Freeman, S, Hallett, C and McHugh, GA (2016) Physical restraint: experiences, attitudes and opinions of Adult Intensive Care Unit nurses. Nursing in Critical Care, 21 (2). pp. 78-87. ISSN 1362-1017
Abstract
Background: Patients within the Adult Intensive Care Unit have the potential to develop delirium and agitation. This can result in the patient displaying unwanted behaviours such as attempting to remove the medical devices to which they are attached. Some Adult Intensive Care Unit within the United Kingdom are starting to adopt physical restraint as a method of managing unwanted behaviours. Aim: To determine the experiences, attitudes and opinions of Adult Intensive Care nurses in relation to the application of physical restraint. Design: Questionnaire survey Methods: A postal questionnaire was distributed to all nurses (n=192) within two purposefully selected large Adult Intensive Care Units in the United Kingdom. Results: Data were collected between November 2012 and February 2013. The questionnaire was completed by 38.9% (n=75) of the nurses contacted. All believed that physical restraint had a place, with the majority of the view that the reason for its application was to maintain patient safety. Some expressed discomfort around the use of physical restraint. Nurses were happy to discuss the use of restraint with families. There was a perceived need for training and support for nursing staff as well as the need for medical staff to support the decision-making process. Conclusion: Nurses require more support and evidence to base their decision-making upon. They require guidance from professional bodies as well as support from medical colleagues. The findings have limited generalisability as they can only be applied to the units accessed and the response rate was poor. Relevance to clinical practice: Alternative approaches such as pain management, sleep promotion and the involvement of relatives needs to be explored before physical restraint policy can be written. Further research is required into the safety of physical restraint, alternative methods of managing the risk of agitation and identifying predisposing factors to accidental device removal.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2015 British Association of Critical Care Nurses. This is the peer reviewed version of the following article: Freeman, S., Hallett, C. and McHugh, G. (2016), Physical restraint: experiences, attitudes and opinions of adult intensive care unit nurses. Nursing in Critical Care, 21: 78–87. doi: 10.1111/nicc.12197, which has been published in final form at http://dx.doi.org/10.1111/nicc.12197. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. |
Keywords: | Intensive care; Nurses;Opinion; Physical restraint; Questionnaire survey design |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Nursing Adult (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 06 Jul 2015 10:32 |
Last Modified: | 17 Nov 2016 16:15 |
Published Version: | http://dx.doi.org/10.1111/nicc.12197 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/nicc.12197 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:87515 |