Reducing the use of multiple restraints in the psychiatric emergency department
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 27540171; ProQuest document ID: 2388033941. The author still retains copyright.
Abstract
The use of multiple restraints in the de-escalation of behavior in psychiatric emergency departments accounts for more physical injury and emotional problems in the population with mental illness. The purpose of the quantitative quality-improvement project was to implement the interprofessional collaborative practice model (ICPM) education program for providers, as an evidence-based intervention in reducing the use of multiple restraints in the psychiatric emergency department. Peplau's theory of interprofessional relations and the social-ecological model (SEM), served as the theoretical framework. The project used a quasi-experimental, pre and post-intervention design to understand how the implementation of the ICPM education program for providers impact the use of multiple restraints. The sample included 12 health care providers and the use of a baseline chart review of 278 patients from Southeastern United State. Data analysis conducted using the Intellectus Statistical software and a t-test to determine the significant differences between pre and post-intervention. The result of the two-tailed paired samples t-test for most of the set variables was significant, t (11) = -8.50, p <. 001, indicating a difference in the means. However, the result of the two-tailed paired samples t-test was not significant, t (11) = -1.56, p =. 147, for the pre and post-decision-making and conflict management, suggesting that the true difference in the means was not significantly different from zero. The implementation of the ICPM education program has statistically led to a 50% reduction in the use of multiple restraints. The recommendation from this project is the continuous evaluation of the intervention with increased sample size.
