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The challenges of using physical restraint in intensive care units in Iran: A qualitative study.
Salehi, Zahra; Joolaee, Soodabeh; Hajibabaee, Fatemeh; Ghezeljeh, Tahereh Najafi.
Afiliación
  • Salehi Z; School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
  • Joolaee S; Nursing Care Research Centre, Iran University of Medical Sciences, Isfahan, Tehran, Iran.
  • Hajibabaee F; Centre for Health Evaluation and Outcome Sciences, Providence Health Care, Vancouver, Canada.
  • Ghezeljeh TN; School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
J Intensive Care Soc ; 22(1): 34-40, 2021 Feb.
Article en En | MEDLINE | ID: mdl-33643430
BACKGROUND: Physical restraint is widely used in intensive care units to ensure patient safety, manage agitated patients, and prevent the removal of medical equipment connected to them. However, physical restraint use is a major healthcare challenge worldwide. AIM: This study aimed to explore nurses' experiences of the challenges of physical restraint use in intensive care units. METHODS: This qualitative study was conducted in 2018-2019. Twenty critical care nurses were purposively recruited from the intensive care units of four hospitals in Tehran, Iran. Data were collected via in-depth semi-structured interviews, concurrently analyzed via Graneheim and Lundman's conventional content analysis approach, and managed via MAXQDA software (v. 10.0). FINDINGS: Three main themes were identified (i) organizational barriers to effective physical restraint use (lack of quality educations for nurses about physical restraint use, lack of standard guidelines for physical restraint use, lack of standard physical restraint equipment), (ii) ignoring patients' wholeness (their health and rights), and (iii) distress over physical restraint use (emotional and mental distress, moral conflict, and inability to find an appropriate alternative for physical restraint). CONCLUSION: Critical care nurses face different organizational, ethical, and emotional challenges in using physical restraint. Healthcare managers and authorities can reduce these challenges by developing standard evidence-based guidelines, equipping hospital wards with standard equipment, implementing in-service educational programs, supervising nurses' practice, and empowering them for finding and using alternatives to physical restraint. Nurses can also reduce these challenges through careful patient assessment, using appropriate alternatives to physical restraint, and consulting with their expert colleagues.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Aspecto: Ethics Idioma: En Revista: J Intensive Care Soc Año: 2021 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Aspecto: Ethics Idioma: En Revista: J Intensive Care Soc Año: 2021 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Reino Unido