Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit

J Nurs Care Qual. 2018 Apr/Jun;33(2):143-148. doi: 10.1097/NCQ.0000000000000273.

Abstract

Restraint use has been linked to longer lengths of stay and other undesirable outcomes. This evidence-based project explored the impact of a restraint management bundle on restraint use, quality, and safety outcomes. Results indicated that the proportion of intensive care unit patients restrained decreased significantly (24.3% vs 20.9%) following program implementation. Project results suggest that the restraint management bundle may provide a framework for guiding the process to reduce restraint use, minimize harm, and improve patient safety.

MeSH terms

  • Critical Care
  • Decision Making
  • Evidence-Based Practice*
  • Female
  • Humans
  • Intensive Care Units*
  • Length of Stay
  • Male
  • Middle Aged
  • Patient Safety*
  • Program Evaluation*
  • Restraint, Physical / standards*