RNQualitativeNursing open2023

Experience of patients with restraints in acute care hospitals and the view of their relatives: A qualitative study.

Sandra Siegrist-Dreier, Silvia Thomann, Isabelle Barbezat and 3 others

PMID 37612841

WHAT IT FOUND

Patients and relatives said they were not told in advance about restraints.

Some patients found sensor mats and alarms distressing and restrictive, while relatives often supported restraints as safety.

Key findings

01Patients and relatives said they were not informed in advance about restraints, and information usually covered benefits rather than risks.

02Some patients experienced sensor mats as restraints and found the alarms unpleasant and disturbing.

03Relatives were often understanding and supportive of restraint use, while patients described being strapped down as frightening.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only four patients and five relatives were interviewed, from two departments in one Swiss university hospital, so the findings cannot be generalised. Recruitment was done by clinical nursing specialists, which may have created selection or reporting bias. Data saturation could not be ensured because recruitment was very difficult. Most patients or the patients described by relatives had memory difficulties, which may have affected their accounts. Patients were interviewed about restraint experiences while some shared rooms with other patients, which may have made disclosure harder. The first author had prior professional experience with restraints, which may have influenced interviews. No sociodemographic data were collected, so it is not possible to see how background may have shaped responses. Intensive care patients were not recruited, although some participants remembered intensive care experiences.

Declared interests

The authors declared no conflict of interest.

The easy way to misread this

Do not use this study to conclude that restraints are effective or safe. It interviewed four patients and five relatives about experiences, measured no outcomes, and could not reach saturation.

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