Physical Restraint of the Hospitalized Elderly

Strumpf, Neville E.; Evans, Lois K.

doi:10.1097/00006199-198805000-00002

Cited by 224 publications

(186 citation statements)

References 0 publications

Supporting

Mentioning

180

Contrasting

Unclassified

Order By: Relevance

“…Indeed, Strumpf and Evans (1988) suggest that patients generally have no opportunity to make their views, needs, and dislikes known before being physically restrained. This again highlights the need for nurses to assess and understand the perceptions and feelings of patients about being restrained-before restraints are administered.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Use of Physical Restraints to Psychogeriatric Patients in Hong Kong

Chien¹

1999

Issues in Mental Health Nursing

View full text Add to dashboard Cite

The use of physical restraint has been a controversial intervention in the nursing management of hospitalized elderly patients in many countries. This ethnographic study was conducted in one psychogeriatric ward in Hong Kong in order to explore what determines psychiatric nurses' decisions to use restraints on their elderly patients. By comparing the findings of three data sources, comprising semistructured interviews, observations, and clinical records, five main themes were identified with regard to the nurses decision of restraint use. They included the rationale of physical restraint, consideration of alternative measures, consideration of adverse consequences, ethical considerations, and policy and documentation of restraint use. The findings of this study demonstrate that nurses must question the established practice myths about restraint use being the best way to maintain patient safety. Most importantly, nurses need cognitive and ethical preparation to face different situations in which physical restraint may be used.

show abstract

Section: Discussionmentioning

confidence: 99%

“…In addition, there are psychosocial effects on patients such as low social functioning (Folmar & Wilson, 1989), increasing confusion (Rose, 1987), and adverse emotional reactions (Strumpf & Evans, 1988).…”

Section: Effects Of Restraint Use and Alternative Measuresmentioning

confidence: 99%

The Use of Physical Restraints to Psychogeriatric Patients in Hong Kong

Chien¹

1999

Issues in Mental Health Nursing

View full text Add to dashboard Cite

show abstract

“…These symptoms can be a serious burden for nursing home staff, possibly leading to an increase in staff distress (Everitt et al, 1991), and they are associated with the use of physical restraints (Strumpf and Evans, 1988) and psychotropic medications (Ruths et al, 2001) that in turn have the potential to cause negative side effects.…”

Section: Introductionmentioning

confidence: 99%

Environmental correlates of neuropsychiatric symptoms in nursing home patients with dementia

Zuidema

Jonghe

Verhey

et al. 2009

Int J Geriat Psychiatry

View full text Add to dashboard Cite

show abstract

“…[2][3][4][5][6] Furthermore, the use of physical restraint may be regarded as humiliating by awake patients and their relatives. 7,8 Although physical restraint is intended to prevent accidental removal of devices, it may actually increase agitation and accidental self-removal of endotracheal tubes. 9 The Society of Critical Care Medicine has created guidelines 1 for the use of restraining therapies to decrease inappropriate use of physical restraint.…”

mentioning

confidence: 99%

Use of Physical Restraints in Dutch Intensive Care Units: A Prospective Multicenter Study

Kooi

Peelen

Raijmakers

et al. 2015

American Journal of Critical Care

View full text Add to dashboard Cite

Background Increasing evidence indicates that harmful effects are associated with the use of physical restraint. Objectives To characterize the use of physical restraint in intensive care units. Prevalence, adherence to protocols, and correlates of the use of physical restraint were determined. For comparisons between ICUs, adjustments were made for differences in patients' characteristics. Methods A prospective, cross-sectional, observational multicenter study with a representative sample (n = 25) of all Dutch intensive care units, ranging from local hospitals to academic centers. Each unit was visited twice, and all 379 patients admitted during these visits were included and were examined for use of physical restraint. Results Physical restraint was used in 23% of all patients (range, 0%-56% for different units). Of all 346 nurses interviewed, 31% reported using a protocol when applying physical restraint. When corrections were made for clustering within units, the risk for use of physical restraint was increased in patients with delirium or coma, in patients who could not communicate verbally, and in patients receiving psychoactive or sedative medications. Sex, severity of illness, and nurse to patient ratio were not independently related to use of physical restraint. In 11 units (44%), use of physical restraint was more frequent than expected on the basis of patients' characteristics, although this finding was not significant. Conclusions Physical restraint is frequently used in Dutch intensive care units. The differences in frequency between units suggest that opportunities exist to limit the use of physical restraint.

show abstract

Physical Restraint of the Hospitalized Elderly

Cited by 224 publications

References 0 publications

The Use of Physical Restraints to Psychogeriatric Patients in Hong Kong

The Use of Physical Restraints to Psychogeriatric Patients in Hong Kong

Environmental correlates of neuropsychiatric symptoms in nursing home patients with dementia

Use of Physical Restraints in Dutch Intensive Care Units: A Prospective Multicenter Study

Contact Info

Product

Resources

About