Answer 3 for NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT question

Answer 3 for NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT question

Thanks for your post. Your exploration of the PICOT question regarding the use of physical and chemical restraints in adult patients with aggressive altered mental status in the ICU is insightful. The quantitative study highlighting the use of restraints in 109 patients, 47 of whom received chemical restraints, underscores the critical issue of patient and staff safety. It is particularly concerning that poor communication influenced the decision to use restraints, which suggests a need for improved protocols and training (Langley et al., 2011).

The qualitative research provides valuable insights into the factors leading to restraint use. By reviewing 23 studies, the authors identified that nurses play a pivotal role in deciding when to apply restraints, emphasizing the importance of understanding the underlying causes of patients’ behavior changes (Teece et al., 2020). This comprehensive approach highlights the complexity of managing psychomotor agitation and the necessity of considering multiple factors before resorting to restraints.

Both articles you referenced effectively address different aspects of restraint use, contributing to a broader understanding of this critical issue. Future research should focus on developing strategies to enhance communication among healthcare teams and explore alternatives to restraints to ensure patient safety.

Langley, G., Schmollgruber, S., & Egan, A. (2011). Restraints in intensive care units—A mixed method study. Intensive & Critical Care Nursing/Intensive and Critical Care Nursing, 27(2), 67–75. https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0964339710001175?via%3Dihub

Teece, A., Baker, J., & Smith, H. (2019). Identifying determinants for the application of physical or chemical restraint in the management of psychomotor agitation on the critical care unit. Journal of Clinical Nursing, 29(1–2), 5–19. https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsbl&AN=vdc.100096223542.0×000001&site=eds-live&scope=site