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Physical restraints practice in adult intensive care units in Egypt

Author

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  • Nahed Attia Kandeel
  • Amal Kadry Attia

Abstract

Physical restraints are commonly used in intensive care units to reduce the risk of injury and ensure patient safety. However, there is still controversy regarding the practice of physical restraints in such units. The purpose of this study was to investigate the practices of physical restraints among critical care nurses in El‐Mansoura City, Egypt. The study involved a convenience sample of 275 critically ill adult patients, and 153 nurses. Data were collected from 11 intensive care units using a “physical restraint observation form” and a “structured questionnaire.” The results revealed that physical restraint was commonly used to ensure patient safety. Assessment of physical restraint was mainly restricted to peripheral circulation. The most commonly reported physically restrained site complications included: redness, bruising, swelling, and edema. The results illustrated a lack of documentation on physical restraint and a lack of education of patients and their families about the rationale of physical restraint usage. The study shed light on the need for standard guidelines and policies for physical restraint practices in Egyptian intensive care units.

Suggested Citation

  • Nahed Attia Kandeel & Amal Kadry Attia, 2013. "Physical restraints practice in adult intensive care units in Egypt," Nursing & Health Sciences, John Wiley & Sons, vol. 15(1), pages 79-85, March.
  • Handle: RePEc:wly:nuhsci:v:15:y:2013:i:1:p:79-85
    DOI: 10.1111/nhs.12000
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    Citations

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    Cited by:

    1. Mohammad Suliman, 2018. "Prevalence of physical restraint among ventilated intensive care unit patients," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(19-20), pages 3490-3496, October.
    2. María Acevedo-Nuevo & María Teresa González-Gil & María Concepción Martin-Arribas, 2021. "Physical Restraint Use in Intensive Care Units: Exploring the Decision-Making Process and New Proposals. A Multimethod Study," IJERPH, MDPI, vol. 18(22), pages 1-36, November.
    3. Samantha Freeman & Janelle Yorke & Paul Dark, 2018. "Patient agitation and its management in adult critical care: A integrative review and narrative synthesis," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1284-1308, April.
    4. Yanbin Pan & Zhixia Jiang & Changrong Yuan & Lianhong Wang & Jingjing Zhang & Jing Zhou & Ming Tao & Mingtao Quan & Qiong Wu, 2018. "Influence of physical restraint on delirium of adult patients in ICU: A nested case–control study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(9-10), pages 1950-1957, May.
    5. Angela Teece & John Baker & Helen Smith, 2020. "Identifying determinants for the application of physical or chemical restraint in the management of psychomotor agitation on the critical care unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(1-2), pages 5-19, January.
    6. Federica Canzan & Elisabetta Mezzalira & Giorgio Solato & Luigina Mortari & Anna Brugnolli & Luisa Saiani & Martina Debiasi & Elisa Ambrosi, 2021. "Nurses’ Views on the Use of Physical Restraints in Intensive Care: A Qualitative Study," IJERPH, MDPI, vol. 18(18), pages 1-12, September.
    7. Fatemeh Eskandari & Khatijah Lim Abdullah & Nor Zuraida Zainal & Li Ping Wong, 2018. "Incidence Rate and Patterns of Physical Restraint Use Among Adult Patients in Malaysia," Clinical Nursing Research, , vol. 27(3), pages 278-295, March.
    8. Vanessa Sofia Jorge Cortinhal & Ana Sofia Castro Correia & Sérgio Joaquim Deodato Fernandes, 2024. "Nursing Ethical Decision Making on Adult Physical Restraint: A Scoping Review," IJERPH, MDPI, vol. 21(1), pages 1-14, January.
    9. Fatemeh Eskandari & Khatijah Lim Abdullah & Nor Zuraida Zainal & Li Ping Wong, 2017. "Use of physical restraint: Nurses’ knowledge, attitude, intention and practice and influencing factors," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4479-4488, December.

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