Effect of a treatment interference protocol on clinical decision making for restraint use in the intensive care unit: a pilot study.
The literature is replete with articles describing restraint reduction strategies used in long-term care settings, geriatric specialty units, and medical/surgical units in the acute care setting. The feasibility, effectiveness, and appropriateness of such strategies cannot be capriciously applied to the intensive care setting. This article provides an overview of the implementation and outcomes of a pilot study using an algorithmic approach that is clinically appropriate and justifiable for restraint use in the intensive care environment. It provides the critical care nurse with a standardized method for decision analysis when managing patients at risk for treatment interference.
Vance
Diana L
DL
Summa Health System Hospitals, Akron, Ohio 44309-2090, USA. Vanced@summa-health.org
D000328:Adult; D000465:Algorithms; D003661:Decision Support Techniques; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment / Q000379:methods*; D009820:Ohio; D010865:Pilot Projects; D012149:Restraint, Physical; D018570:Risk Assessment; D018709:Statistics, Nonparametric