Abstract

The problem to address at Baptist Medical Center (BMC), located in downtown San Antonio, Texas, is how to reduce the use of restraints in the surgical intensive care unit (SICU) and medical intensive care unit (MICU). Issues that make it necessary to reduce restraint use at BMC are increased agitation, risk for delirium, post-traumatic stress disorder, pressure injuries, increased length of stay (LOS), risk for physical damage to the restrained area, and death. Factors contributing to the problem are the perception of nurses and physicians that restraints reduce the risk of self-extubation. The director of quality improvement and the certified nurse educator (CNE) report that problems surrounding the use of physical restraints at BMC seemed to relate to the lack of education on alternative interventions. Improving clinical practice and promoting quality care through assessment of relevant clinical research resulting in the implementation of evidence-based alternatives will aid in reducing the number of restraints used in the ICU.

Kelly Betsinger

Author Details

Kelly Betsinger, DNP, MSN, RN

Sigma Membership

Gamma Eta

Lead Author Affiliation

Samford University, Birmingham, Alabama, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Intensive Care Unit, Restraint Protocol, Safety Bundles

Advisor

Ledbetter, Maria

Degree

DNP

Degree Grantor

Samford University

Degree Year

2020

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

2020-07-17

Full Text of Presentation

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