Physical Restraint: a descriptive study in Swiss nursing homes

Hantikainen, V.
July 1998
Nursing Ethics;Jul98, Vol. 5 Issue 4, p330
Academic Journal
This article focuses on the reasons for using physical restraints, their prevalence and nurses’ experiences of their use. The data were collected by means of a questionnaire from nurses, trained nurse’s aids and auxiliary staff (n = 173) in seven Swiss nursing homes. The results showed that physical restraints are used in nursing units, the mean number of restrained residents in each being 3.7 (SD 3.9). However, nursing staff did not necessarily understand and consider the term ‘restraint’ as a restrictive device in its negative sense. The most common reasons indicated for the use of restraint were related to the protection and safety of the residents themselves, the prevention of disturbance of other residents, and the residents’ restlessness and aggressiveness. As for the reasons related to staffing, reference was made to understaffing, a lack of competence on the part of nurses, and the demands of residents, their next of kin and doctors. It was not common practice to inform the elderly residents that they would be restrained, and therefore they were not always aware of what was happening to them and why. Twenty-nine per cent of the respondents reported that the flexibility of their work was affected by the use of physical restraint.


Related Articles

  • The last resort. Hughes, Rhidian // British Journal of Healthcare Assistants;Sep2008, Vol. 2 Issue 9, p421 

    The article discusses various reports published within the issue, including one on the various definitions and categories of restraint and another on the policy and practice context in health care and social care.

  • Restraint: cause for concern. Grout, Gwyn; Garrett, Dawne // Nursing Older People;Jul2008, Vol. 20 Issue 6, p16 

    The article provides an answer to a question on how important it is to physically restrain older patients for persons who provide health care services to them.

  • Patient restraints: New guidelines for a less restrictive approach. Brungardt, Gerard S. // Geriatrics;Jun94, Vol. 49 Issue 6, p43 

    Presents less restrictive management strategies in the use of restraints for older patients. Modifiable risk factors to prevent falls; Validation of agenda behaviors in wandering patients; Effect of using restraints in patients experiencing delirium; Protection of medical devices.

  • PRONING CAN SAVE YOU TIME. Getz, Patsy A. // RN;Aug82, Vol. 45 Issue 8, p92Y 

    Provides tips to nurses on proning immobilized patients. Way of preventing concentration of pressure on bony areas of the body; Impact of proning on decubitus; Benefits of proning for paraplegic patients.

  • Restraint of patients in health care. Slowther, Anne-Marie // Clinical Ethics;2007, Vol. 2 Issue 2, p71 

    The article focuses on the restraint patients in the health care medicine in Great Britain. The author states that individual freedom is a core ethical concept that has informed ad shaped legal frameworks, national and international codes of ethics. He adds that in health care, the right of...

  • Call for deliberate face-down restraint to be avoided.  // Learning Disability Practice;Sep2014, Vol. 17 Issue 7, p7 

    The article reports on the opposition of the British nurses and other health care staff members to oppose the proposed changes of the Department of Health to the Mental Health Act of 1983 Code of Practice.

  • Restraint part 4: issues and dilemmas. Hughes, Rhidian // British Journal of Healthcare Assistants;Dec2008, Vol. 2 Issue 12, p593 

    This final article in the current series on restraint takes a broad view of some of the issues raised by restraints for healthcare practitioners. The article covers debates about 'restraint free' care, values that support positive practice, and education and training to minimize the unnecessary...

  • Restraint, seclusion variances require case-by-case reactions at front line. Parker, Che // AHA News;12/11/2000, Vol. 36 Issue 48, p3 

    Discusses the risks of using restraint and seclusion in medical treatment and the need for medical frontline providers to treat patients individually. Variations in the standard of health care workers; Consequences of restraining and secluding patients; Suggestions on how to reduce the use of...

  • Repeating the Call for Restraint Reduction. Letizia, Marijo; Babler, Cynthia; Cockrell, Amy // MEDSURG Nursing;Feb2004, Vol. 13 Issue 1, p9 

    Over the past 2 decades, great advances have been made in reducing the use of physical restraints in health care facilities. In this article, misconceptions and facts related to restraint use are reviewed and restraint reduction strategies are presented. Although all those involved in health...


Read the Article

Courtesy of

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics