Efficient and Accurate Measurement of Physical Restraint Use in Acute Care

Fogel, Jessica S.; Berkman, Cathy S.; Merkel, Cindy

doi:10.1891/1521-0987.10.3.100

Cited by 6 publications

(3 citation statements)

References 18 publications

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“…Physical restraint use was defined as the presence or absence of wrist restraints on the patient and was measured during each session by direct observation, which has been shown to be an accurate and unobtrusive method of measuring physical restraints use (Fogel, Berkman, Merkel, Cranston, & Leipzig, 2009). Pain management was measured as presence or absence of pain via patient or nurse report.…”

Section: Methodsmentioning

confidence: 99%

Nurse and Patient Interaction Behaviors’ Effects on Nursing Care Quality for Mechanically Ventilated Older Adults in the ICU

Nilsen¹,

Sereika²,

Hoffman³

et al. 2014

Research in Gerontological Nursing

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The study purposes were to 1) describe interaction behaviors and factors that may impact communication and 2) explore associations between interaction behaviors and nursing care quality indicators between 38 mechanically ventilated patients (≥60 years) and their intensive care unit nurses (n=24). Behaviors were measured by rating videotaped observations from the Study of Patient-Nurse Effectiveness with Communication Strategies (SPEACS). Characteristics and quality indicators were obtained from the SPEACS dataset and medical chart abstraction. All positive behaviors occurred at least once. Significant (p<.05) associations were observed between: 1) positive nurse and positive patient behaviors, 2) patient unaided augmentative and alternative communication (AAC) strategies and positive nurse behaviors, 3) individual patient unaided AAC strategies and individual nurse positive behaviors and 4) positive nurse behaviors and pain management, and 5) positive patient behaviors and sedation level. Findings provide evidence that nurse and patient behaviors impact communication and may be associated with nursing care quality.

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Section: Methodsmentioning

confidence: 99%

Nurse and Patient Interaction Behaviors’ Effects on Nursing Care Quality for Mechanically Ventilated Older Adults in the ICU

Nilsen¹,

Sereika²,

Hoffman³

et al. 2014

Research in Gerontological Nursing

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show abstract

“…It's been reported that although ICU accounts for about one-fifth of the total number of beds in hospitals, the use of physical restraints accounts for more than half of hospitals (5,6). A Canadian survey (7) on the use of physical restraint in mechanical ventilation patients have showed that about half of mechanically ventilated patients are physically restrained at least once during the period of ICU stay, with an average use of 4.1 days, of which 53% patients continue to use restraint more than 1 day.…”

Section: Introductionmentioning

confidence: 99%

The characteristics of ICU physical restraint use and related influencing factors in China: a multi-center study

Zhang¹,

Liu²,

He³

2021

Ann Palliat Med

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Background: The use of physical restraint has been a common phenomenon in clinical practice. However, the current status of physical restraints in intensive care unit (ICU) patients and related potential factors in China remains unclear. We aimed to evaluate the status of physical restraint use of patients in ICU, and to identify the potential factors affecting the physical restraint use.Methods: Patients in 16 ICUs of five hospitals from September 15 to October 15, 2019 were included.The ICU Patients' Physical Restraint Evaluation Scale was used for survey investigation. The basic information, the behavioral, treatment and muscle strength level with 35 detailed items were collected and evaluated. Multivariate logistic regression analyses were performed to identify the potential risks of physical restraint use.Results: A total of 386 ICU patients were included, the incidence of physical restraint use was 59.07%.The incidence of physical restraint uses in patients with irritability, unconsciousness and disorientation, Richmond agitation-sedation scale (RASS) ≥2 or -3< RASS <2 were significantly higher that other conditions (all P<0.05); the incidence of physical restraint uses in patients with continuous renal replacement therapy (CRRT), temporary pacemaker, intracranial pressure (ICP) monitor, invasive blood pressure monitoring, tracheotomy, central venous catheter (CVC), extracorporeal membrane oxygenation (ECMO), peripheral intravenous infusion were significantly higher that other conditions (all P<0.05); the male gender, mechanical ventilation, retained catheters or tubes with level II or irritability were the independently influencing factors for the physical restraint use (all P<0.05). Conclusions:The incidence of physical restraint use is rather high in ICU, clinical attentions are needed especially for those patients with male gender, mechanical ventilation, retained catheters or tubes with level II or irritability.

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“…Studies have reported overall physical restraint prevalence rates in the range of 50 per 1,000 patient‐days overall in acute care hospitals, with the highest rates observed in ICU settings in the United States and in Europe . Although it is likely that differences in methodologies for measuring restraint prevalence between studies cause some of the variability in restraint prevalence, there is substantial variation in the use of physical restraint use within institutions and between medical centers across the United States. This suggests that more must be done to elucidate contributing factors to further efforts aimed at decreasing the overall rate of physical restraint use …”

Section: Resultsmentioning

confidence: 99%

American Geriatrics Society Identifies Another Five Things That Healthcare Providers and Patients Should Question

2014

J American Geriatrics Society

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Since 2012, the American Geriatrics Society (AGS) has also been collaborating with the American Board of Internal Medicine (ABIM) Foundation, joining its "Choosing Wisely" campaign on two separate lists of Five Things Healthcare Providers and Patients Should Question. The campaign is designed to engage healthcare organizations and professionals, individuals, and family caregivers in discussions about the safety and appropriateness of medical tests, medications, and procedures. Participating healthcare providers are asked to identify five things-tests, medications, or procedures-that appear to harm rather than help. Providers then share this information in a published article about these things on the ABIM campaign's website (www.choosingwisely.org). The first AGS list was published in February 2013.

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Efficient and Accurate Measurement of Physical Restraint Use in Acute Care

Cited by 6 publications

References 18 publications

Nurse and Patient Interaction Behaviors’ Effects on Nursing Care Quality for Mechanically Ventilated Older Adults in the ICU

Nurse and Patient Interaction Behaviors’ Effects on Nursing Care Quality for Mechanically Ventilated Older Adults in the ICU

The characteristics of ICU physical restraint use and related influencing factors in China: a multi-center study

American Geriatrics Society Identifies Another Five Things That Healthcare Providers and Patients Should Question

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