Opinions of Family Caregivers on the Use of Physical Restraints in Intensive Care Unit

2016 ◽  
Vol 6 (3) ◽  
pp. 78-83
Author(s):  
Burcu Bayrak Kahraman ◽  
Guler Duru Asiret ◽  
Gonul Yildirim ◽  
Imatullah Akyar ◽  
Gulsen Kislak Aytekin ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Caregivers ◽  
Physical Restraints

Healing experience for family caregivers after an intensive care unit death

2019 ◽  
pp. bmjspcare-2018-001561 ◽  
Author(s):  
Susan DeSanto-Madeya ◽  
Dan Willis ◽  
Julie McLaughlin ◽  
Aristotle Boslet
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Caregivers ◽  
Phenomenological Study ◽  
Healthcare Providers ◽  
Loved One ◽  
Hermeneutic Phenomenological ◽  
Telephone Interviews ◽  
Hermeneutic Phenomenological Study ◽  
Purposive Sample

ObjectivesFamily caregivers suffer a high burden of emotional and psychological distress following the death of a loved one in the intensive care unit and often struggle to heal in the weeks following their loss. The purpose of this hermeneutic phenomenological study was to describe and interpret the experience of healing for family caregivers six weeks following the death of a loved one in the ICU.MethodsSemi-structured telephone interviews were conducted with a purposive sample of twenty-four family caregivers six weeks following the death of their loved ones in the ICU. Qualitative analysis techniques were used to identify common themes central to the experience of healing across all interviews.ResultsSeven themes were interpreted from the data: searching for clarity from a time of uncertainty; riding an emotional rollercoaster; seeking peace in one’s decisions; moving forward with each new day; taking comfort in the memories; valuing layers of support; and discovering life on one’s own.ConclusionBy identifying and gaining an understanding of healing following the death of a loved one in the ICU, nursing and other healthcare providers have an opportunity to promote healing and positively impact family caregiver’s bereavement.

Post-traumatic stress symptoms in family caregivers of intensive care unit patients: A longitudinal study

2019 ◽  
Vol 50 ◽  
pp. 5-10 ◽  
Author(s):  
Hanne Birgit Alfheim ◽  
Kristin Hofsø ◽  
Milada Cvancarova Småstuen ◽  
Kirsti Tøien ◽  
Leiv Arne Rosseland ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Longitudinal Study ◽  
Family Caregivers ◽  
Traumatic Stress ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Post Traumatic

Influence of Physical Restraint on Unplanned Extubation of Adult Intensive Care Patients: A Case-Control Study

2008 ◽  
Vol 17 (5) ◽  
pp. 408-415 ◽  
Author(s):  
Li-Yin Chang ◽  
Kai-Wei Katherine Wang ◽  
Yann-Fen Chao
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Case Control Study ◽  
Physical Restraint ◽  
Case Control ◽  
Physical Restraints ◽  
Unplanned Extubation ◽  
Intensive Care Patients ◽  
Increased Risk ◽  
Control Study

Background Unplanned extubation commonly occurs in intensive care units. Various physical restraints have been used to prevent patients from removing their endotracheal tubes. However, physical restraint not only does not consistently prevent injury but also may be a safety hazard to patients. Objectives To evaluate the effect of physical restraint on unplanned extubation in adult intensive care patients. Methods A total of 100 patients with unplanned extubations and 200 age-, sex-, and diagnosis-matched controls with no record of unplanned extubation were included in this case-control study. The 300 participants were selected from a population of 1455 patients receiving mechanical ventilation during a 21-month period in an adult intensive care unit at a medical center in Taiwan. Data were collected by reviewing medical records and incident reports of unplanned extubation. Results The incidence rate of unplanned extubation was 8.7%. Factors associated with increased risk for unplanned extubation included use of physical restraints (increased risk, 3.11 times), nosocomial infection (increased risk, 2.02 times), and a score of 9 or greater on the Glasgow Coma Scale on admission to the unit (increased risk, 1.98 times). Episodes of unplanned extubation also were associated with longer stays in the unit. Conclusions An impaired level of consciousness on admission to the intensive care unit and the presence of nosocomial infection intensify the risk for unplanned extubation, even when physical restraints are used. To minimize the risk of unplanned extubation, nurses must establish better standards for using restraints.

Positive Appraisal of Caregiving for Intensive Care Unit Survivors: A Qualitative Secondary Analysis

2020 ◽  
Vol 29 (5) ◽  
pp. 340-349
Author(s):  
Judith A. Tate ◽  
JiYeon Choi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Caregivers ◽  
Prolonged Mechanical Ventilation ◽  
Secondary Analysis ◽  
Negative Consequences ◽  
Convenience Sample ◽  
Adult Intensive Care Unit ◽  
Qualitative Secondary Analysis ◽  
Positive Caregiving

Background More than half of intensive care unit survivors require assistance from family caregivers after discharge. Caregiving is associated with negative consequences including poor health-related quality of life, psychosocial distress, and burden. Little is known about how family caregivers find satisfaction and meaning in their experience. Objectives To explore positive descriptions of the experiences of family caregivers of critically ill patients and to describe factors that family caregivers view as important to a positive caregiving experience from hospitalization to 4 months after discharge. Methods Qualitative secondary analysis was performed on data from semistructured interviews conducted as part of a longitudinal study that examined physical and psychological responses to stress in a convenience sample of family caregivers of adult intensive care unit patients who underwent prolonged mechanical ventilation (≥ 4 days). Interviews were conducted at 4 time points: during the hospitalization and within 2 weeks, 2 months, and 4 months after discharge. Results Participants (n = 41) reported factors that helped them positively appraise their caregiving experience in 113 interviews conducted face to face or via telephone. During patients’ hospitalization, caregivers described changes in their role, with their primary responsibility being to advocate for the patient. They described how this experience fulfilled their identity and strengthened their relationship with the patient. Most family caregivers mentioned the importance of social support and prayer. Conclusions Family caregivers of intensive care unit patients can identify positive aspects of caregiving during the experience. Interventions to reframe the caregiving experience in a positive light are warranted.

Use of Physical Restraints in Critical Care Units: Nurses’ Knowledge, Attitudes, and Practices

2020 ◽  
Vol 40 (3) ◽  
pp. 37-47
Author(s):  
Öznur Gürlek Kısacık ◽  
Münevver Sönmez ◽  
Tuğba Coşğun
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Working Hours ◽  
Physical Restraints ◽  
University Hospitals ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Inadequate Knowledge ◽  
Knowledge Attitudes And Practices ◽  
Nurses Knowledge

Background Various factors affect the use of physical restraints in the intensive care unit, with nurses’ knowledge and attitudes being the strongest determinants. Objective To determine Turkish intensive care unit nurses’ knowledge, attitudes, and practices regarding physical restraints and factors influencing them. Methods This cross-sectional, correlational study was conducted in the intensive care units of state and university hospitals. A total of 191 nurses provided information on their sociodemographic and professional characteristics and completed a questionnaire on their knowledge, attitudes, and practices regarding physical restraints. Results Statistically significant differences were found between average knowledge scores according to type of intensive care unit, weekly working hours, work shift, and frequency of using physical restraints, with the highest scores found in nurses who worked in the surgical unit, worked 40 hours a week, worked only during the day, and used physical restraints every day. Significant differences were found between average attitude scores according to type of intensive care unit, with the highest scores found in nurses who worked in the cardiology unit. Significant differences were found between average practice scores according to level of education and use of physical restraints without a physician’s order, with the highest scores found in nurses with undergraduate and postgraduate degrees and those who did not use physical restraints without a physician’s order. Conclusions This study revealed inadequate knowledge about physical restraints and some unsafe practices among participants. Evidence-based guidelines and laws regarding physical restraints are needed, as well as regular training programs for involved personnel.

Elderly patients' reports of physical restraint experiences in intensive care units

2001 ◽  
Vol 10 (3) ◽  
pp. 168-171 ◽  
Author(s):  
A Minnick ◽  
RM Leipzig ◽  
ME Johnson
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Elderly Patients ◽  
Intensive Care Units ◽  
Physical Restraint ◽  
Surgical Intensive Care Unit ◽  
Physical Restraints ◽  
Surgical Intensive Care ◽  
Staff Members ◽  
Well Elderly

BACKGROUND: Use of physical restraints has undesirable sequelae. As they weigh the risks and benefits of protocols for reducing the use of restraints, staff members in intensive care units, where restraints are most used in hospitals, need to know how well elderly patients remember being restrained and how patients perceive the use of restraints. OBJECTIVES: To estimate the proportion of patients who remember being restrained, describe the experience from the patients' perspectives, and describe any distress caused by use of restraints within the overall experience of being in the intensive care unit. METHODS: Transcripts of semistructured, audiotaped interviews of patients who had been in the medical or surgical intensive care unit in any of 3 eastern and midwestern medical centers were analyzed by question and for overall themes. RESULTS: Six patients (40%) remembered some aspect of being restrained but did not report great distress. Patients accepted restraints as needed because of the lack of alternatives. Patients reported remembering that they should not perform certain behaviors but being unable to stop themselves. Patients cited hallucinations and intubation as major stressors in the intensive care unit. Patients' continuing health problems after discharge from the intensive care unit severely limited recruitment of subjects. CONCLUSIONS: Patients do not remember great distress specifically related to the use of restraints, but the overall situation leading to use of restraints is disturbing if remembered. The discovery of methods to reduce the distress of intubation and hallucinations could decrease use of restraints.

scholarly journals Fatigue in Family Caregivers of Adult Intensive Care Unit Survivors

2014 ◽  
Vol 48 (3) ◽  
pp. 353-363 ◽  
Author(s):  
JiYeon Choi ◽  
Judith A. Tate ◽  
Leslie A. Hoffman ◽  
Richard Schulz ◽  
Dianxu Ren ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Caregivers ◽  
Adult Intensive Care Unit
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