Staff perceptions of barriers to physical restraint‐reduction in long‐term care: a meta‐synthesis

Kong, Eun-Hi; Choi, Heeseung; Evans, Lois K.

doi:10.1111/jocn.13418

Cited by 48 publications

(71 citation statements)

References 31 publications

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“…The use of physical restraint can give rise to ethical issues with negative effects in long‐term care settings (Kong et al. ). Limiting patients’ movements using bedrails, belts or chair ties can be an emotive and contentious topic especially when working with people who present with challenging behaviour.…”

Section: Introductionmentioning

confidence: 99%

Physical restraint: perceptions of nurse managers, registered nurses and healthcare assistants

Leahy‐Warren

Varghese

Day

et al. 2018

International Nursing Review

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Section: Introductionmentioning

confidence: 99%

Physical restraint: perceptions of nurse managers, registered nurses and healthcare assistants

Leahy‐Warren

Varghese

Day

et al. 2018

International Nursing Review

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“…Instead, many countries which have fast population aging rates also have high physical restraint rate (Korea: 84.6%; Hong Kong >62.5%; Taiwan: 62% and et al.) [15–17]. This situation might become worse because of the fast population aging rate and lack of caregivers.…”

Section: Introductionmentioning

confidence: 99%

Educational intervention on physical restraint use in long‐term care facilities – Systematic review and meta‐analysis

Lan

et al. 2017

The Kaohsiung J of Med Scie

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A systematic review with meta-analysis and meta-regression. Eight databases, including Cochrane Library, ProQuest, PubMed, EMBASE, EBSCO, Web of Science, Ovid Medline and Physiotherapy Evidence Database (PEDro), were searched up to January 2017. Eligible studies were classified by intervention and accessed for quality using the Quality Assessment Tool for quantitative studies. Sixteen research articles were eligible in the final review; 10 randomize control trail studies were included in the analysis. The meta-analysis revealed that the use of physical restraint was significantly less often in the experimental (education) group (OR = 0.55, 95% CI: 0.39 to 0.78, p < 0.001) compared to the control group. Meta-regression revealed the period of post education would have decreased the effect of the restraint educational program (β: 0.08, p = 0.002); instead, the longer education period and more times of education would have a stronger effect of reducing the use of physical restraint (β: -0.07, p < 0.001; β: -0.04, p = 0.056). The educational program had an effect on the reduced use of physical restraint. The results of meta-regression suggest that long-term care facilities should provide a continuous education program of physical restraint for caregivers.

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“…One of these methods, physical restraint, is applied to prevent an individual's freedom of movement by fastening a physical or mechanical device onto an individual against their . Although the negative physical and psychosocial effects of physical restraints have been well‐documented, they still continue to be widely used . The frequency use of physical restraint in psychiatry clinics in England, China, Australia, and Turkey is 12%, 51.3%, 31%, and 23.9%, respectively.…”

Section: Introductionmentioning

confidence: 99%

“…4,5 Although the negative physical and psychosocial effects of physical restraints have been well-documented, they still continue to be widely used. 6 The frequency use of physical restraint in psychiatry clinics in England, China, Australia, and Turkey is 12%, 51.3%, 31%, and 23.9%, respectively. Physical restraint methods vary from one country to another.…”

Section: Introductionmentioning

confidence: 99%

The effect of psychoeducation given to psychiatry nurses on level of knowledge, attitudes, and practices regarding physical restraint: A randomized controlled study

Budak

Yilmaz

Okanlı

et al. 2019

Perspect Psychiatr Care

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Purpose This study aims to determine the effect of psychoeducation, given to nurses working in a psychiatry clinic, on level of knowledge, attitudes, and practices regarding physical restraint. Design and Methods This study was conducted with a randomized‐controlled‐study design. A total of 111 nurses were recruited and randomly assigned to experimental (n = 53) and control (n = 58) groups. The experimental group received psychoeducation, while no intervention was applied to the control group. This study was conducted in a psychiatric hospital located in the Eastern Anatolia of Turkey. A Descriptive Form and the Levels of Knowledge, Attitudes, and Practices of Nurses Regarding Physical Restraints Questionnaire were used to collect data. Findings Statistically significant differences were found between the pretest and posttest total mean scores on the level of knowledge (P = .000), attitudes (P = .000), and practices (P = .000) of the nurses in the control group and the study group. Practice Implications An increase in the level of knowledge and positive improvement in attitudes and practices were observed in the nurses who received psychoeducation. Providing nurses with psychoeducation on physical restraint can positively contribute to improving their level of knowledge and to eliminating their negative attitudes and practices on this subject.

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Staff perceptions of barriers to physical restraint‐reduction in long‐term care: a meta‐synthesis

Cited by 48 publications

References 31 publications

Physical restraint: perceptions of nurse managers, registered nurses and healthcare assistants

Physical restraint: perceptions of nurse managers, registered nurses and healthcare assistants

Educational intervention on physical restraint use in long‐term care facilities – Systematic review and meta‐analysis

The effect of psychoeducation given to psychiatry nurses on level of knowledge, attitudes, and practices regarding physical restraint: A randomized controlled study

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