Research was completed through Randall Library’s online databases CINAHL Plus with Full Text, PsychARTICLES, PsychBOOKS, and PsychINFO. The terms included in the search criteria were restraint, restraint use, and psych*. Search was limited to within five years, peer-reviewed, and English language. Through this search, seven articles were chosen to analyze due to their experiments and reviews related to restraint use in psychiatric patients. Two studies are retrospective reviews; two studies are regression analyses; two studies are randomized controlled trials; and one study is linear modelling and random-effects meta-analysis.
Jegede, Ahmed, Olupona, and Akerele (2017) conducted research to describe common characteristics of patients requiring …show more content…
Jegede and colleagues conclude that primary psychiatric diagnosis has a significant association with restraint usage, while other patient characteristics do not have as statistically significant associations. The study did not take into significant consideration patient drug use as the focus was on primary psychiatric diagnosis and could underestimate the frequency of drug use due to possible incomplete documentation. The review timeframe could also pose limitations to generalizability, due to smaller sample size and being in a predominantly African American community (Jegede et al., …show more content…
The researchers completed a retrospective review using a mixed-model regression model with data from orders for 455 patients in a community mental health hospital from January 2007 to December 2012 with a total of 1753 orders. Mixed model regression found significant differences in duration of restraint for sex, unit, medication usage, verbal redirection, and shift. Women were restrained for shorter amounts of time than men (p = 0.01). Restraints were longer in Unit 6 than in Unit 4 (p < 0.001). If medication was given, the restraint period tended to be longer (p = 0.005). Periods with no verbal redirection were shorter than those with verbal redirection (p = 0.003). Restraint periods were shorter during morning shifts than during evening shifts (p = 0.004). The differences noted were consistent across the time period of the review (Jacob et al.,
Jegede, Ahmed, Olupona, and Akerele (2017) conducted research to describe common characteristics of patients requiring …show more content…
Jegede and colleagues conclude that primary psychiatric diagnosis has a significant association with restraint usage, while other patient characteristics do not have as statistically significant associations. The study did not take into significant consideration patient drug use as the focus was on primary psychiatric diagnosis and could underestimate the frequency of drug use due to possible incomplete documentation. The review timeframe could also pose limitations to generalizability, due to smaller sample size and being in a predominantly African American community (Jegede et al., …show more content…
The researchers completed a retrospective review using a mixed-model regression model with data from orders for 455 patients in a community mental health hospital from January 2007 to December 2012 with a total of 1753 orders. Mixed model regression found significant differences in duration of restraint for sex, unit, medication usage, verbal redirection, and shift. Women were restrained for shorter amounts of time than men (p = 0.01). Restraints were longer in Unit 6 than in Unit 4 (p < 0.001). If medication was given, the restraint period tended to be longer (p = 0.005). Periods with no verbal redirection were shorter than those with verbal redirection (p = 0.003). Restraint periods were shorter during morning shifts than during evening shifts (p = 0.004). The differences noted were consistent across the time period of the review (Jacob et al.,