Application of Joanna Briggs Institute physical restraint standards to critical emergency department patients following CONSORT guidelines

Autor: Sun Wei, Wang Yushu, Shao Yanxia, Zhou Xiaoping, Xiaoli Wen, Zeng Dongmei
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Restraint
Physical

medicine.medical_specialty
Health Knowledge
Attitudes
Practice

Critical Care
emergency department
Decision Making
Observational Study
critical patient
Health knowledge
Nursing Staff
Hospital

Critical Care Nursing
03 medical and health sciences
0302 clinical medicine
Informed consent
Joanna Briggs Institute
physical restraint standards
medicine
Humans
Observation group
030212 general & internal medicine
Prospective Studies
Prospective cohort study
Adverse effect
Informed Consent
business.industry
Incidence (epidemiology)
Consolidated Standards of Reporting Trials
nursing assessment
General Medicine
Emergency department
Middle Aged
Reference Standards
030220 oncology & carcinogenesis
Case-Control Studies
Emergency medicine
Female
business
Emergency Service
Hospital

Research Article
Zdroj: Medicine
ISSN: 1536-5964
0025-7974
Popis: To explore the effect of Joanna Briggs Institute (JBI) physical restraint standards in improving physical restraint in critical and emergency department patients. Enrolled 300 critical patients admitted in our hospital's emergency department from January to December 2019: 150 patients admitted January to June 2019 as control group and 150 patients admitted July to December 2019 as observation group. Routine restraints were applied in control group. Emergency department nurses in the observation group received thematic and practical JBI standardized training. This included pre-restraint assessment, principles of physical restraint, informed consent, using a restraint decision-making wheel, and alternatives to physical restraint. The incidence of restraint-associated adverse events (e.g., skin bruising, swelling) and restraint utilization rate were examined between 2 groups. The incidence of adverse events and the restraint utilization rate were significantly lower in the observation group (P
Databáze: OpenAIRE