PTQualitativeNursing open2022

Restraining patients in acute care hospitals-A qualitative study on the experiences of healthcare staff.

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

PMID 35088948

WHAT IT FOUND

Staff described restraint decisions as inconsistent, shaped by workload, personal attitudes, experience and time of day.

Nurses often led restraint use, and physiotherapists were allowed to remove restraints for therapy.

Key findings

01Staff said workload and personal attitudes influenced restraint decisions.

02Nurses usually initiated restraint use, and some physical restraints were applied without a physician's prescription.

03Physiotherapists were allowed to remove restraints for the duration of therapy.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Findings come from three focus groups in a single hospital, so they may not apply to other units or countries. Participants were recruited by clinical nurse specialists, so selection bias cannot be excluded. Few physicians participated, and views were mainly from nursing staff and some physiotherapists. Interviews were not transcribed, so data condensation may limit detail. Local and national guidelines shape restraint use, so comparison with other settings is limited. Staff, not patients, were studied, so the paper describes perceptions rather than measured patient effects.

Declared interests

The authors declared no conflict of interest.

The easy way to misread this

Do not read this as evidence that restraint use is effective or that removing restraints improves patient outcomes. The study reported healthcare staff perceptions and experiences, not patient outcomes.

Read it on PubMed →