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Physical Restraint Usage at a Teaching Hospital

Author

Listed:
  • Antoinette Barton-Gooden
  • Pauline E. Dawkins
  • Joanna Bennett

Abstract

This mixed method study examines the prevalence of restraint usage; perception of nurses and doctors about the practice and whether they were trained to apply physical restraints. The physical restraint prevalence tools were used to observe 172 adult patients and conduct 47 chart audits in the medical-surgical wards and a psychiatric unit in November 2011. Focus group discussions with nurses and doctors were conducted. Quantitative data were analyzed using the SPSS and focus group discussions thematically analyzed. The prevalence of physical restraints between the medical-surgical wards was 75%. Nurses and medical doctors were not formally trained to apply restraint, and had learnt from peer observation. They expressed sadness, guilt, and fear when restraints are used and identified that inadequate institutional support existed. Restraint usage was high, and nurses and doctors experienced moral dilemma when they perceived that lack of formal training and inadequate institutional support may contribute to patient injury.

Suggested Citation

  • Antoinette Barton-Gooden & Pauline E. Dawkins & Joanna Bennett, 2015. "Physical Restraint Usage at a Teaching Hospital," Clinical Nursing Research, , vol. 24(1), pages 73-90, February.
    • Handle: RePEc:sae:clnure:v:24:y:2015:i:1:p:73-90
    DOI: 10.1177/1054773813493112
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    References listed on IDEAS

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    1. Reetta Saarnio & Arja Isola, 2010. "Nursing staff perceptions of the use of physical restraint in institutional care of older people in Finland," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(21‐22), pages 3197-3207, November.
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