Restraints and Increased Education among Nurses
Restraints and Increased Education among Nurses
- Problem significant
There has been enormous damage that patients go through while undergoing care in hospitals. The use of restraint in the management of behaviors has been a disaster to both the practitioners and patients. Before the past few decades of health providers agreed to the fact that increased education can minimize severity caused by the use of restraints (The Joint Commission, 2015). Today, the majority of practitioners now understand the important of well-trained nurses (Hanys Quality Institute, 2011). Scholars argue that the lack of research on chemical and physical use of restraints elevate the poor quality of care. The authors suggest that proper finding in the ethical, psychological and legal consideration are needed to guide nurses in the use of restraint to manage unruly hospitalized patients (Cosper, Provine, and Morelock, 2014).
- Study purpose
Over the years, there have been minimal researches conducted to find out whether the quality of care to patients is associated with the level of educations of caregivers. Moreover, some scholars have concentrated on finding the relationship of decreased restraint to the wellbeing of the sick. Thus, this study is geared to find the usefulness of decreased restraint use and increased education among nurses. For instance, the Joint Commission data suggest that minimal restraint use has a positive impact on patient health (The Joint Commission, 2009).
- Problem Identification
There is evidence that shows restraint use increases the risk of both nurses and their patients. For instance, Equip for Equality records that an unknown number of people die each year due to the use of restraint in hospitals. Health workers also attest to the case of injury among staff when and after application of physical and chemical restraints. Thus, the fact that restraint use endangers staff members and the patients suggest the reason for it minimization and increasing education among nurses to understand better how to care for the patients (Curran, 2007).
Given the poor quality of health care as a result of the use of restraint the Center for Medicare and Medicaid Services (CMS) rolled out a measure that regulates staff training and circumstances for restraint use. For example, CMS outlined that patients have a right to freedom from the administration of restraint unless in acute conditions that are medically necessary. Also, CMS prohibit the use of seclusion among patients if it is not so necessary and recommend a culture that desists from restraint use and isolation among the institution leadership. Furthermore, The Joint Commission (TJC) in 2009 advocated for minimal restraint use, but with an emphasis on increased education among nurse to give them knowledge, the proper attitude toward the use of chemical or physical restraints (The Joint Commission, 2009).
- Knowledge gap
One important factor that hospital leadership should practice is including the assessment of restraint use in a hospital in all quality control measures and all improvement programs. This would enhance safety for both nurses and patients as well as ensure better quality services. Moreover, the education needed to address the problem of restraint use need to do more than reducing the cases of severity and death to ensuring that nurses have the proper emotion to respond to the prevailing culture (Curan, 2007).
- Project Contribution
The study on restraints use has greatly improved the quality of care among patients. It is worth to note that even the nurses and other caregivers work in a safe condition free from attack or legal suit due to the negative impact of restraint on the sick. Also, Hannys Quality Institute indicates that reduced restraint use has improved the mortality rate in most of the health premises (2011). Also, Hannys Quality Institute reports that though nurses like to use restraint to manage patient’s behaviors they at the all-time value the safety of their clients (2011).
Cosper, P., Provine, B., and Morelock, V. (2014). Please release me restraint reduction initiative in a health care system. Journal of Nursing Care Quality, (30)1.
Curran, S. (2007). Staff resistance to restraint reduction: identifying and overcoming barriers. Journal of Psychosocial Nursing & Mental Health Services, 45(5), 45-53.
Hannys Quality Institute. (2011). Leading the quest for quality: 2011 Profiles in quality and patient safety. Retrieved from http://www.hpoe.org/HANYS/2012/HANYS12–South%20Nassau%20Communities%20Hospital–restraints.pdf
The Joint Commission. (2009). Restraint /Seclusion for hospitals that use the joint commission for deemed status purposes. Retrieved from http://www.jointcommission.org/standards_information/jcfaqdetails.aspx?StandardsFaqId=260&ProgramId=47
The Joint Commission. (2015). Restraint and seclusion for organizations that do not use Joint Commission accreditation for deemed status. Retrieved from http://www.jointcommission.org/standards_information/jcfaqdetails.aspx?StandardsFaqId=600&ProgramId=47