Abstract：
:Physical restraints have been the standard of practice to manage certain types of patient behavior, such as unstable mobility, wandering, agitation, and interference with medical treatment. However, this intervention is not without serious negative consequences. Patients with neurological disorders or injuries are often at high risk for being restrained. The need to change to a more positive, patient-focused, restraint-free model was the goal of this project. A convenience sample of adult patients who were admitted to a neurological unit were studied. Outcome data that were assessed included (1) staff nurses' perception of restraints, (2) fall rate, (3) fall rate with injury, and (4) tube/line loss rate. Staff perceptions of restraints were assessed by administering the Perception of Restraints Use Questionnaire (PRUQ) before and after implementation of the restraint-reduced environment. The results of the outcome data support the change to a more restraint-reduced environment, as indicated by fall rate, fall rate with injury, and tube/line loss. Additionally, nurses' perceptions of restraints, as measured by the PRUQ, indicated a trend toward less emphasis on the use of restraints to control specific unsafe or undesirable patient behaviors.
journal_name
J Nurs Care Qualjournal_title
Journal of nursing care qualityauthors
Gilbert M,Counsell Cdoi
10.1097/00001786-199906000-00007keywords:
subject
Has Abstractpub_date
1999-06-01 00:00:00pages
57-64issue
5eissn
1057-3631issn
1550-5065journal_volume
13pub_type
杂志文章abstract：:Nursing shift report on the medical-surgical units of a large teaching hospital was modified from a recorded report to a blend of both recorded and bedside components. Comparisons between baseline and postimplementation data indicated increased patient satisfaction and nurse perception of accountability and patient in...
journal_title：Journal of nursing care quality
pub_type： 杂志文章
doi：10.1097/NCQ.0b013e31827a4795
更新日期：2013-04-01 00:00:00
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journal_title：Journal of nursing care quality
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journal_title：Journal of nursing care quality
pub_type： 杂志文章
doi：10.1097/NCQ.0b013e3181ace2bc
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journal_title：Journal of nursing care quality
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journal_title：Journal of nursing care quality
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Journal of nursing care quality
pub_type： 杂志文章
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journal_title：Journal of nursing care quality
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journal_title：Journal of nursing care quality
pub_type： 杂志文章
doi：10.1097/01.NCQ.0000336677.56089.24
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journal_title：Journal of nursing care quality
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journal_title：Journal of nursing care quality
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journal_title：Journal of nursing care quality
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journal_title：Journal of nursing care quality
pub_type： 杂志文章
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journal_title：Journal of nursing care quality
pub_type： 杂志文章
doi：10.1097/00001786-199910000-00006
更新日期：1999-10-01 00:00:00
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journal_title：Journal of nursing care quality
pub_type： 杂志文章,评审
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journal_title：Journal of nursing care quality
pub_type： 杂志文章
doi：10.1097/00001786-199401000-00005
更新日期：1994-01-01 00:00:00
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journal_title：Journal of nursing care quality
pub_type： 杂志文章
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journal_title：Journal of nursing care quality
pub_type： 杂志文章
doi：10.1097/00001786-200701000-00015
更新日期：2007-01-01 00:00:00
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journal_title：Journal of nursing care quality
pub_type： 杂志文章
doi：10.1097/00001786-199601000-00009
更新日期：1996-01-01 00:00:00
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journal_title：Journal of nursing care quality
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journal_title：Journal of nursing care quality
pub_type： 杂志文章
doi：10.1097/00001786-199404000-00006
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journal_title：Journal of nursing care quality
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journal_title：Journal of nursing care quality
pub_type： 杂志文章,评审
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journal_title：Journal of nursing care quality
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journal_title：Journal of nursing care quality
pub_type： 杂志文章,随机对照试验
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journal_title：Journal of nursing care quality
pub_type： 杂志文章
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journal_title：Journal of nursing care quality
pub_type： 杂志文章
doi：10.1097/00001786-199808000-00008
更新日期：1998-08-01 00:00:00
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journal_title：Journal of nursing care quality
pub_type： 杂志文章
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更新日期：1994-10-01 00:00:00
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journal_title：Journal of nursing care quality
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journal_title：Journal of nursing care quality
pub_type： 杂志文章
doi：10.1097/00001786-199902000-00008
更新日期：1999-02-01 00:00:00
