Learning Objective 1: identify potential situations which may increase the level of anxiety of a patient who is physically restrained.
Learning Objective 2: create a plan of care for the restrained patient which includes maintaining patient safety while recognizing patient autonomy.
Methods: Fifty patients who had been admitted to one of four Intensive Care Units at two medical centers in southeastern
Results: Qualitative analysis revealed recurring themes of anxiety and helplessness related to loss of autonomy. “I felt bad. I felt like an animal tied down.” “Frightened, I was unable to complete my prayer with making the sign of the cross.” “Even though my arms were exercised periodically by the nurse, I could not move them very well for days after I was released.” “I felt like I was drowning from reflux.”
Conclusion: The information gathered may shed new light on patients’ anxieties and perceptions of the ventilator and restraint experience. Additionally, findings may aid healthcare workers in actively listening to patients' voices. Implications for nursing practice may include an improvement in patient autonomy and an enhancement in overall quality of care and patient satisfaction.
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