An integrative review on physical restraint in adult critical care unit

Background: Physical restraints (PRs) are frequently used in adult critical care units to protect staff and prevent self-harm, despite the fact that they represent significant safety risks. Restraint complications may have an impact on patient's long- short-term outcomes. This study aims examine recent evidence use of PR care. Method: This integrative review included studies published between January 2009 December 2019 literature search was conducted July 2020. The databases searched EBSCOhost, Ovid, ProQuest, PubMed, Wiley Online Library, SCOPUS, ScienceDirect. keywords were restraint, care, intensive ICU, mechanical ventilation, intubation, nursing, experience. A checklist based CASP JBI Critical Appraisal Tool assess methodological quality. Results: The findings evaluated summarized into seven key topics after twenty-one publications found be evaluated. i) High prevalence application unit; ii) determinants applications; iii) types units; iv) decision maker PR; v) moral ethical dilemma application; vi) awareness guidelines for vii) common sedation, analgesics, antipsychotic drugs application. Conclusion: number days is related risk adverse event. In order standardize nursing practice, ICU nurses require greater training ideas use. Evidence-based recommendations will assist making best judgments possible concerning PR.