Abstract
The importance of reducing the use of psychiatric-mental health mechanical restraints has been the focus of clinical nursing practice. A hospital with two psychiatric-mental health units has demonstrated a sustained success related to reducing mechanical restraints. In this qualitative case study, nurses were interviewed to understand how the reduction of mechanical restraints on the psychiatric-mental health units impacts the practice culture and the perception of the psychiatric nurses toward a mechanical restraint-free practice. This study provided new knowledge related to evidence from the psychiatric-mental health nursing practice, themes of barriers, and facilitators toward a restraint-free practice. The participants describe the complexity of the nursing role, how the decision to use restraints is complex, the first hand experience of the nurse who was a part of the leather restraint process, that moving the restraints off the units did not make a difference, that the removal of the restraints from the building was not supported by the nurses. The barrier themes are current practice, medication, and patient acuity or behavior. The facilitator themes are philosophy, CPI implementation, practice or culture change, and medication. This is an innovative study on a restraint-free practice. The recommendations stem from the new information obtained from the evidence and themes and include further inquiry into the passion of nurses to avoid restraint, understanding personal style as well as interaction and bias, environmental alterations, and theme-based recommendations. The evidence and themes provide nursing and nursing leadership knowledge for application to other facilities that are considering a restraint-free environment.
Sigma Membership
Zeta Theta at-Large
Type
Dissertation
Format Type
Text-based Document
Study Design/Type
Case Study/Series
Research Approach
Qualitative Research
Keywords:
Restraint-Free Practice, Mechanical Restraints, Psychiatric Care, Restraint Use Reduction
Advisor
Fran Nelson
Second Advisor
Lilia Santiague
Third Advisor
Marilyn Miller
Degree
PhD
Degree Grantor
University of Phoenix
Degree Year
2014
Recommended Citation
Goetz, Suzanne Barnum, "Perceptions toward a restraint-free practice: A case study" (2021). Dissertations. 1198.
https://www.sigmarepository.org/dissertations/1198
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Date of Issue
2021-10-11
Full Text of Presentation
wf_yes
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3708852; ProQuest document ID: 1692072252. The author still retains copyright.