Physical restraint management of hospitalized adults and follow-up study

David Anthony Tony Forrester, Jean McCabe-Bender, Noreen Walsh, Jacqueline Bell-Bowe

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


During the winter of 1998 the management of 118 (N = 118) physically restrained adult patients in a 238-bed urban acute care hospital were assessed by 26 registered nurse (RN) data collectors. In the spring of 1999, following a comprehensive hospital-wide staff development program and revised physical restraint protocol, 10 RN data collectors conducted a follow-up study of 53 (N = 53) restrained adults in the same institution. In both studies, data regarding restraints management were gathered using a Restraint Management Improvement Indicator. Following a program of restraint management education, substantial improvements were found for virtually all of the physical restraint indices studied. The findings suggest that future educational efforts should be undertaken to further improve the documentation in hospital medical records regarding medical orders and ongoing observation, assessment, and interventions for physically restrained patients. Future research should further document and study interventions to reduce or eliminate the use of physical restraints.

Original languageEnglish (US)
Pages (from-to)267-276
Number of pages10
JournalJournal for Nurses in Staff Development
Issue number6
StatePublished - 2000

All Science Journal Classification (ASJC) codes

  • Fundamentals and skills
  • Education
  • Leadership and Management
  • Review and Exam Preparation


  • Physical restraints
  • Restraints management


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