What does this research mean for the field?

Higher physical restraint removal rates in the ICU are achieved through a configurational pathway involving the synergy of patient cooperation and effective staffing, combined with lower device-related concerns, less clinical experience, and limited team communication. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To explore the factors influencing ICU nurses' implementation of minimal physical restraint practices and identify configurational pathways to optimize clinical restraint management.

August 27, 2026Nursing in Critical Care

ICU Nurse Perspectives on Influences of Minimal Physical Restraint Practices: A Mixed‐Methods Study

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Authors

HHHui He JZJing Zhang LBLiping Bai

Discussion

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Implication

Mixed-methods study uncovers organizational and clinical pathways driving minimal physical restraint in intensive care units, indicating that effective staffing and training promote safer care.

Key Points

To explore the factors influencing ICU nurses' implementation of minimal physical restraint practices and identify configurational pathways to optimize clinical restraint management.
Conducted an exploratory sequential mixed-methods study (qualitative interviews analyzed with Colaizzi's phenomenological method followed by quantitative fuzzy-set qualitative comparative analysis [fsQCA]) from July to November 2024.
Recruited frontline bedside ICU nurses across three Grade 3 Class A tertiary hospitals in southern China following MMARS and GRAMMS reporting standards.
Identified six core themes influencing restraint practices across patient, nursing, and organizational levels.
Revealed a single configurational pathway accounting for high restraint removal rates (≥ 50%), characterized by the combination of patient cooperation, effective staffing, lower device-related concerns, less clinical experience, and limited team communication (consistency = 0.89, coverage = 0.34).

Cite This Study

He et al. (2026) studied this question.

synapsesocial.com/papers/6a8fea3310c91c1e92622463 https://doi.org/10.1111/nicc.70628

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Implication

Mixed-methods study uncovers organizational and clinical pathways driving minimal physical restraint in intensive care units, indicating that effective staffing and training promote safer care.

ICU Nurse Perspectives on Influences of Minimal Physical Restraint Practices: A Mixed‐Methods Study

Discussion

Member takes

Implication

Key Points

Cite This Study

ICU Nurse Perspectives on Influences of Minimal Physical Restraint Practices: A Mixed‐Methods Study

Discussion

Member takes

Implication

Key Points

Cite This Study

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