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Therefore, it is a necessity on the part of the nurse to review appropriate research in the area to check if her approach to that particular clinical problem is appropriate, effective, and ethical. In this assignment, I will present my critical thinking and reflective practice on the issue of use of restraint on patients, which I encountered in my practice based on analysis of evidence as indicated in literature and as summarised in Joanna Briggs Evidence Based Practice Information Sheet for Health Professionals Part I for use in acute and residential care facilities in the following format. The Part II of the document could not be retrieved due to copyright issues (Joanna Briggs Institute for Evidence Based Nursing and Midwifery, 2002).
This document has been created from the systemic reviews of evidences reflected in literature. There is a guide for level of evidences so the reader can evaluate the effectiveness, meaningfulness, and appropriateness of the evidence. The authors succinctly present the overall objectives of the guidelines in relation to use of restraints in acute and residential care settings. ...
Therefore this document presented the findings from a systemic review on this topic as the best evidence-based guideline that can be used in practice. This design is appropriate to the objectives since this can lead to more vigorous evidence than personal opinion, and the evidence can be tailored to the specific focus of the review. This objective identifies an area of practice where practice needs summarised evidence through systemic reviews of international research. This puts an emphasis on rational action through a structured appraisal of empirical evidence, where unquestionably effective healthcare may be delivered (Evans D, et al. 2002).

Aspect ii The clinical question(s) covered by the guideline is (are) specifically described.

This document elicits the clinical questions, and the guidelines clearly address these problems. The first part of this document talks about the use and impact of restraints and the possible adverse effects from their use. Although the second part is not available here, the need to minimise restraints has been projected, which links to the guidelines. The guidelines have been derived from the recommendations in the literature which can be examined based on level of evidence. Thus this document both generates evidence and synthesise them so they can be utilised. The problem essentially is routine use of physical restraints and bed side rails in acute and long-term care facilities in an attempt to reduce liability and fall events that these patients are prone to suffer, even to the extent of 25 to 85% and in many cases unnecessary. Restraints themselves may be associated with many complications. As a result, these should be used minimally and ...Show more


Practice, specifically nursing practice is now evidence based, where the nurse needs to make a series of practical decisions to make a judgment for care. It is now widely recommended that practice defined as above be guided by findings from research where the particular clinical problem or phenomenon has been systematically investigated in order to yield better understanding of the clinical issue…
Author : nina86
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