The Nurses’ Thought on Physical Restraints in the Healthcare Setting

Abstract

Background: In healthcare, patient safety is highly prioritized. Health care providers may care for patients who are mentally altered due to a medical condition. When a situation escalates and the safety of the patient or staff is at risk, it's up to the judgment of the nurse if physical restraints are needed. The purpose of this paper is to explore how the nurse thinks when physical restraints are indicated. Method: A systematic review of literature took place for the research of this paper. The databases used were PubMed and CINAHL. The time frame is 2017 to 2023 in order to stay up to date with the views on the subject. Keywords would be "United States of America," "Nursing Practice/Care," "Adult," "Physical Restraints," and "cognitive impaired." The adult population found in the non-psychiatric setting is the focus of this paper. Analysis: Articles mentioned how physical restraints should not be the first option. Nurses are trained to use other techniques in order to diffuse a situation. In emergency situations, the physical restraints can be placed without a medical doctor order, but must get order within the hour. When the patient is in restraints, they should still have access to care like drinking, toileting, and comfort. Conclusion: Physical restraints should be the last resort when it comes to keeping the patient/staff safe. When physical restraints are in effect, the nurse should follow hospital guidelines on physical restraints. The restraints should be immediately removed when it is no longer needed.