Nursing Information Quality
The use of physical restraints is a widely used intervention in healthcare practice. However, the use of physical restraints for psychiatric patients is to limit/control the movement of patients so that they do not harm themselves. However, the use of physical restraints is argued to have a negative impact on patients and personnel (Gausvik, Lautar, Miller, Pallerla, & Schliadecher, 2015). They are useful to handle maladaptive and violent behaviors of patients with mental disorders to reduce aggression and prevent injury. However, the use of this intervention technique raises questions related to the potential complications that are likely to emerge, stimulating physical and mental injuries that may have a negative impact on patients and their family members (Gausvik et al., 2015). Though the use of physical restraints is considered to be an effective intervention for the safety of patients, chances of traumatizing patients increase as it is a coercive intervention. The assessment of physical restraints as an intervention is debated for different reasons including the need to assess its moral and ethical implications. For the provision of high-quality healthcare, it is important that registered nurses should practice this type of intervention after receiving training, education, and certification. They are required to enhance their work by improving patient care experience, contributing positively to population health and reducing healthcare costs (Sicilia, 2013). The factors that need to be addressed to improve the quality and performance of healthcare facilities include hospital-acquired conditions, integration of mobile technologies, addressing other health care aspects and informatics solutions to overcome clinical flaws and increase the access of registered nurses to knowledge resources.
The process of measurement involves different dimensional approaches that can be adopted to improve quality information. The criteria for measurement would be subjective as well as objective to assess the participation. Craig Handicap Assessment and Reporting techniques can be used as objective measurement criteria for the nurses to assess conditions of the patient. The other instrument that can be used as a process of measurement is the use of scored normative standards that can be used to determine policies and regulations of different healthcare organization that makes use of physical resistance for treatment. It is an independent form of activity that can be carried out to assess the condition of patients (HealthIT, 2016). For structure measurement, it is important to assess the use of physical restraints in different psychiatric hospitals. The use of scores would be helpful to understand the condition of patients (Gausvik et al., 2015). For the psychometric criteria, the elements that need to be assessed are reliability, validity, and responsiveness. These factors have a significant impact on clinical decision making, therefore, requires the critical vision of clinical meaning to justify the use of physical resistance for psychiatric patients (HealthIT, 2016). The clinical factors such as the demographic profile of patients, application duration, and rates will be assessed. Moreover, the operational policies and guidelines of different health care institutions are complex factors that would be investigated through different psychiatric units (Department of Health & Human Services (HHS), 2016).
The data would be collected from multiple sites that would enable to gather data of the patients belonging to different demographic backgrounds could be assessed. IRB procedures should be implemented throughout the centers that would synchronize the potentially advance necessary research opportunities that would be cost efficient and practical (Health IT Regulations, 2016). There would be greater stress laid on ethical conduct and the views of experts to make use of physical restraints to treat psychiatric patients.
References
Gausvik, C., Lautar, A., Miller, L., Pallerla, H., & Schliadecher, J. (2015). Structured nursing communication on interdisciplinary acute care teams improves perceptions of safety, efficiency, understanding of care plan and teamwork as well as job satisfaction. Journal of Multidisciplinary Healthcare, 8 (2), 33-36.
Health IT Regulations. (2016). Retrieved from https://www.healthit.gov/policy-researchers-implementers/health-it-regulations
HealthIT. (2016). Privacy and Security of Electronic Health Information. Washington DC: Health IT.
Sicilia, M. Á. (2013). Interoperability in Healthcare Information Systems: Standards, Management, and Technology: Standards, Management, and Technology. New York: IGI Publishing.
