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REVIEW

Moral Dilemmas Regarding Physical Restraints in Intensive Care Units: Understanding Autonomy, Beneficence, Non-Maleficence and Justice in the Use of Physical Restraints

, , &
Pages 1619-1627 | Received 20 Dec 2023, Accepted 28 Mar 2024, Published online: 12 Apr 2024

References

  • Yıldız E. Ethics in nursing: a systematic review of the framework of evidence perspective. Nursing Ethics. 2019;26(4):1128–1148. PMID: 29166840. doi:10.1177/0969733017734412
  • Salehi Z, Najafi Ghezeljeh T, Hajibabaee F, Joolaee S. Factors behind ethical dilemmas regarding physical restraint for critical care nurses. Nursing Ethics. 2020;27(2):598–608. PMID: 31319750. doi:10.1177/0969733019858711
  • Via-Clavero G, Sanjuán-Naváis M, Romero-García M, et al. Eliciting critical care nurses’ beliefs regarding physical restraint use. Nurs Ethics. 2019;26(5):1458–1472. PMID: 29495933. doi:10.1177/0969733017752547
  • Perez D, Peters K, Wilkes L, Murphy G. Physical restraints in intensive care–An integrative review. Aust Crit Care. 2019;32(2):165–174. PMID: 29559190. doi:10.1016/j.aucc.2017.12.089
  • Yu-Li LIN, Cheng-Chih LIAO, Wen-Pin YU, Tsung-Lan CHU, Lun-Hui HO. A multidisciplinary program reduces over 24 hours of physical restraint in neurological intensive care unit. J Nurs Res. 2018;26(4):288–296. PMID: 29389807. doi:10.1097/jnr.0000000000000251
  • Kawai Y, Hamamoto M, Miura A, et al. Prevalence of and factors associated with physical restraint use in the intensive care unit: a multicenter prospective observational study in Japan. Intern Emerg Med. 2022;17(1):37–42. PMID: 33852145. doi:10.1007/s11739-021-02737-5
  • Smithard D, Randhawa R. Physical restraint in the critical care unit: a narrative review. New Bioeth. 2022;28(1):68–82. PMID: 35083967. doi:10.1080/20502877.2021.2019979
  • Burry L, Rose L, Ricou B. Physical restraint: time to let go. Intensive Care Med. 2018;44(8):1296–1298. PMID: 29170870. doi:10.1007/s00134-017-5000-0
  • Riahi S, Thomson G, Duxbury J. An integrative review exploring decision-making factors influencing mental health nurses in the use of restraint. J Psychiatr Ment Health Nurs. 2016;23(2):116–128. PMID: 26809740. doi:10.1111/jpm.12285
  • Kodua M, Duxbury J, Eboh WO, Asztalos L, Tweneboa J. Healthcare staff’s experiences of using manual physical restraint: a meta-synthesis review. Nurs Health Sci. 2023;25(3):271–289. PMID: 37563098. doi:10.1111/nhs.13045
  • Cleary KK, Kyle P. The use of physical restraints in acute and long-term care: an updated review of the evidence, regulations, ethics, and legality. J Acute Care Phys Therapy. 2015;6(1):8–15. doi:10.1097/JAT.0000000000000005
  • Pellfolk T, Sandman PO, Gustafson Y, Karlsson S, Lövheim H. Physical restraint use in institutional care of old people in Sweden in 2000 and 2007. Int Psychogeriatr. 2012;24(7):1144–1152. PMID: 22414562. doi:10.1017/S104161021200018X
  • Yang CF, Li P. Qualitative study of ICU nurses’ physical and mental experience of physical restraint on patients. Qilu J Nurs. 2017;23(9):46–48.
  • Miwa Y, Yoko A. Placing physical restraints on older people with dementia. Nursing Ethics. 2009;16(2):192–202. PMID: 19237473. doi:10.1177/0969733008100079
  • Kumar R, Chattu VK. What is in the name? Understanding terminologies of patient-centered, person-centered, and patient-directed care! J Family Med Prim Care. 2018;7(3):487–488. PMID: 30112293; PMCID: PMC6069658. doi:10.4103/jfmpc.jfmpc_61_18
  • Beauchamp TL, Childress JF. Principles of Biomedical Ethics. New York: Oxford University Press; 2001.
  • Perren A, Corbella D, Iapichino E, et al. Physical restraint in the ICU: does it prevent device removal? Minerva anestesiologica. 2015;81(10):1086–1095. PMID: 25338282.
  • Health Information and Quality Authority. Suorting People’s Autonomy: A Guidance Document. Ireland: Health Information and Quality Authority; 2016.
  • Mohr WK. Restraints and the code of ethics: an uneasy fit. Arch Psychiatr Nurs. 2010;24(1):3–14. PMID: 20117684. doi:10.1016/j.apnu.2009.03.003
  • Cheung PP, Yam BM. Patient autonomy in physical restraint. J Clin Nurs. 2005;14(s1):34–40. PMID: 15819657. doi:10.1111/j.1365-2702.2005.01145.x
  • Nunno MA, Holden MJ, Tollar A. Learning from tragedy: a survey of child and adolescent restraint fatalities. Child Abuse Negl. 2006;30(12):1333–1342. PMID: 17109958. doi:10.1016/j.chiabu.2006.02.015
  • Crutchfield P, Gibb TS, Redinger MJ, Ferman D, Livingstone J. The conditions for ethical application of restraints. Chest. 2019;155(3):617–625. PMID: 30578755. doi:10.1016/j.chest.2018.12.005
  • Goethals S, Dierckx de Casterlé B, Gastmans C. Nurses’ ethical reasoning in cases of physical restraint in acute elderly care: a qualitative study. Med Health Care Philosophy. 2013;16(4):983–991. PMID: 23192571. doi:10.1007/s11019-012-9455-z
  • Raveesh BN, Gowda GS, Gowda M. Alternatives to use of restraint: a path toward humanistic care. Indian J Psychiatry. 2019;61(4):S693–S697. PMID: 31040459; PMCID: PMC6482675. doi:10.4103/psychiatry.IndianJPsychiatry_104_19
  • Center for Ethics and Human Rights. Position Statement: Reduction of Patient Restraint and Seclusion in Health Care Settings. Maryland: American Nurses Association; 2012.
  • Singh JP, Ivory M. Beneficence/Nonmaleficence. In: The Encyclopedia of Clinical Psychology. Wiley; 2014:1–3.
  • Taylor C, Lynn P, Bartlett J. Fundamentals of Nursing: The Art and Science of Person-Centered Care. Philadelphia: Liincott Williams & Wilkins; 2018.
  • Jacob JD, Holmes D, Rioux D, Corneau P, MacPhee C. Convergence and divergence: an analysis of mechanical restraints. Nursing Ethics. 2019;26(4):1009–1026. PMID: 29129122. doi:10.1177/0969733017736923
  • De Roza J. Literature review: factors influencing nurses’ decision to use physical restraints in the elderly. Singapore Nurs J. 2004;31(4):12–16.
  • Scott PA. Nursing and the Ethical Dimension of Practice. In: Scott PA, editor. Key Concepts and Issues in Nursing Ethics [e-Book]. Cham: Springer International Publishing; 2017:1–13.
  • Black Information Link. Black leaders launch attack on mental health bill. [Online]; 2006. Available from: http://www.blink.org.uk/print.asp?key=10522. Accessed April 30, 2020.
  • Ye J, Xiao A, Yu L, Wei H, Wang C, Luo T. Physical restraints: an ethical dilemma in mental health services in China. Int J Nurs Sci. 2018;5(1):68–71. PMID: 31406804; PMCID: PMC6626237. doi:10.1016/j.ijnss.2017.12.001
  • Hughes R, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, Maryland: Agency for Healthcare Research and Quality; 2008.
  • Gastmans C, Schotsmans P, Dierckx de Casterle B. Nursing considered as moral practice: a philosophical-ethical interpretation of nursing. Kennedy Inst Ethics J. 1998;8(1):43–69. PMID: 11656753. doi:10.1353/ken.1998.0002
  • Barkley L. Case study in nursing ethics human rights and human dignity. Maryland Nurse News J. 2016;2016:4–5.
  • Laura MW, Shawna MM, Nicholas GC. Nursing home deficiency citations for physical restraints and restrictive side rails. Western J Nurs Res. 2013;35(5):546–565. PMID: 22390907. doi:10.1177/0193945912437382
  • Miwa Y, Shizue M, Masako A. Ethical dilemma factor in regarding physical restraints to elderly of female nurses with the living together experience. Int J Clin Med. 2012;3(5):328–334. doi:10.4236/ijcm.2012.35064
  • Sirin SR, Castle NG, Smyer M. Risk factors for physical restraint use in nursing homes: the impact of the nursing home reform act. Res Aging. 2002;24(5):513–527. doi:10.1177/0164027502245002
  • Lim SC, Poon WH. Restraint use in the management of the elderly with dementia in hospital. Internal Med Res Open. 2016;1(2):1–4. doi:10.31038/imroj.2016124
  • Charles BM. The impact of restraints on nursing home resident outcomes. Am J Med Qual. 1997;12(2):94–102. PMID: 9161056. doi:10.1177/0885713X9701200203
  • Jia D, Zhang R, Li H. Research progress on the practice of minimizing physical restraint in the elderly. Nurs. 2017;32(7):106–109.
  • Zhang S, Jiang W, Jiang L. Analysis of ethical issues and countermeasures in the nursing work of long-term hospitalized patients with Alzheimer ‘s disease. Chin Med Ethics. 2015;28(4):590–592.
  • Marie-Pierre G, Marie D, Mylène TD, et al. Alternatives to seclusion and restraint in psychiatry and in long-term care facilities for the elderly: perspectives of service users and family members. Patient-Patient-Centered Outcomes Res. 2013;6(4):269–280. PMID: 23949927. doi:10.1007/s40271-013-0023-2
  • Oye C, Jacobsen FF, Mekki TE. Do organisational constraints explain the use of restraint? A comparative ethnographic study from three nursing homes in Norway. J Clin Nurs. 2017;26(13–14):1906–1916. PMID: 27504978. doi:10.1111/jocn.13504
  • Cui C, Li L. Bibliometric analysis of domestic research on physical restraint in critically ill patients. Contemp Nurse. 2018;25(1):163–165.
  • Li L, Song B, Lv H, et al. Research progress on indications of physical restraint use in hospitalized patients abroad. China Nurs Manage. 2014;14(10):1016–1018.
  • Phillips MR, Zhang J, Shi Q, et al. Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001–05: an epidemiological survey. Lancet. 2009;373(9680):2041–2053. PMID: 19524780. doi:10.1016/S0140-6736(09)60660-7
  • Brophy LM, Roper CE, Hamilton BE, Tellez JJ, McSherry BM. Consumers and Carer perspectives on poor practice and the use of seclusion and restraint in mental health settings: results from Australian focus groups. Int J Ment Health Syst. 2016. 10(1):6. Erratum in: Int J Ment Health Syst. 2016;10:7. PMID: 26855669; PMCID: PMC4744440. doi:10.1186/s13033-016-0038-x
  • Canzan F, Mezzalira E, Solato G, et al. Nurses’ views on the use of physical restraints in intensive care: a qualitative study. Int J Environ Res Public Health. 2021;18(18):9646. PMID: 34574571; PMCID: PMC8464991. doi:10.3390/ijerph18189646
  • Mental Health Commission. Rules Governing the Use of Seclusion & Mechanical Means of Bodily Restraint. Ireland: Mental Health Commission; 2009.
  • Santos GFD, Oliveira EG, Souza RCS. Good practices for physical restraint in intensive care units: integrative review. Rev Bras Enferm. 2021. 74(3):e20201166. English, Portuguese. PMID: 34259731. doi:10.1590/0034-7167-2020-1166
  • Mental Health Commission. Seclusion and Restraint Reduction Strategy. Ireland: Mental Health Commission; 2014.
  • Petrini C. Ethical considerations for evaluating the issue of physical restraint in psychiatry. Annali dell’ Istituto superiore di sanità. 2013;49(3):281–285. PMID: 24071608. doi:10.4415/ANN_13_03_08
  • Siegrist-Dreier S, Barbezat I, Thomann S, Richter D, Hahn S, Schmitt KU. Restraining patients in acute care hospitals-A qualitative study on the experiences of healthcare staff. Nurs Open. 2022;9(2):1311–1321. PMID: 35088948; PMCID: PMC8859077. doi:10.1002/nop2.1175
  • National People’s Congress. National mental health act. The People’s Republic of China; 2012.
  • Acevedo-Nuevo M, González-Gil MT, Martin-Arribas MC. Physical restraint use in intensive care units: exploring the decision-making process and new proposals. a multimethod study. Int J Environ Res Public Health. 2021;18(22):11826. PMID: 34831583; PMCID: PMC8623552. doi:10.3390/ijerph182211826
  • Cui N, Qiu R, Zhang Y, et al. Why are physical restraints still in use? A qualitative descriptive study from Chinese critical care clinicians’ perspectives. BMJ Open. 2021;11(11):e055073. PMID: 34732505; PMCID: PMC8572407. doi:10.1136/bmjopen-2021-055073