PMID- 28864433
OWN - NLM
STAT- MEDLINE
DCOM- 20180716
LR  - 20180716
IS  - 1937-710X (Electronic)
IS  - 1062-3264 (Linking)
VI  - 26
IP  - 5
DP  - 2017 Sep
TI  - Determinants of Nurses' Use of Physical Restraints in Surgical Intensive Care
      Unit Patients.
PG  - 373-379
LID - 10.4037/ajcc2017244 [doi]
AB  - BACKGROUND: Physical restraints are used in intensive care units, particularly
      among patients at risk for self-terminating necessary treatment interventions,
      including endotracheal tubes and invasive catheters. Assessments conducted by
      intensive care unit nurses often influence the collaborative decision to initiate
      and discontinue restraints in critical care patients. However, little is known
      about factors that influence the critical thought processes of intensive care
      unit nurses in determining use of restraints. OBJECTIVES: To describe nurses'
      determinants of initiation and discontinuation of restraints in surgical
      intensive care unit patients. METHODS: Semistructured interviews were conducted
      to identify and describe determinants of initiation and discontinuation of
      physical restraints. Demographic and employment data were collected via
      questionnaire. Interviews were recorded, transcribed, and analyzed by using
      conventional content analysis to establish categories and identify themes.
      RESULTS: A total of 13 nurses (mean age 43 [SD, 12] years, 92% female, mean of 18
      [SD, 12] years of practice as a registered nurse, 69% bachelor of science in
      nursing) participated in the study. Content analysis revealed 3 general
      categories and 8 themes that indicated the thoughtful reflection processes nurses
      in a surgical intensive care unit use to determine use of restraints.
      CONCLUSIONS: Top priorities were ensuring patient safety and comfort. Nurses
      synthesized factors including practice experience, patient-specific behaviors and
      risk, and patients' need for devices in determining use of restraints.
CI  - (c)2017 American Association of Critical-Care Nurses.
FAU - Dolan, Jeanne
AU  - Dolan J
AD  - Jeanne Dolan is a critical care nurse who was practicing in the surgical
      intensive care unit when the study was done (now in the postanesthesia care
      unit), Massachusetts General Hospital, Boston, Massachusetts. Sara E. Dolan Looby
      is a nurse scientist, Yvonne L. Munn Center for Nursing Research, Massachusetts
      General Hospital. jmdolan@mghihp.edu.
FAU - Dolan Looby, Sara E
AU  - Dolan Looby SE
AD  - Jeanne Dolan is a critical care nurse who was practicing in the surgical
      intensive care unit when the study was done (now in the postanesthesia care
      unit), Massachusetts General Hospital, Boston, Massachusetts. Sara E. Dolan Looby
      is a nurse scientist, Yvonne L. Munn Center for Nursing Research, Massachusetts
      General Hospital.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Crit Care
JT  - American journal of critical care : an official publication, American Association
      of Critical-Care Nurses
JID - 9211547
SB  - IM
SB  - N
MH  - Adult
MH  - *Attitude of Health Personnel
MH  - Boston
MH  - Critical Care Nursing/*methods
MH  - Female
MH  - Humans
MH  - Intensive Care Units
MH  - Interviews as Topic
MH  - Male
MH  - Nursing Staff, Hospital/*statistics & numerical data
MH  - Patient Safety/statistics & numerical data
MH  - Restraint, Physical/*statistics & numerical data
EDAT- 2017/09/03 06:00
MHDA- 2018/07/17 06:00
CRDT- 2017/09/03 06:00
PHST- 2017/09/03 06:00 [entrez]
PHST- 2017/09/03 06:00 [pubmed]
PHST- 2018/07/17 06:00 [medline]
AID - 26/5/373 [pii]
AID - 10.4037/ajcc2017244 [doi]
PST - ppublish
SO  - Am J Crit Care. 2017 Sep;26(5):373-379. doi: 10.4037/ajcc2017244.