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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (4): 31-36.doi: 10.16460/j.issn1008-9969.2019.04.031

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Summary of Best Evidence for Standardized Management of Physical Restraint in Inpatients

YANG Zhong-shan1, XU Ni-na1, ZHAN Yu-xin1, LIU Ning2, LI Zhao-hui1, LE Ge-fen1   

  1. 1. Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China;
    2. Zhuhai Campus, Zunyi Medical College, Zhuhai 519041, China
  • Received:2018-12-23 Online:2019-02-25 Published:2020-07-08

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Abstract: Objective To summarize the best evidence for physical restraint management in inpatients and to provide reference for medical staff, managers, patients and families. Methods We employed PIPOST to identify scientific problems, then formulated appropriate retrieval strategies and criteria. We searched the JBI, RNAO and CINAHL, etc. and 2 qualified researchers independently evaluated articles using different tools according different types of the articles. We used The Joanna Briggs Institute Levels of Evidence and Grades of Recommendation to assess the evidence classification and recommendation level. Two researchers synthesized the best evidence. Results Totally 11 articles were enrolled, including 1 clinical decision, 3 evidence summaries, 3 guidelines, 3 systematic reviews and 1 expert consensus. A total of 50 evidences were extracted which were integrated into 22 best evidences in 5 dimensions. There were organizational policy, training education, restraint evaluation, alternative methods and implementation monitoring. Conclusion Clinical managers should establish appropriate restraint system according to specialty characteristics, regular training for medical staff, and promote the free-restraint culture. Humanistic care is recommended for patients with physical restraints to fully respect the human rights and dignity of the patients.

Key words: physical restraints, evidence summary, evidence-based nursing

CLC Number: 

  • R197.323.2
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