Yıl 2025,
Sayı: 8, 9 - 15, 11.07.2025
Hatice Yumak
,
Özlem Arslan Yetimoğlu
,
Nurseren İşler
,
Hasan Ağın
,
Hatice Yıldırım Sarı
Kaynakça
-
1 Woodruff AG, Choong K. Long-term outcomes and the post-intensive care syndrome in critically ill children: A North American perspective. Children (Basel), 2021; 24;8(4):254. google scholar
-
2 Centres for Medicare and Medicaid Services, 2006. Glossary. https://www.cms. gov/ apps/glossary/default.asp?Letter=R&Language=. google scholar
-
3 Bosch-Alcaraz A, Via-Clavero G. Can we justify the use of physical and mechanical restraint in paediatric patients admitted to the Intensive Care Unit? [[es]]¿Está justificado el uso de contenciones físicas y mecánicas en el paciente pediátrico ingresado en una unidad de cuidados intensivos? https://www. sciencedirect.com/science/journal/21735727Med Intensiva (English Edition), 2020; 44(3): 192-195 google scholar
-
4 Martin B, Mathisen L. Use of physical restraints in adult critical care: a bicultural study. Am J Crit Care, 2005;14(2):133-42. google scholar
-
5 Ludwick R, O’Toole R, Meehan A. Restraints or alternatives: safety work in care of older persons. Int. J. Older People Nurs, 2012; 7 (1), 11-19. google scholar
-
6 Azeem MW, Reddy B, Wudarsky M, Carabetta L, Gregory F, Sarofin M. Restraint reduction at a paediatric psychiatric hospital: a ten-year journey. J. Child Adolesc. Psychiatric Nurs, 2015; 28 (4), 180-184. google scholar
-
7 Tanios MA, Epstein SK, Livelo J, Teres D. Can we identify patients at high risk of unplanned extubation? A large-scale multidisciplinary survey. Respir Care. 2010;55(5):561-568. google scholar
-
8 Minnick AF, Mion LC, Johnson ME, Catrambone C, Leipzig R. Prevalence and variation of physical restraint use in acute care settings in the US. J. Nurs. Scholarship, 2007; 39 (1), 30-37 . google scholar
-
9 Hamilton D, Griesdale D, Mion LC. The prevalence and incidence of re-straint use in a Canadian adult intensive care unit: a prospective cohort study. Canadian J. Critical Care Nurs. 2017; 28 (3), 25-33 . google scholar
-
10 Luk E, Sneyers B, Rose L, Perreault MM, Williamson DR, Mehta S. et al. Predictors of physical restraint use in Canadian intensive care units. Crit Care. 2014; 18 (2), R46. google scholar
-
11 Ofoegbu BN, Playfor SD. The use of physical restraints in paediatric intensive care units. Paediatr Anaesth. 2005;15(5):407-11. google scholar
-
12 Demir A. The use of physical restraints on children: practices and attitudes of paediatric nurses in Turkey. Int Nurs Rev. 2007; 54(4):367-374. google scholar
-
13 Glater-Welt LB, Marchelos M, Albert K, Silver P, Schleien C, Subramony A. Paediatrics. 2018; 141 (1Meeting Abstract) 86. google scholar
-
14 Evans D, Wood J, Lambert L. Patient injury and physical restraint devices: a systematic review. J. Adv. Nurs. 2003; 41 (3), 274-282 . google scholar
-
15 Yıldırım, A., & Şimşek, H. (2016). Qualitative research methods in social sciences (10th ed.). Ankara: October Publishing. google scholar
-
16 Cohen L, Manion L, Morrison K. Research methods in education (6th ed.). New York, NY: Routledge, 2007. google scholar
-
17 Büyüköztürk, Ş., Kılıç-Çakmak, E., Akgün, Ö. E., Karadeniz, Ş., & Demirel, F. (2008). Scientific research methods. Ankara: Pegem Publishing. google scholar
-
18 Bosch Alcaraz A, Belda Hofheinz S, Corrionero Alegre J, Miguel Garcia Pinero J, Gil Domınguez S, Fernândez Lorenzo Ret al. Prevalence of the use of physical restraints in paediatric intensive care units and correlated variables: A Spanish multicenter study. Intensive Crit Care Nurs. 2024; 7;85:103788. doi:10.1016/ j.iccn.2024.103788. google scholar
-
19 Kaya H, Doğu Ö. Intensive care unit nurses’ knowledge, attitudes and practices related to the use of physical restraints. International Journal of Caring Sciences; 2018; 11 (1):61. google scholar
-
20 Bosch Alcaraz A, Corrionero Alegre J, Gil Domınguez S, Luna Castano P, Piqueras Rodriguez P, Belda Hofheinz S et al. Intention to use physical restraint in paediatric intensive care units and correlated variables: A multicentre and cross-sectional study. Intensive Crit Care Nurs. 2024; 83: 103690. doi: 10.1016/ j.iccn.2024.103690. google scholar
-
21 He S, Meng Y, Liu F, Wang X, Qiu H, Zuo Z. Nurses' knowledge, attitude, and practice regarding the use of physical restraints in children in the intensive care setting in China: A cross-sectional multicentre study. Aust Crit Care. 2023; 36(4):515-520. doi: 10.1016/j.aucc.2022.04.007. google scholar
-
22 Olds D, Cramer E. Predictors of physical restraint use in critical care units: An observational structural equation modelling approach. Int J Nurs Stud.,2021;118:103925. google scholar
Views and Experiences of Nurses and Physicians Regarding The Use of Physical Restraints in PICU
Yıl 2025,
Sayı: 8, 9 - 15, 11.07.2025
Hatice Yumak
,
Özlem Arslan Yetimoğlu
,
Nurseren İşler
,
Hasan Ağın
,
Hatice Yıldırım Sarı
Öz
Objective: The aim of this study was to determine the views and experiences of nurses and physicians regarding the use of physical restraints.
Methods: The study was conducted in the tertiary level paediatric intensive care unit. In the qualitative study, focus group interviews were conducted to reveal the opinions and experiences of physicians and nurses working in the intensive care unit. The physicians working in the clinic were interviewed once, and five focus group interviews were held with the nurses.
Results: The themes identified in the focus group interviews were benefit/harm, reasons for using physical restraints, materials used for restraints, workload, family's reaction, decision-making process for restraint use and consent, and ethical dilemma.
Conclusion: The nurses participating in the present study believed that physical restraint application was beneficial for the following reasons: to prevent the patient from falling off the bed and pulling out the equipment, to continue the treatment, to ensure the safety of the patient, and to protect the child from the complications of chemical restraints. The nurses and physicians stated that they made the decision whether the physical restraints should be applied together as a team, and that different bed designs would make it possible to maintain patient care safely without a need for restraints.
Kaynakça
-
1 Woodruff AG, Choong K. Long-term outcomes and the post-intensive care syndrome in critically ill children: A North American perspective. Children (Basel), 2021; 24;8(4):254. google scholar
-
2 Centres for Medicare and Medicaid Services, 2006. Glossary. https://www.cms. gov/ apps/glossary/default.asp?Letter=R&Language=. google scholar
-
3 Bosch-Alcaraz A, Via-Clavero G. Can we justify the use of physical and mechanical restraint in paediatric patients admitted to the Intensive Care Unit? [[es]]¿Está justificado el uso de contenciones físicas y mecánicas en el paciente pediátrico ingresado en una unidad de cuidados intensivos? https://www. sciencedirect.com/science/journal/21735727Med Intensiva (English Edition), 2020; 44(3): 192-195 google scholar
-
4 Martin B, Mathisen L. Use of physical restraints in adult critical care: a bicultural study. Am J Crit Care, 2005;14(2):133-42. google scholar
-
5 Ludwick R, O’Toole R, Meehan A. Restraints or alternatives: safety work in care of older persons. Int. J. Older People Nurs, 2012; 7 (1), 11-19. google scholar
-
6 Azeem MW, Reddy B, Wudarsky M, Carabetta L, Gregory F, Sarofin M. Restraint reduction at a paediatric psychiatric hospital: a ten-year journey. J. Child Adolesc. Psychiatric Nurs, 2015; 28 (4), 180-184. google scholar
-
7 Tanios MA, Epstein SK, Livelo J, Teres D. Can we identify patients at high risk of unplanned extubation? A large-scale multidisciplinary survey. Respir Care. 2010;55(5):561-568. google scholar
-
8 Minnick AF, Mion LC, Johnson ME, Catrambone C, Leipzig R. Prevalence and variation of physical restraint use in acute care settings in the US. J. Nurs. Scholarship, 2007; 39 (1), 30-37 . google scholar
-
9 Hamilton D, Griesdale D, Mion LC. The prevalence and incidence of re-straint use in a Canadian adult intensive care unit: a prospective cohort study. Canadian J. Critical Care Nurs. 2017; 28 (3), 25-33 . google scholar
-
10 Luk E, Sneyers B, Rose L, Perreault MM, Williamson DR, Mehta S. et al. Predictors of physical restraint use in Canadian intensive care units. Crit Care. 2014; 18 (2), R46. google scholar
-
11 Ofoegbu BN, Playfor SD. The use of physical restraints in paediatric intensive care units. Paediatr Anaesth. 2005;15(5):407-11. google scholar
-
12 Demir A. The use of physical restraints on children: practices and attitudes of paediatric nurses in Turkey. Int Nurs Rev. 2007; 54(4):367-374. google scholar
-
13 Glater-Welt LB, Marchelos M, Albert K, Silver P, Schleien C, Subramony A. Paediatrics. 2018; 141 (1Meeting Abstract) 86. google scholar
-
14 Evans D, Wood J, Lambert L. Patient injury and physical restraint devices: a systematic review. J. Adv. Nurs. 2003; 41 (3), 274-282 . google scholar
-
15 Yıldırım, A., & Şimşek, H. (2016). Qualitative research methods in social sciences (10th ed.). Ankara: October Publishing. google scholar
-
16 Cohen L, Manion L, Morrison K. Research methods in education (6th ed.). New York, NY: Routledge, 2007. google scholar
-
17 Büyüköztürk, Ş., Kılıç-Çakmak, E., Akgün, Ö. E., Karadeniz, Ş., & Demirel, F. (2008). Scientific research methods. Ankara: Pegem Publishing. google scholar
-
18 Bosch Alcaraz A, Belda Hofheinz S, Corrionero Alegre J, Miguel Garcia Pinero J, Gil Domınguez S, Fernândez Lorenzo Ret al. Prevalence of the use of physical restraints in paediatric intensive care units and correlated variables: A Spanish multicenter study. Intensive Crit Care Nurs. 2024; 7;85:103788. doi:10.1016/ j.iccn.2024.103788. google scholar
-
19 Kaya H, Doğu Ö. Intensive care unit nurses’ knowledge, attitudes and practices related to the use of physical restraints. International Journal of Caring Sciences; 2018; 11 (1):61. google scholar
-
20 Bosch Alcaraz A, Corrionero Alegre J, Gil Domınguez S, Luna Castano P, Piqueras Rodriguez P, Belda Hofheinz S et al. Intention to use physical restraint in paediatric intensive care units and correlated variables: A multicentre and cross-sectional study. Intensive Crit Care Nurs. 2024; 83: 103690. doi: 10.1016/ j.iccn.2024.103690. google scholar
-
21 He S, Meng Y, Liu F, Wang X, Qiu H, Zuo Z. Nurses' knowledge, attitude, and practice regarding the use of physical restraints in children in the intensive care setting in China: A cross-sectional multicentre study. Aust Crit Care. 2023; 36(4):515-520. doi: 10.1016/j.aucc.2022.04.007. google scholar
-
22 Olds D, Cramer E. Predictors of physical restraint use in critical care units: An observational structural equation modelling approach. Int J Nurs Stud.,2021;118:103925. google scholar