Decline in Physical Restraint Use Following Implementation of Institutional Guidelines

Source avec lien : JONA: The Journal of Nursing Administration, 51(6), juin 2021. 10.1097/NNA.0000000000001020

L’objectif de cette étude était d’examiner les stratégies mises en œuvre dans notre établissement pour réduire l’utilisation de la contention médicale.

OBJECTIVE To investigate the strategies implemented at our institution to reduce medical restraint use. BACKGROUND Restraints have been utilized to prevent agitation, self-extubations, and falls, although they are often associated with negative repercussions for nurses and patients. METHODS The restraint data at our institution were compared with the National Database of Nursing Quality Indicators (NDNQI) benchmark. We also described the measures taken to improve restraint documentation. RESULTS The number of patients in medical restraints, medical restraint hours, medical restraints/patient-days, and deaths in restraints at our institution all significantly decreased (P < 0.00001). There were 27 self-extubations of restrained patients compared with 11 self-extubations of nonrestrained patients. The percentage of inpatients with restraints in critical care and step-down areas declined and remained below the NDNQI benchmark. CONCLUSIONS This study reports the processes implemented to reduce restraint use through enhanced communication and increased documentation. Further exploration into factors that may attain a restraint-free environment is warranted. Consultez la page de l’article

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