Use of Restraints and Bedrails in a British Hospital
Journal of the American Geriatrics SocietyPublished 1 September 1996
Shaun T. O’Keeffe, C.I.A. Jack, Michael Lye
Citations70
SJR quartileQ1
SJR score1.89
SNIP1.69
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TL;DR
To determine the prevalence of restraint and bedrail use in a British hospital, a study of hospital restraint practices in England and Wales found that up to 90% of patients used a bedrail at some point in their stay.
Abstract
OBJECTIVE: To determine the prevalence of restraint and bedrail use in a British hospital. DESIGN: Cross-sectional observational study. SUBJECTS: Six hundred sixty-eight patients in the acute medical, surgical, and geriatric beds of a large British teaching hospital on a single night. MEASUREMENTS: Observed use of restraints and bedrails. Reasons for restraint use were determined by interviews with nursing staff and examination of the case notes. RESULTS: Fifty-six (8.4%) patients had bedrails raised. No other restraints were in use. Reported indications for bedrail use were: prevention of falls (52 patients), prevention of wandering (1), and patient request (3). In stepwise logistic regression analysis, bedrail use was associated significantly with agitated confusion, age 70 years or more, and stroke, while patients on the acute geriatric wards were significantly less likely to have bedrails raised. CONCLUSIONS: Restraint use is relatively uncommon in Britain. Nevertheless, inappropriate use of bedrails is a reason for concern.
Keywords
PsychologyMedicine
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