Abstract: Objective To develop the standardized physical restraint strategy for neurosurgery department, to promote the application of the best evidence of physical restraint and improve the quality of physical restraint nursing.Methods We conducted the study based on JBI clinical evidence practice application model and there were three stages: baseline review before evidence application, change of evidence application, and effect review after evidence application. The best evidence was converted into 12 audit criteria through structural discussion then the criteria were applied in neurosurgical ward. Physical restraint rate, complication rate, nurses’ KAP (knowledge, attitude, practice) regarding physical restraint and audit criteria execution rate were compared before and after evidence application.Results After the application of evidence, the physical restraint rate decreased from 7.69% to 2.91%. The incidence of unplanned extubation showed no statistical significance (P>0.05).Patients’ experience on physical restraint was improved, which was statistically significantly (P<0.05) nurses’ KAP regarding physical restraint was enhanced (P<0.05). Of the audit criteria execution rate of the 12 audit criteria,the execution rate of all the criteria except that of NO.10 was improved(P<0.05).Conclusion Evidence-based standardized physical restraint management strategy can lower the rate of physical constraint in neurosurgery, improve the level of physical restraint knowledge of nurses and regulate their behaviors, so as to improve the outcome of patients and improve the quality of nursing.

Key words: physical restraint, management, neurosurgery, evidence-based practice