective patient care.
  • There is a need for tools to guide nurses in managing patient behavior and reducing restraint use.

Purpose of the Study:

  • To introduce an assessment tool designed to help nurses identify reasons for patient restraint.
  • To guide nurses in implementing alternative or less-restrictive measures for patient management.
  • To evaluate the impact of the assessment tool on restraint utilization rates.

Main Methods:

  • Development and implementation of a novel patient restraint assessment tool for nursing staff.
  • Training nurses on the utilization of the assessment tool and alternative interventions.

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  • Prospective monitoring of patient restraint use over a 13-month period.

    • Main Results:

    • The assessment tool facilitated the identification of specific reasons necessitating patient restraint.
    • Implementation of the tool led to a significant decrease in the application of physical restraints.
    • One hospital reported a 95% reduction in restraint use, with less than 1% of total patient days involving restraints.

    Conclusions:

    • The assessment tool is effective in reducing patient restraint use among nursing staff.
    • Utilizing this tool promotes the adoption of alternative, less-restrictive patient management strategies.
    • This approach enhances patient safety and quality of care by minimizing unnecessary restraint.