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...

Full description

Saved in:
Bibliographic Details
Main Authors: Jaco Tresfon (Author), Kirsten Langeveld (Author), Anja H. Brunsveld-Reinders (Author), Jaap Hamming (Author)
Format: Book
Published: SAGE Publishing, 2023-01-01T00:00:00Z.
Subjects:
Online Access:Connect to this object online.
Tags: Add Tag
No Tags, Be the first to tag this record!

MARC

LEADER 00000 am a22000003u 4500
001 doaj_796aa35f0e9842c4918fbe7bfac7a91f
042 |a dc 
100 1 0 |a Jaco Tresfon  |e author 
700 1 0 |a Kirsten Langeveld  |e author 
700 1 0 |a Anja H. Brunsveld-Reinders  |e author 
700 1 0 |a Jaap Hamming  |e author 
245 0 0 |a Coming to Grips-How Nurses Deal With Restlessness, Confusion, and Physical Restraints on a Neurological/Neurosurgical Ward 
260 |b SAGE Publishing,   |c 2023-01-01T00:00:00Z. 
500 |a 2333-3936 
500 |a 10.1177/23333936221148816 
520 |a 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. 
546 |a EN 
690 |a Nursing 
690 |a RT1-120 
655 7 |a article  |2 local 
786 0 |n Global Qualitative Nursing Research, Vol 10 (2023) 
787 0 |n https://doi.org/10.1177/23333936221148816 
787 0 |n https://doaj.org/toc/2333-3936 
856 4 1 |u https://doaj.org/article/796aa35f0e9842c4918fbe7bfac7a91f  |z Connect to this object online.