2.50
Hdl Handle:
http://hdl.handle.net/10755/183060
Category:
Abstract
Type:
Presentation
Title:
Development of a Restraint Reduction Training Program
Author(s):
De Los Santos, Juan; Phillips, J. Craig
Author Details:
Juan De Los Santos, ARNP, email: jdelossantos@mercymiami.org; Craig J. Phillips
Abstract:
PURPOSE:
Restraint is potentially harmful and nurses must conduct a risk benefit analysis, often during a crisis, to determine potential harm prevented versus potential harm produced. This presentation describes how use of a Restraint Use Knowledge and Attitudes Survey of multicultural nurses was used in an acute care hospital to develop an online restraint reduction training program.
METHOD:
Restraint appears to provide questionable clinical benefit for the patient and may increase aberrant behavior. Nurses' knowledge and attitudes about restraints was assessed and a restraint reduction training program was developed using online technologies to enhance knowledge with case scenarios.
FINDINGS:
Areas of concern were restraint alternatives and use with confused or disoriented patients. Sense of teamwork that nurses felt reinforced the importance of supporting collegiality within health care environments. Demographic differences in nurses' attitudes about restraints were based on educational level. Highlighting the need for hospital based training regarding restraint use as nurses may not recall content from basic nurse training programs. Quarterly restraint episodes were used as a proxy measure for nurses' knowledge and attitudes. Trends are expected to continually decrease, which was the case.
DISCUSSION:
Nurses' knowledge and attitude regarding clinical interventions influence frequency of an interventions use. Using actual restraint episodes and patient outcomes as a proxy measure is an appropriate means to determine efficacy of a restraint training program. One caveat to this approach is that percentage of compliance may be skewed as actual restraints decreases. This necessitates restraint education and use of simulation.
Implications for nursing practice are the importance of adequate training and use of simulated clinical scenarios for high risk problem prone interventions that occur infrequently such as restraint. This approach is similar to training for cardiac arrest response using mock code to enhance skills for improved patient outcomes and decreased morbidity and mortality.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDevelopment of a Restraint Reduction Training Programen_GB
dc.contributor.authorDe Los Santos, Juanen_US
dc.contributor.authorPhillips, J. Craigen_US
dc.author.detailsJuan De Los Santos, ARNP, email: jdelossantos@mercymiami.org; Craig J. Phillipsen_US
dc.identifier.urihttp://hdl.handle.net/10755/183060-
dc.description.abstractPURPOSE: <br/>Restraint is potentially harmful and nurses must conduct a risk benefit analysis, often during a crisis, to determine potential harm prevented versus potential harm produced. This presentation describes how use of a Restraint Use Knowledge and Attitudes Survey of multicultural nurses was used in an acute care hospital to develop an online restraint reduction training program. <br/>METHOD:<br/> Restraint appears to provide questionable clinical benefit for the patient and may increase aberrant behavior. Nurses' knowledge and attitudes about restraints was assessed and a restraint reduction training program was developed using online technologies to enhance knowledge with case scenarios. <br/>FINDINGS:<br/>Areas of concern were restraint alternatives and use with confused or disoriented patients. Sense of teamwork that nurses felt reinforced the importance of supporting collegiality within health care environments. Demographic differences in nurses' attitudes about restraints were based on educational level. Highlighting the need for hospital based training regarding restraint use as nurses may not recall content from basic nurse training programs. Quarterly restraint episodes were used as a proxy measure for nurses' knowledge and attitudes. Trends are expected to continually decrease, which was the case. <br/>DISCUSSION:<br/> Nurses' knowledge and attitude regarding clinical interventions influence frequency of an interventions use. Using actual restraint episodes and patient outcomes as a proxy measure is an appropriate means to determine efficacy of a restraint training program. One caveat to this approach is that percentage of compliance may be skewed as actual restraints decreases. This necessitates restraint education and use of simulation. <br/>Implications for nursing practice are the importance of adequate training and use of simulated clinical scenarios for high risk problem prone interventions that occur infrequently such as restraint. This approach is similar to training for cardiac arrest response using mock code to enhance skills for improved patient outcomes and decreased morbidity and mortality.en_GB
dc.date.available2011-10-28T16:12:51Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:12:51Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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