The Effectiveness of the Over 24 Hours Physical Restraint Indicators

Friday, 25 July 2014

YiChun Chen, RN, BS
Department of Nursing, Chi Mei Medical Center, Liuying, Department of Nursing, Tainan, Taiwan

Purpose: A physical restraint is frequent initiatives in the hospital patients. However, there are a few studies on the indicators of physical restraint. The aim of this retrospective study was to explore physical restraint rates in a hospital and to investigate the effectiveness of the intervention. It is hoped that the over-24-hour physical restraints of patient can be reduced in long term.

Methods: We analyze the Physical Restraint Reporting System between January 2013 and July 2013 and extracted data of the prevalence of the over-24-hour physical restraint among inpatients to collect the over-24-hour physical restraint events. Physical restraint rates before and after the interventions were compared. The reasons for the over-24-hour physical restraints were summarized as follows. 1. Systemic problems: After the discharge, the constraint records were not deleted. 2. The clarification defined based on Taiwan Clinical Performance Indicator. 3. Utilization of Team Resource Management to discuss alternative restraint programs. 4. Continuous analysis of data and comparison with restraint rates and compared with the restraint time.

Results: The results revealed that the over-24-hour physical restraints rates were reduced from 41.29 percent to 13.73 percent.

Conclusion: The over-24-hour physical restraints is an important issue in a hospital setting. The results show that different care should be taken to prevent interventions in physical restraints so as to improve quality of patient care.