Interventions to reduce physical restraints in general hospital settings: A scoping review of components and characteristics.
acute care
geriatrics
hospitals
physical restraints
scoping review
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
16
01
2020
revised:
26
03
2020
accepted:
05
06
2020
pubmed:
20
6
2020
medline:
24
11
2020
entrez:
20
6
2020
Statut:
ppublish
Résumé
To describe the characteristics of interventions for reducing physical restraints in general hospital settings. Physical restraints, such as bedrails and belts in beds and chairs, are commonly used in general hospital settings. However, there is no clear evidence on their effectiveness but some evidence on potential risks for harm. Scoping review. We conducted a systematic database search (MEDLINE via PubMed, CINAHL, Cochrane Library; March 2020) and snowballing techniques. We included both interventional studies and quality improvement projects conducted in general hospital settings and published in English or German language. Two reviewers independently performed the study selection and data extraction. The Scoping Reviews (PRISMA-ScR) Checklist was used. We included 31 articles (published between 1989 and 2018), 15 quality improvement projects and 16 intervention studies. Only five studies used a controlled design. Most studies and quality improvement projects investigated multicomponent interventions including education (predominantly for nursing staff) and additional components (e.g. case conferences). Three studies examined simple educational programmes without additional components. A large number of multicomponent interventions for preventing and reducing physical restraints in general hospital settings have been developed. The interventions differed widely regarding the components, contents and settings. Well-designed evaluation studies investigating the effects of such interventions are lacking. Multicomponent educational interventions might be one approach to change clinical practice, but only insufficient information is available about potential effects of these approaches.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
To describe the characteristics of interventions for reducing physical restraints in general hospital settings.
BACKGROUND
BACKGROUND
Physical restraints, such as bedrails and belts in beds and chairs, are commonly used in general hospital settings. However, there is no clear evidence on their effectiveness but some evidence on potential risks for harm.
DESIGN
METHODS
Scoping review.
METHODS
METHODS
We conducted a systematic database search (MEDLINE via PubMed, CINAHL, Cochrane Library; March 2020) and snowballing techniques. We included both interventional studies and quality improvement projects conducted in general hospital settings and published in English or German language. Two reviewers independently performed the study selection and data extraction. The Scoping Reviews (PRISMA-ScR) Checklist was used.
RESULTS
RESULTS
We included 31 articles (published between 1989 and 2018), 15 quality improvement projects and 16 intervention studies. Only five studies used a controlled design. Most studies and quality improvement projects investigated multicomponent interventions including education (predominantly for nursing staff) and additional components (e.g. case conferences). Three studies examined simple educational programmes without additional components.
CONCLUSIONS
CONCLUSIONS
A large number of multicomponent interventions for preventing and reducing physical restraints in general hospital settings have been developed. The interventions differed widely regarding the components, contents and settings. Well-designed evaluation studies investigating the effects of such interventions are lacking.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
Multicomponent educational interventions might be one approach to change clinical practice, but only insufficient information is available about potential effects of these approaches.
Types de publication
Journal Article
Review
Langues
eng
Pagination
3183-3200Subventions
Organisme : Wilhelm-Roux-Programme of the Medical Faculty, Martin Luther University Halle-Wittenberg
ID : FV-30/10
Informations de copyright
© 2020 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.
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