Reducing Patient Restraints: A Pilot Approach Using Clinical Case Review

Reducing Patient Restraints: A Pilot Approach Using Clinical Case Review

PURPOSE.  This study aims to reduce the incidents of restraints by applying a nontraditional consultation process in which a university‐based team focused on patient consultations to collect data on treatment interventions and milieu approaches and conditions, as well as staff interactions. CONCLUSI...

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Bibliographic Details
Published in:Perspectives in psychiatric care Vol. 44; no. 1; pp. 32 - 39
Main Authors: Sclafani, Michael J., Humphrey II, Frederick J., Repko, Sharon, Ko, Haeng S., Wallen, Mark C., DiGiacomo, Albert
Format: Journal Article
Language:English
Published: Malden, USA Blackwell Publishing Inc 01-01-2008
Hindawi Limited
Subjects:
Aggression - psychology
Aggressive behavior
Aggressiveness
Behavior
consultation process
Drug therapy
dually diagnosed
Health services
Hospitals
Humans
Intellectual disabilities
least restrictive strategies
Living conditions
Meetings
Nursing
Patients
person-centered care
Personality traits
Physical restraints
Pilot Projects
Psychiatric-mental health nursing
Psychomotor Agitation - prevention & control
Restraint, Physical
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Summary:PURPOSE.  This study aims to reduce the incidents of restraints by applying a nontraditional consultation process in which a university‐based team focused on patient consultations to collect data on treatment interventions and milieu approaches and conditions, as well as staff interactions. CONCLUSIONS.  The efforts resulted in restraint reduction from 36 episodes per month to 0 episodes per month as well as precipitating a change in unit climate and care approaches on a specialized unit for patients with developmental disabilities and mental illness. PRACTICE IMPLICATIONS.  Reducing the use of restraints involving multiple restraint incident patients is possible with a team‐based approach and a specific intervention plan.
Bibliography:ark:/67375/WNG-GJ346N9X-4
istex:43BF0FB4317F496CB4A85268FC30B4F28EE72600
ArticleID:PPC145
Michael J. Sclafani, RN, MS, MEd, is Assistant Professor/Nurse Clinician, University of Medicine and Dentistry of New Jersey, Newark, NJ; Frederick J. Humphrey II, DO, is Assistant Professor, University of Medicine and Dentistry of New Jersey, Stratford, NJ; Sharon Repko, MSN, APRN, BC, is an Advanced Practice Nurse, University of Medicine and Dentistry of New Jersey, Stratford, NJ; Haeng S. Ko, MD, is Staff Psychiatrist, Ancora Psychiatric Hospital, Ancora, NJ; Mark C. Wallen, MD, FASAM, is Assistant Professor, University of Medicine and Dentistry of New Jersey, Stratford, NJ; and Albert DiGiacomo, PC, is Program Coordinator, Ancora Psychiatric Hospital, Ancora, NJ.
ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:0031-5990
1744-6163
DOI:10.1111/j.1744-6163.2008.00145.x