The experience of physical restraint: A systematic review of qualitative research
David Evans
Department of Clinical Nursing, University of Adelaide, SA
Mary FitzGerald
Nursing Practice Development, School of Nursing and Midwifery, University of Tasmania, Launceston TAS
PP: 126 - 135
Abstract
The objective of this review was to summarise the experience of physical restraint from the perspectives of the person subject to restraint and of their family. A review of interpretive and descriptive research was undertaken that entailed a comprehensive literature search. Studies were included in the review if they provided qualitative data on this experience.
An interpretive data synthesis was undertaken to generate a composite description of the experience of restraint. Findings highlight the predominantly negative impact of physical restraint on the person restrained and their family. These findings support the most minimal use of restraint in health care and give voice to a relatively powerless and vulnerable group of people.
Keywords
physical restraint; experience, review; synthesis
References
Barroso J & Powell-Cope GM (2000) Metasynthesis of qualitative research on living with HIV infection. Qualitative Health Research 10(3): 340-353.
Burton LC, German PS, Rovner BW & Brant LJ (1992) Physical restraint use and cognitive decline among nursing home residents. Journal of the American Geriatrics Society 40: 811-816.
Evans D & Pearson A (2001) Systematic reviews of qualitative research. Clinical Effectiveness in Nursing 5: 111-119.
Hardin SB, Magee R, Vinson MH, Owen M, Hyatt E & Stratmann D (1993) Patient and family perceptions of restraints. Journal of Holistic Nursing 11(4): 383-397.
Jensen LA & Allen MN (1994) A synthesis of qualitative research on wellness-illness. Qualitative Health Research 4(4): 349-369.
Kanski GW, Janelli LM, Jones HM, Kennedy MC (1996) Family reactions to restraints in an acute care setting. Journal of Gerontological Nursing 22(6): 17-22, 48-9.
Kylma J & Vehvilainen-Julkunen K (1997) Hope in nursing research: a meta-analysis of the ontological and epistemological foundation of research on hope. Journal of Advanced Nursing 25: 364-371.
Lemmer, B, Grellier R, Stevens J (1999) Systematic review of non-random and qualitative research literature: exploring and uncovering an evidence base for health visiting and decision making. Qualitative Health Research 9(3): 315-328.
Lever JA, Molloy DW, Eagle J, Butt G, Bedard M, Millar P & Stiles T (1994) The use of physical restraint and their relationship to medication use in patients in four different institutional settings. Humane Medicine 10(1): 17-27.
Ljunggren G, Phillips CD & Sgadari A (1997) Comparisons of restraint use in nursing homes in eight countries. Age and Ageing 26: Suppl 2: 43-47.
Minnick AF, Mion LC, Leipzig R, Lamb K & Palmer RM (1998) Prevalence and patterns of physical restraint use in the acute care setting. Journal of Nursing Administration 28(11): 19-24.
Newbern VB & Lindsey IH (1994) Attitudes of wives toward having their elderly husbands restrained. Geriatric Nursing 15(3): 135-138.
Noblit GW & Hare RD (1988) Metaethography: Synthesizing Qualitative Studies. Sage Publications Newbury Park.
Ogden-Burke S, Kauffmann E, Costello E, Wiskin N & Harrison MB (1998) Stressors in families with a child with a chronic condition: analysis of qualitative studies and a framework. Canadian Journal of Nursing Research 30(1): 71-95.
Robbins LJ, Boyko E, Lane J, Cooper D & Jahnigan DW (1987) Binding the elderly: a prospective study of the use of mechanical restraints in an acute care hospital. Journal of the American Geriatrics Society 35(4): 290-296.
Roberge R & Beausejour R (1988) Use of restraints in chronic care hospitals and nursing homes. Canadian Journal of Ageing 7(4): 377-381.
Sherwood GD (1997) Meta-synthesis of qualitative analyses of caring: defining a therapeutic model of nursing. Advanced Practice Nursing Quarterly 3(1): 32-42.
Strumpf NE & Evans LK (1988) Physical restraint of the hospitalized elderly: perceptions of patients and nurses. Nursing Research 37(3): 132-137.
Suikkala A & Leino-Kilpi H (2001) Nursing student-patient relationships: a review of the literature from 1984 to 1998. Journal of Advanced Nursing 33(1): 42-50.
Tinetti ME, Liu WL, Marottoli RA & Ginter SF (1991) Mechanical restraint use among residents of skilled nursing facilities: prevalence patterns and predictors. JAMA 265(4): 468-471.
Whitehead C, Finucane P & Henschke P (1997) Use of restraints in four Australian teaching hospitals. Journal of Quality in Clinical Practice 17: 131-136.
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