Reasons for physically restraining patients and residents: a systematic review and content analysis.

OBJECTIVE The purpose of this systematic review was to determine why people are physically restrained in the acute and residential care settings. METHOD A comprehensive search was undertaken of electronic databases to identify studies addressing the reasons for using physical restraint. Findings were synthesised using content analysis. RESULTS Twenty-three studies were identified. The most common reason for using restraints related to patient-oriented issues such as ensuring the safety of people. However, they are also commonly used to facilitate treatment, maintain the social environment and because of issues such as understaffing.

[1]  J. Stansfield,et al.  A content analysis of the professional journal of the British Society of Speech Therapists. I: The first 10 years. Spotlight on 'Speech' 1935-1945. , 1996, European journal of disorders of communication : the journal of the College of Speech and Language Therapists, London.

[2]  A. Retsas Use of Physical Restraints in South Australia's Nursing Homes , 1997 .

[3]  Leonard Kleinrock Breaking loose , 2001, CACM.

[4]  R A Marottoli,et al.  Mechanical restraint use among residents of skilled nursing facilities. Prevalence, patterns, and predictors. , 1991, JAMA.

[5]  K. Radimer,et al.  Health and Nutrition Messages in Food Advertisements: A Comparative Content Analysis of Young and Mature Australian Women's Magazines , 1996 .

[6]  V. Hantikainen,et al.  Using restraint with nursing home residents: a qualitative study of nursing staff perceptions and decision-making. , 2000, Journal of advanced nursing.

[7]  A. Retsas,et al.  Use of physical restraints in nursing homes in New South Wales, Australia. , 1998, International journal of nursing studies.

[8]  C. Powell,et al.  Freedom from restraint: consequences of reducing physical restraints in the management of the elderly. , 1989, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[9]  J. Cohen-Mansfield,et al.  The impact of a restraint-reduction program on nursing home residents. , 1994, Geriatric nursing.

[10]  C. Pratt,et al.  Comparative content analysis of food and nutrition advertisements in Ebony, Essence, and Ladies' Home Journal , 1995 .

[11]  S Cavanagh,et al.  Content analysis: concepts, methods and applications. , 1997, Nurse researcher.

[12]  A. Helmuth Nurses' attitudes toward older persons on their use of physical restraints. , 1995, Orthopedic nursing.

[13]  B. Breuer,et al.  Restraint Reduction Reduces Serious Injuries Among Nursing Home Residents , 1999, Journal of the American Geriatrics Society.

[14]  P. Finucane,et al.  Use of patient restraints in four Australian teaching hospitals. , 1997, Journal of quality in clinical practice.

[15]  A. Pearson,et al.  Systematic reviews of qualitative research , 2001 .

[16]  A. Minnick,et al.  Prevalence and patterns of physical restraint use in the acute care setting. , 1998, The Journal of nursing administration.

[17]  A. Retsas Survey findings describing the use of physical restraints in nursing homes in Victoria, Australia. , 1998, International journal of nursing studies.

[18]  J. Popay,et al.  Rationale and Standards for the Systematic Review of Qualitative Literature in Health Services Research , 1998, Qualitative health research.

[19]  A. Molassiotis,et al.  Nurses' awareness of restraint use with elderly people in Greece and the U.K.: a cross-cultural pilot study. , 1996, International journal of nursing studies.

[20]  D. Jahnigen,et al.  Binding the Elderly: A Prospective Study of the Use of Mechanical Restraints in an Acute Care Hospital , 1987, Journal of the American Geriatrics Society.

[21]  L. Mion,et al.  Incidence of Physical Restraints on Acute General Medical Wards , 1986, Journal of the American Geriatrics Society.

[22]  B Downe-Wamboldt,et al.  Content analysis: method, applications, and issues. , 1992, Health care for women international.

[23]  M. Rich,et al.  Tobacco and alcohol use behaviors portrayed in music videos: a content analysis. , 1997, American journal of public health.

[24]  A. Retsas,et al.  Breaking loose. Use of physical restraints in nursing homes in Queensland, Australia. , 1997, Collegian.

[25]  S. Hardin,et al.  Institutional policy: use of restraints in extended care and nursing homes. , 1993, Journal of gerontological nursing.

[26]  J. Cohen-Mansfield,et al.  Physical Restraints and Agitation in Nursing Home Residents , 1989, Journal of the American Geriatrics Society.

[27]  L. Mion,et al.  A Further Exploration of the Use of Physical Restraints in Hospitalized Patients , 1989, Journal of the American Geriatrics Society.

[28]  L. Libow,et al.  Taking charge. The role of nursing administrators in removing restraints. , 1997, The Journal of nursing administration.

[29]  M. C. Chan,et al.  Use of physical restraints on elderly patients: an exploratory study of the perceptions of nurses in Hong Kong. , 1999, Journal of advanced nursing.

[30]  G. Bucht,et al.  Physical restraints in geriatric care. Knowledge, attitudes and use. , 1998, Scandinavian journal of caring sciences.

[31]  N. Strumpf,et al.  Physical Restraint of the Hospitalized Elderly: Perceptions Of Patients and Nurses , 1988, Nursing research.

[32]  Kramer Jd Reducing restraint use in a nursing home. , 1994 .

[33]  S. Gaebler Just who do we restrain? , 1994, Australian nursing journal.

[34]  R. Schleenbaker,et al.  Restraint use in inpatient rehabilitation: incidence, predictors, and implications. , 1994, Archives of physical medicine and rehabilitation.

[35]  S. Eriksson,et al.  Physical Restraints in Geriatric Care in Sweden: Prevalence and Patient Characteristics , 1996, Journal of the American Geriatrics Society.

[36]  A. Thomas,et al.  Perceptions of acute care nurses in the use of restraints. , 1995, Journal of gerontological nursing.