Special Issue "The Use of Physical Restraints in Clinical Practice"

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: 30 September 2021.

Special Issue Editors

Dr. Elisa Ambrosi
Website
Guest Editor
Department of Diagnostics and Public Health, University of Verona, Verona, Italy
Interests: nursing; caring; elderly; physical restraints; pressure injuries; nursing sensitive outcomes
Dr. Federica Canzan
Website
Assistant Guest Editor
Department of Diagnostics and Public Health, University of Verona, Verona, Italy
Interests: nursing education; qualitative research; nurse caring; nursing sensitive outcomes

Special Issue Information

Dear Colleagues,

The use of physical restraints in healthcare settings has been heavily debated due to the questionable ethical and legal issues affecting the autonomy and dignity of patients and the many adverse physical and psychosocial effects of these devices. Nevertheless, despite clear evidence showing their lack of effectiveness and safety and the worldwide promotion of a “restraint-free” model of care, their use remains relatively high, especially in geriatric long-term care, mental health, and intensive care settings.

Much still needs to be learned about the use of physical restraints in healthcare settings, including the factors influencing their use and the multi-level and multicomponent interventions effective in reducing their prevalence.

This Special Issue welcomes research papers on various aspects of physical restraint use in different healthcare settings, including individual, staff, and organizational  factors contributing to their use, the role of knowledge and attitude of healthcare professionals, the decision-making process, interventions supporting physical restraint reduction, alternative strategies, and the perspectives of patients, family, and/or informal caregivers. We especially encourage the submission of interdisciplinary work and multi-center research. We welcome original research papers using different study designs, both quantitative and qualitative, as well as systematic reviews and meta-analyses.


Dr. Elisa Ambrosi
Dr. Federica Canzan
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All papers will be peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2300 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Published Papers (1 paper)

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Review

Open AccessReview
The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental Studies
Int. J. Environ. Res. Public Health 2020, 17(18), 6738; https://doi.org/10.3390/ijerph17186738 - 16 Sep 2020
Abstract
This review assesses the effectiveness of interventions to reduce physical restraint (PR) use in older people living in nursing homes or residential care facilities. A systematic search of studies published in four electronic databases (MEDLINE, CINHAL, PsycINFO, Cochrane Central Register of Controlled Trials). [...] Read more.
This review assesses the effectiveness of interventions to reduce physical restraint (PR) use in older people living in nursing homes or residential care facilities. A systematic search of studies published in four electronic databases (MEDLINE, CINHAL, PsycINFO, Cochrane Central Register of Controlled Trials). The review included individual and cluster randomized controlled trials that compared educational training and multicomponent programs to avoid PR use. Risk bias of randomized controlled trials (RCTs) was assessed according to the Cochrane Handbook for Systematic Reviews of Interventions. This review includes 16 studies in a qualitative synthesis that met the inclusion criteria, nine of them offered a multicomponent program and seven offered only educational training. The results of the 12 studies included in the meta-analysis showed a significant trend in favor of intervention over time and intensity of PR use tends to decrease. The review indicates that educational programs and other supplementary interventions should be effective, but the heterogeneous operative definition of physical restraints can make difficult data generalization. Full article
(This article belongs to the Special Issue The Use of Physical Restraints in Clinical Practice)
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