Background: There is a relationship between the application of physical restraints and negative physiological and psychological effects on critically ill patients. Many organizations have supported and advocated minimizing the use of physical restraints. However, it is still common practice in many countries to apply physical restraints to patients in intensive care. Objective: This study aimed to assess the effectiveness of various non-pharmacological interventions used to minimize physical restraints in intensive care units and provide a supplement to the evidence summary for physical restraints guideline adaptation. Methods: Based on the methodology of umbrella review, electronic databases, including Cochrane Database of Systematic Reviews, Joanna Briggs Institute Database of Systematic Reviews and Implementation Reports, MEDLINE, EMBASE, CINAHL, Web of Science, PsycInfo/Psyc Articles/Psychology and Behavioral Science Collection, China National Knowledge Infrastructure, SinoMed, and Wanfang Data, were searched to identify systematic reviews published from January 2016 to December 2020. Two independent reviewers undertook screening, data extraction, and quality appraisal. The methodological quality of systematic reviews was evaluated by AMSTAR 2. Evidence quality of each intervention was assessed according to GRADE. The corrected covered area was calculated as a measure of overlap. Results: A total of 47 systematic reviews were included in the umbrella review, of which six were evaluated as high quality, five were of moderate quality, and the rest were of low or critically low quality. The corrected covered area range was from 0.0 to 0.269, which indicated that there was mild overlap between systematic reviews. The included systematic reviews evaluated various types of non-pharmacological interventions for minimizing physical restraints in intensive care units, which included multicomponent interventions involving healthcare professionals' education, family engagement/support, specific consultations and communication, rehabilitation and mobilization (rehabilitation techniques, early mobilization, inspiratory muscle training), interventions related to reducing the duration of mechanical ventilation (weaning modes or protocols, ventilator bundle or cough augmentation techniques, early tracheostomy, high-flow nasal cannula), and management of specific symptoms (delirium, agitation, pain, and sleep disturbances). Conclusion: The number of systematic reviews related to physical restraints was limited. Multicomponent interventions involving healthcare professionals' education may be the most direct non-pharmacological intervention for minimizing physical restraints use in intensive care units. However, the quality of evidence was very low, and conclusions should be taken with caution. Policymakers should consider incorporating non-pharmacological interventions related to family engagement/support, specific consultations and communication, rehabilitation and mobilization, interventions related to reducing the duration of mechanical ventilation, and management of specific symptoms as part of the physical restraints minimization bundle. All the evidence contained in the umbrella review provides a supplement to the evidence summary for physical restraints guideline adaptation. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=242586, identifier: CRD42021242586.

Intelligent construction (IC) is an innovative development model of the construction industry in which construction is integrated with digital technologies against the backdrop of the new technological revolution. The development of IC involves many influencing factors which are actively promoting IC development. However, investigations focusing on identifying and examining the relationships among the factors necessary for IC development are limited. In contributing to bridging this gap, this paper investigated and analyzed influencing factors for IC development by developing structural equation modeling (SEM) based on 5 variables and 28 measures, including (1) identifying the factors and examining their influence on IC development in China and (2) clarifying the paths and key measures for successful IC development. The results showed that (1) the three variables of government, company, and technology had a direct and significant impact on the development of IC, (2) the three variables of industry, company, and technology actually formed a “closed-loop” within which they interact and promote each other, and (3) it was widely realized and accepted that IC development has bright prospects in China. Furthermore, four paths for IC development were obtained and the key measures of the five variables were further analyzed. This research contributes to the body of knowledge on IC by identifying the factors influencing IC development. The four paths and key measures were proposed to clarify the relationship between factors. Recommendations were put forward to promote IC development.

Intelligent construction (IC) integrates intelligent technologies with the construction industry to improve efficiency and sustainability. IC development involves many driving factors, but only the critical factors play essential roles. Thus, it is necessary to identify these key factors to understand and promote IC development thoroughly. Although there are many studies on IC-related technologies, a focus on identifying the driving factors of IC is lacking. We aimed to identify the key driving factors for IC development, analyze the relationship between the key factors and IC, and then produce general laws to guide IC by conducting an empirical study in China. We employed a five-stage research design and proposed the following general laws of how the key factors drive the development of IC: (1) initially, there exits the opportunity that drives companies to generate IC; (2) subsequently, the planning and pressure of a firm strategy, structure, and rivalry further drive companies to try to develop IC; (3) afterward, government policy vigorously promotes IC practices of the participating companies and accelerates the development of IC; and (4) finally, the market forces begin to play a leading role, and companies spontaneously carry out IC activities when the policy effect reaches a certain level. The findings indicate that policies to promote IC development should be consistent with its development stage, and the key driving factors of different stages should be paid attention to. Although the context of this study is China, the findings can provide references for IC’s development globally.

Purpose: The purpose of this paper is to timely control of a construction collapse accident effectively during its development process by constructing a stage model and then aligning IT with each stage to help provide the information for decision making. Design/methodology/approach: Through comprehensive literature review, this paper first identifies the various IT applications in on-site construction monitoring and analyzes the existed disaster/crisis stage models, also the stage models are compared with the causation models to illustrate the strengths. Then, a three-step methodology was conducted to develop and apply the conceptual framework, including the construction of the four-stage model; the establishment of the conceptual framework of information technology (IT) support for management of construction accidents (ITSMCA); and a building collapse accident used to illustrate the proposed framework. Findings: The accident is divided into four stages, which are incubation stage, outbreak stage, spreading stage and final stage. The real-time staged information to support decision making, such as the contributing factors of on-site workers, materials, equipment and workplace, can be provided by emerging IT. Therefore, IT is aligned with the variations of contributing factors’ attributes in the four stages and ITSMCA is constructed to help accidents management. Research limitations/implications: The focus of the framework presented in this paper is that the stage model is effective for it catches the variations of the attributes whose values can be provided by IT rather than research on the practical application of the IT system. The construction and application of the IT system will be the research focus in the future. Originality/value: This paper presents a stage model of a building collapse accident and gives a comprehensive conceptual framework of ITSMCA, which align the IT with different stages of the collapse accident. The ITSMCA proposes a feasible ideology and practical method for real-time management of the collapse accident during the process.