Careful consideration by the nurse is essential when deciding to use a physical restraint. Nurses must address their personal beliefs and attitudes of restraint use in older adults as well as consider their clinical experience and the available research about the implementation of restraints in the health care setting (3). Research about restraint use has focused on the reduction of restraints in the clinical setting, but it is essential to explore the ethical conflict that nurses face when making the decision to apply physical restraints to a patient. Studying the decision-making process that nurses take part in when considering what is best for the patient using evidence-based practice is vital. Several clinical and environmental factors are altered when working towards the reduction of restraint use, which ultimately impact the process that nurses go through to determine the use of physical restraints. Through evaluation of clinical guidelines, nurses expertise and attitudes towards restraint use, and patient preferences, interventions can be instituted into the clinical setting to aid in the decision-making process by nurses that result in the restraint of a patient
Careful consideration by the nurse is essential when deciding to use a physical restraint. Nurses must address their personal beliefs and attitudes of restraint use in older adults as well as consider their clinical experience and the available research about the implementation of restraints in the health care setting (3). Research about restraint use has focused on the reduction of restraints in the clinical setting, but it is essential to explore the ethical conflict that nurses face when making the decision to apply physical restraints to a patient. Studying the decision-making process that nurses take part in when considering what is best for the patient using evidence-based practice is vital. Several clinical and environmental factors are altered when working towards the reduction of restraint use, which ultimately impact the process that nurses go through to determine the use of physical restraints. Through evaluation of clinical guidelines, nurses expertise and attitudes towards restraint use, and patient preferences, interventions can be instituted into the clinical setting to aid in the decision-making process by nurses that result in the restraint of a patient