The effects of research on clinical practice: the use of restraints

Stratmann, Diane; Vinson, Mary Hite; Magee, Rose; Hardin, Sally Brosz

doi:10.1016/s0897-1897(97)80078-x

Cited by 20 publications

(33 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Finally, we can presume that more careful investigation and more in-depth debate among the staff about physical intervention could have reduced its use and promoted alternative approaches as noted by other authors (Flannery et al, 2002;Stratmann et al, 1997).…”

Section: Final Commentsmentioning

confidence: 86%

“…Considering the ethical issues and clinical consequences of physical restraint, many studies have recently indicated strategies aimed at reducing the use of this procedure (Barton, 2009;Downes, Healy, Page, Bryant, & Isbister 2009;Hellerstein, Staub, & Lequesne, 2007;Paterson & Duxbury, 2007;Prinsen & Van Delden, 2009;Sclafani et al, 2008). Staff debate and investigation about physical restraints alone can contribute to reducing the use of this procedure in accordance with many authors who evidenced that assault behavior of patients decreased at the same time professionals' awareness of their own feelings toward aggressive patients increased (Bowers et al, 2006;Forster, Cavness, & Phelps, 1999;Stratmann, Vinson, Magee, & Hardin, 1997). More numerous and well-trained staff (Kontio et al, 2009) and more attention by level-of-care staff were cited as the most important strategies for reducing the use of seclusion and restraints (Wynn, 2003).…”

Section: Physical Restraints: Recent Debatementioning

confidence: 86%

See 1 more Smart Citation

Physical Restraints in an Italian Psychiatric Ward: Clinical Reasons and Staff Organization Problems

Lorenzo

Baraldi²,

Ferrara³

et al. 2011

Perspectives in Psychiatric Care

View full text Add to dashboard Cite

show abstract

Section: Final Commentsmentioning

confidence: 86%

Section: Physical Restraints: Recent Debatementioning

confidence: 86%

Physical Restraints in an Italian Psychiatric Ward: Clinical Reasons and Staff Organization Problems

Lorenzo

Baraldi²,

Ferrara³

et al. 2011

Perspectives in Psychiatric Care

View full text Add to dashboard Cite

show abstract

“…These falls may have been exacerbated when patients tried to free themselves or extubate themselves. In a study by Stratmann, Vinson, Magee, and Hardin (1997), physical restraints were used to prevent falls from a bed (72%) or from a chair (40%), to protect medical devices (32%), to prevent wandering (18%), or to subdue agitation (17%). Minnick et al (1998) indicated that nurses use restraints to secure patients with impaired mental status (65%), to prevent falls (60%), and to facilitate treatment (40%).…”

Section: Rationale For the Use Of Restraintsmentioning

confidence: 99%

The Effects of Continuing Education in Restraint Reduction on Novice Nurses in Intensive Care Units

Yeh

Hsiao

et al. 2004

Journal of Nursing Research

View full text Add to dashboard Cite

A decrease in the use of physical restraints in Intensive Care Units (ICUs) is an important indicator of quality of nursing care. This quasi-experimental study examined the effect on nurses of a session of continuing education aimed at reducing the use of restraints. At a medical center in southern Taiwan, 37 novice nurses were surveyed about their knowledge, perception, attitude and clinical practice of restraint use in 11 ICUs. Two instructors then taught a four-hour continuing education class on patient restraint standards, principles for reducing physical restraint use, and alternatives to restraining. Data were analyzed by paired t-test and the results of identical structured questionnaires which participants received before and after the lecture, showed that, afterwards, knowledge (t = -6.04, p < .01), perception (t = 4.76, p < .01), and attitude (t = 3.93, p < .01) toward restraint use had significantly improved . The continuing education improved the nurses' knowledge and attitude toward restraint use and may therefore enhance the quality of care provided to ICU patients.

show abstract

“…42 None of the more recent studies describing the relationship between falls and physical restraints has included side rails in their definition of restraint. [43][44][45][46][47][48][49] Thus, this study was designed to analyze the effect of physical restraint reduction on nighttime side rail use and examine the relationship between bilateral side rail use and bedrelated falls and injuries among nursing home residents.…”

mentioning

confidence: 99%