What question did this study set out to answer?

To evaluate the prevalence, underlying rationales, and clinical contexts of physical restraint use across acute care hospital units in the United States.

February 26, 2007Journal of Nursing Scholarship

Prevalence and Variation of Physical Restraint Use in Acute Care Settings in the US

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Authors

AMAnn F. MinnickUniversity of Iowa LMLorraine C. MionThe Ohio State University MJMary E. JohnsonUnited States Department of Transportation

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Implication

Observational study reveals high physical restraint rates and wide variation in US acute care hospitals, suggesting a need for unit-targeted practice improvements.

Key Points

To evaluate the prevalence, underlying rationales, and clinical contexts of physical restraint use across acute care hospital units in the United States.
Conducted a descriptive study across 40 randomly selected acute care hospitals in six U.S. metropolitan areas between 2003 and 2005, excluding psychiatric, emergency, operative, obstetric, and long-term care units.
Assessed physical restraint use and patient contexts via direct observation and nurse reports on 18 randomly selected days between 05:00 and 07:00, evaluating a total of 155,412 patient days.
Overall physical restraint prevalence was 50 per 1,000 patient days, with preventing disruption of medical therapy reported as the primary rationale.
Restraint prevalence varied by up to 10-fold within and between institutions, reaching the highest levels in adult intensive care units.
Mechanical ventilator use was strongly associated with physical restraint, while older adults were disproportionately restrained only on certain non-ICU units, such as medical wards.

Cite This Study

Minnick et al. (2007) studied this question.

synapsesocial.com/papers/6a036d3c8d9408baed9bd333 https://doi.org/10.1111/j.1547-5069.2007.00140.x

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Implication

Observational study reveals high physical restraint rates and wide variation in US acute care hospitals, suggesting a need for unit-targeted practice improvements.

Prevalence and Variation of Physical Restraint Use in Acute Care Settings in the US

Discussion

Member takes

Implication

Key Points

Cite This Study

Prevalence and Variation of Physical Restraint Use in Acute Care Settings in the US

Discussion

Member takes

Implication

Key Points

Cite This Study

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