What Is Patient Restraint (QSEN Competencies In Patient Restraint?

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Patients’ Restraint: QSEN competencies in patient restraint.
Physical restraint, according to Health Care Financing Administration, can be defined as any handling, physical and mechanical methods applied to a patient with the aim of denying him or her the freedom of movement or access to his or her own body (Di Lorenzo et al., 2011). It may involve use of belts or ties that restrain movement of an individual such as seclusion. Seclusion refers to isolation from others, often done in a room that’s I avoid of any furniture and has a small observable window as the only connection to the outside world (Chandler, 2012). The use of physical restraint in handling patients has been on debate for several years now. In most countries such Italy, it …show more content…

The decision to restrain a patient is in most cases left to the nurses. Other professionals such as occupation therapists and mental health counsellors are not consulted. A research on nurses’ decision-making process on physical restraint outlined that one of the themes associated with nurses decision making is personal thoughts and reason (Goethals, Dierckx de Casterlé and Gastmans, 2011, p.1200). This shows that most of the time nurses restrain the patients without consulting other professionals who might have had a better solution in handling the …show more content…

The focus of this model is for leadership to empower staff members with opportunities, information, support, and resources to facilitate engaged relationships that, in the long run, will facilitate staff in empowering patients by providing opportunities, support, information, and resources to reflect on their well-being. Opportunities being referred to in this model are training opportunities; training trauma-informed care. The model also requires that information be provided to increase understanding that behaviours such as self-harm in patients, can be as a result of a neurobiological response to trauma. In this way, the model follows patient centred care since it looks at the patients’ needs for effective treatment. Information about patient preferences is utilized to come up with a comprehensive list of physical, emotional, and cognitive responses to stress. The list focuses on triggers that can cause stress, calming activities and past experiences with restraint and seclusion. This follows quality improvement competency since patient data analysis enables the staff to come up with a better way to treat them. The model also emphasizes on teamwork by enhancing support. The theme of support refers to a collaboration between the staff and the leadership. Collaboration is achieved in schedule meeting and during shifts. There’s also the need for availability of patient’s

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