Cargando…
Coming to Grips—How Nurses Deal With Restlessness, Confusion, and Physical Restraints on a Neurological/Neurosurgical Ward
Physical restraints are viewed as potentially dangerous objects for patient safety. Contemporary efforts mainly focus on preventing bad outcomes in restraint use, while little attention is paid under what circumstances physical restraints are applied harmlessly. The aim of this research was to under...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9880574/ https://www.ncbi.nlm.nih.gov/pubmed/36712230 http://dx.doi.org/10.1177/23333936221148816 |
_version_ | 1784878944328089600 |
---|---|
author | Tresfon, Jaco Langeveld, Kirsten Brunsveld-Reinders, Anja H. Hamming, Jaap |
author_facet | Tresfon, Jaco Langeveld, Kirsten Brunsveld-Reinders, Anja H. Hamming, Jaap |
author_sort | Tresfon, Jaco |
collection | PubMed |
description | Physical restraints are viewed as potentially dangerous objects for patient safety. Contemporary efforts mainly focus on preventing bad outcomes in restraint use, while little attention is paid under what circumstances physical restraints are applied harmlessly. The aim of this research was to understand how physical restraints are used by neurology/neurosurgery ward nurses in relation to the protocol. In ethnographic action research, the Functional Resonance Analysis Method (FRAM) was used to map and compare physical restraints as part of daily ward care against the protocol of physical restraints. Comparison between protocol and actual practice revealed that dealing with restlessness and confusion is a collective nursing skill vital in dealing with physical restraints, while the protocol failed to account for these aspects. Supporting and maintaining this skillset throughout this and similar nursing teams can prevent future misguided application physical restraints, offering valuable starting point in managing patient safety for these potentially dangerous objects. |
format | Online Article Text |
id | pubmed-9880574 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-98805742023-01-28 Coming to Grips—How Nurses Deal With Restlessness, Confusion, and Physical Restraints on a Neurological/Neurosurgical Ward Tresfon, Jaco Langeveld, Kirsten Brunsveld-Reinders, Anja H. Hamming, Jaap Glob Qual Nurs Res Single-Method Research Article Physical restraints are viewed as potentially dangerous objects for patient safety. Contemporary efforts mainly focus on preventing bad outcomes in restraint use, while little attention is paid under what circumstances physical restraints are applied harmlessly. The aim of this research was to understand how physical restraints are used by neurology/neurosurgery ward nurses in relation to the protocol. In ethnographic action research, the Functional Resonance Analysis Method (FRAM) was used to map and compare physical restraints as part of daily ward care against the protocol of physical restraints. Comparison between protocol and actual practice revealed that dealing with restlessness and confusion is a collective nursing skill vital in dealing with physical restraints, while the protocol failed to account for these aspects. Supporting and maintaining this skillset throughout this and similar nursing teams can prevent future misguided application physical restraints, offering valuable starting point in managing patient safety for these potentially dangerous objects. SAGE Publications 2023-01-24 /pmc/articles/PMC9880574/ /pubmed/36712230 http://dx.doi.org/10.1177/23333936221148816 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Single-Method Research Article Tresfon, Jaco Langeveld, Kirsten Brunsveld-Reinders, Anja H. Hamming, Jaap Coming to Grips—How Nurses Deal With Restlessness, Confusion, and Physical Restraints on a Neurological/Neurosurgical Ward |
title | Coming to Grips—How Nurses Deal With Restlessness, Confusion, and
Physical Restraints on a Neurological/Neurosurgical Ward |
title_full | Coming to Grips—How Nurses Deal With Restlessness, Confusion, and
Physical Restraints on a Neurological/Neurosurgical Ward |
title_fullStr | Coming to Grips—How Nurses Deal With Restlessness, Confusion, and
Physical Restraints on a Neurological/Neurosurgical Ward |
title_full_unstemmed | Coming to Grips—How Nurses Deal With Restlessness, Confusion, and
Physical Restraints on a Neurological/Neurosurgical Ward |
title_short | Coming to Grips—How Nurses Deal With Restlessness, Confusion, and
Physical Restraints on a Neurological/Neurosurgical Ward |
title_sort | coming to grips—how nurses deal with restlessness, confusion, and
physical restraints on a neurological/neurosurgical ward |
topic | Single-Method Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9880574/ https://www.ncbi.nlm.nih.gov/pubmed/36712230 http://dx.doi.org/10.1177/23333936221148816 |
work_keys_str_mv | AT tresfonjaco comingtogripshownursesdealwithrestlessnessconfusionandphysicalrestraintsonaneurologicalneurosurgicalward AT langeveldkirsten comingtogripshownursesdealwithrestlessnessconfusionandphysicalrestraintsonaneurologicalneurosurgicalward AT brunsveldreindersanjah comingtogripshownursesdealwithrestlessnessconfusionandphysicalrestraintsonaneurologicalneurosurgicalward AT hammingjaap comingtogripshownursesdealwithrestlessnessconfusionandphysicalrestraintsonaneurologicalneurosurgicalward |