Abstract

Physical restraint is often used as a nursing intervention for patients with behavioral issues despite current evidence that indicates their use is actually more harmful than helpful. Nursing staff at UNMH are required by policy to use other methods such as restraint alternatives before placing patients in restraint. However, they do not have the necessary resources or tools to comply with the policy. The NPCU conducted a quality improvement project that introduced 5 restraint alternatives followed by a survey focused on nursing perceptions. The results revealed 2 alternatives (Gamewright GoPOP sensory toy & Playtivity sensory disc) were perceived by nursing staff as useful in prevention of physical restraints. These alternatives were also recommended for continued use on the unit. The results suggest that alternatives should be easy to implement and simple for patients to use. This project demonstrated the successful introduction of restraint alternatives with recommendations by nursing that will help to sustain their use in the NPCU while complying with UNMH policy. Keywords: restraints, restraint alternatives, acute ischemic stroke, neuroscience, theory of comfort, gamewright gopop, playtivity sensory disc

Language

English

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)

Level of Degree

Doctoral

First Committee Member

Sharon Schaaf, PhD, DNP, RN, FNP, AGACNP, CNE, CHSE

Keywords

restraints, restraint alternatives, acute ischemic stroke, neuroscience, theory of comfort, gamewright gopop, playtivity sensory disc

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