Date of Graduation

Fall 12-16-2016

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


The aim of this project is to be able to improve patient safety by minimizing the inappropriate use of physical restraints from 45% to about 20% in the acute respiratory unit which caters to patients with acute respiratory issues, such as exacerbation of chronic obstructive pulmonary disease (COPD), patients with new or old tracheostomy, needing bipap, rigorous nebulizer treatment, and other respiratory-related devices, not to mention the multiple comorbidities that oftentimes very difficult to stabilize which makes the hospital stay longer than usual. The Clinical Nurse Leader (CNL) as an educator and an outcome manager is an agent to empower the staff to think critically as well as to reflect on their values and behavior prior to the application of restraints, in promoting a safe and compliant environment to all the patients, health care providers, and families. A fishbone diagram, SWOT analysis was conducted, one on one teaching and in-services were provided due to budget constraint. A PowerPoint presentation was presented to those who have the time to listen and it will be sent to the Education Department to include in the MyJourney online class annually. The distribution of handouts, communicating with the stakeholders regularly, and posting information on the board such as the policy and procedure of the physical restraint for review purposes was utilized as well. Currently, the nurses are more diligent in using physical restraint. Physicians even spend time to assess the appropriateness of the restraints. I am hoping that this project will be able to be implemented in the macrosystem so that in the near future, we can strive for a restraint-free hospital.

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