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Keywords:

  • Coercion;
  • mental health;
  • nursing;
  • physical restraint;
  • psychiatry

Purpose

To examine how potential mechanical restraint preventive factors in hospitals are associated with the frequency of mechanical restraint episodes.

Design and Methods

This study employed a retrospective association design, and linear regression was used to assess the associations.

Findings

Three mechanical restraint preventive factors were significantly associated with low rates of mechanical restraint use: mandatory review (exp[B] = .36, p < .01), patient involvement (exp[B] = .42, p < .01), and no crowding (exp[B] = .54, p < .01).

Practice Implications

None of the three mechanical restraint preventive factors presented any adverse effects; therefore, units should seriously consider implementing these measures.