Development and Testing of Tools to Assess Physical Restraint Use

Edwards, Nancy; Danseco, Evangeline; Heslin, Kathleen; Ploeg, Jenny; Santos, Josephine; Stansfield, Melanie; Davies, Barbara

doi:10.1111/j.1741-6787.2006.00056.x

Cited by 20 publications

(20 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Chart audits identify higher rates of restraint than observation since unlike direct observation, chart auditing provides restraint use data (incidence) over a 24 hour period. Edwards and colleagues (2006) found significant concordance (p<.05), but not complete agreement, between paired estimates of physical restraint prevalence using an observational tool and chart audits.…”

Section: Methodsmentioning

confidence: 89%

Abstracting ICU Nursing Care Quality Data From the Electronic Health Record

et al. 2016

View full text Add to dashboard Cite

The electronic health record is a potentially rich source of data for clinical research in the intensive care unit setting. We describe the iterative, multi-step process used to develop and test a data abstraction tool, used for collection of nursing care quality indicators from the electronic health record, for a pragmatic trial. We computed Cohen’s kappa coefficient (κ) to assess inter-rater agreement or reliability of data abstracted using preliminary and finalized tools. In assessing the reliability of study data (n=1440 cases) using the finalized tool, 108 randomly selected cases (10% of first half sample; 5% of last half sample) were independently abstracted by a second rater. We demonstrated mean κ values ranging from 0.61 to 0.99 for all indicators. Nursing care quality data can be accurately and reliably abstracted from the electronic health records of intensive care unit patients using a well-developed data collection tool and detailed training.

show abstract

Section: Methodsmentioning

confidence: 89%

Abstracting ICU Nursing Care Quality Data From the Electronic Health Record

et al. 2016

View full text Add to dashboard Cite

show abstract

“…The Attitudes Toward Use of Physical Restraints subscale has 12 items. Each item has 3 answer choices-agree (2), disagree (0), and undecided (1). Both subscales could be completed in a total of 10 minutes.…”

Section: Methods and Instrumentationmentioning

confidence: 99%

“…1,2 Physical restraints are more likely to be used in critical care units than in other hospital units because of the greater frequency of invasive procedures and the use of mechanical ventilation in critical care units.…”

mentioning

confidence: 99%

Nurses’ Attitudes, Clinical Experience, and Practice Issues With Use of Physical Restraints in Critical Care Units

Stinson

2016

American Journal of Critical Care

View full text Add to dashboard Cite

Background Physical restraints are more likely to be used in critical care units than in other hospital units because use of invasive procedures and mechanical ventilation is more common in critical care units. Initiation and maintenance of physical restraint devices is largely a nursing responsibility. Previous clinical experience is a variable often suggested to be related to intensive care nurses’ use of physical restraints. Objective To examine the relationships between registered nurses’ clinical experience, their practice issues (nurses’ actions while caring for patients who are physically restrained), and their attitudes toward the use of physical restraints (feelings about use of restraints and about caring for patients who are restrained) in critical care units. Methods In a descriptive correlational study, data were collected online via the Physical Restraint Questionnaire. Participants’ (n = 413) clinical experience was classified by using Patricia Benner’s novice to expert framework. Results No strong correlation was found to explain any variance between attitudes toward use of physical restraints in critical care and clinical experience in nursing in general, clinical experience in critical care, and nursing practice issues with use of physical restraints. However, nurses with more clinical experience were more likely to have learned about use of physical restraints in their basic nursing curriculum. Conclusions The reported lack of content addressing use of physical restraints in today’s nursing curricula is a concern, as physical restraints are commonly used in critical care units.

show abstract

“…Physical restraint use has occasionally been justified as a means of preventing harm, or providing benefit to the individual [6,8,12,20,[24][25][26][27]. However, there is little research evidence of this, with physical restraint use contributing to both physical and psychological harm and little evidence of its efficacy.…”

Section: Non-maleficence and Beneficencementioning

confidence: 99%

“…The main reasons are to prevent falls, to protect medical devices, and to manage behavioural disturbances associated with delirium and dementia, especially agitation, wandering and aggression [6,8,12,20,[24][25][26][27]. Fear of litigation has also been raised as a reason for restraint use, as has inadequate staffing numbers [8,23,28].…”

Section: Perceived Benefits Of Restraint Usementioning

confidence: 99%

Australian and New Zealand Society for Geriatric Medicine Position Statement Abstract: Physical restraint use in older people

2016

Australas J Ageing

View full text Add to dashboard Cite

Development and Testing of Tools to Assess Physical Restraint Use

Cited by 20 publications

References 20 publications

Abstracting ICU Nursing Care Quality Data From the Electronic Health Record

Abstracting ICU Nursing Care Quality Data From the Electronic Health Record

Nurses’ Attitudes, Clinical Experience, and Practice Issues With Use of Physical Restraints in Critical Care Units

Australian and New Zealand Society for Geriatric Medicine Position Statement Abstract: Physical restraint use in older people

Contact Info

Product

Resources

About