Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Cassandra Taylor

Abstract

Despite extensive research revealing the dangers of physical restraint use, it remains a common practice in critical care settings across the globe. Nurses stand at the forefront of clinical decision-making regarding the use of physical restraints but are doing so with a lack of education and evidence-based practices. The project addresses whether an evidence-based educational program regarding the use of physical restraints and alternative measures is an acceptable method for intensive care unit (ICU) nurse education according to six local subject matter experts (SMEs). The project’s purpose was to create an educational program outlining physical restraint evidence and alternative measures that was evaluated by local SMEs for rigor and approval before widespread dissemination within the local ICU setting. Theories used to inform the project include the theory of planned behavior and the analyze, design, develop, implement, evaluate (ADDIE) model. The sources of evidence include the ICU Liberation bundle from the Society of Critical-Care Medicine, the current literature, and the data collected from the local SMEs using an evaluation survey. The resulting data were analyzed using descriptive statistics. The evaluation scores of the local SMEs were overwhelmingly positive (i.e., mean scores greater than 4.8 for all survey statements, based on a 5-point Likert scale), indicating the education is an appropriate method for ICU nurse physical restraint and alternative measures education. Future recommendations include the widespread dissemination of the education to all ICU nurses in the organization. This project serves as a catalyst to creating long-lasting, evidence-based changes within the ICU to improve patient care and nurses’ confidence in providing effective, quality care.

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