Date of Conferral

2020

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Andrea Jennings-Sanders

Abstract

The use of physical restraints in hospitals has been in practice for the better part of a century despite the many adverse effects it can have on patients. Socially, restraint use can strip the patient of their dignity in addition to their freedom. This evidence-based project was to build a toolkit to educate intensive care unit (ICU) nurses regarding the negative effects physical restraint use can have on their patients and to present alternatives to their use. Tools developed from prior research were included in the toolkit, and the Neuman systems model was applied to the overall education project. The toolkit was compiled and sent to content 5 experts for their review; 3 completed the evaluation of potential effectiveness for ICU nurse education. Mean scores regarding the potential effectiveness of implementing this toolkit ranged from 3.0-4.3 on a 5-point Likert scale, where a 1 indicated the reviewer strongly disagreed with the statement, and a 5 indicated strong agreement with the statement. The areas where the mean scores were the highest at 4.3 included agreement that the content was appropriate for nurses in the adult ICU setting, that as an expert in physical restraint use, the respondent would recommend this education to their colleagues, the education module was well-organized, and the education module was an appropriate teaching method for the topic. These responses suggest that this toolkit could be an effective means for adult ICU nurse education on the topic of physical restraint use. If implemented, the potential result would be a decrease in physical restraint use, thereby contributing to positive social change by maintaining patients’ dignity and freedom and preventing potential injury from physical restraint use.

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