Nurses’ feelings and thoughts about using physical restraints on hospitalized older patients

Chuang, Yeu-Hui; Huang, Hsuan-Rong

doi:10.1111/j.1365-2702.2006.01563.x

Cited by 78 publications

(114 citation statements)

References 37 publications

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“…In such situations, their autonomy was overruled, despite the fact that there was no danger to life or health. As previous studies have shown, 4,7,12,15,16,19,28 RNs using coercive measures had convinced themselves that residents' problematic behaviour was due to lack of insight, and therefore, constraints were seen as appropriate. It seems as though legal rights were understood as actions to prevent falls or harm, and not as actions to support autonomy and non-coercive dementia care.…”

Section: Discussionmentioning

confidence: 99%

“…Previous international studies have revealed similar results. 5,28,29 There was a major difference between the two nursing strategies that included coercive treatment. This difference could be related to educational skills and/or adequate staffing.…”

Section: Discussionmentioning

confidence: 99%

“…9,16,34 Multi-professional teams could also encourage understanding of human rights and freedom, as such an approach would generate discussions among the whole team. 9,28,34 Despite their ability to describe alternative measures, the RNs still practice good and safe nursing with coercive treatment. Perhaps the lack of training in gerontological nursing, as revealed in the present study, may be one of the reasons for the preservation of coercive treatment.…”

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confidence: 99%

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The ethics of coercive treatment of people with dementia

et al. 2013

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The aim of the present study was to describe how registered nurses in nursing homes ensure legal security, good and safe nursing care and uphold the dignity of nursing home residents with severe dementia without violating residents' integrity. Semi-structured interviews were conducted with 10 charge nurses in a county in central Sweden. The transcribed interviews were examined using manifest and latent content analyses. The manifest analysis identified actual local routines involving coercive treatment and registered nurses' descriptions of complications and alternative measures. The latent analysis resulted in three themes describing nursing strategies: one with coercive treatment, one with coercive treatment under specific circumstances and one to prevent coercive treatment. Interpretations of legal terms regarding coercive treatment and inadequate gerontological nursing training and understaffing seem to preserve the use of coercive treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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The ethics of coercive treatment of people with dementia

et al. 2013

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“…In the United States only, 8.63% of older patients in acute care hospitals were prescribed tranquilizers 53 ; the prevalence of use of physical restraints was 50 per 1000 patients' bed days. 54 However, the use of physical restraints on older patients with dementia is still highly prevalent in hospitals and is aimed to ensure the patient's safety [55][56][57] and to prevent disruption of therapy. 54 Other practices included discharge planning and allocating a separate space of the ward dedicated for the care of patients with delirium.…”

Section: Practices Used By Nursesmentioning

confidence: 99%

Practices Used in Israel by Nurses Who Care During Hospitalization for Older Patients With Dementia or Who are Bedridden

Iecovich

Rabin

2013

Am J Alzheimers Dis Other Demen

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The study's purpose was to examine (a) bedside nurses' care practices when providing care to patients with dementia or those who are physically disabled and (b) the extent to which these actions vary by type of hospital, type of ward, and nurse's characteristics. The sample included 265 nurses in internal medicine and geriatric wards in 2 general hospitals in Israel. The results showed that the most prevalent practices were giving greater attention to these patients, locating them in a room near the nurses' station and asking family members to stay with the patient or to hire paid carers. Use of restraints was more prevalent in patients with dementia than those who were physically disabled. Use of specific practices significantly varied by type of ward and hospital, suggesting that nurses' care practices are more connected with organizational characteristics than other factors.

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“…Por ejemplo, cuando se estudian las actitudes entre personal de enfermería se ve que las respuestas emocionales son variadas incluyendo tristeza y culpa, que coexisten con manifestaciones sobre la seguridad que aporta su uso 17 . Existe una ambivalencia emocional que genera conflictos, ya que la mayoría sienten pena por el anciano y tienen sentimientos negativos hacia el uso de las sujeciones a la vez que la liberación les genera dificultades.…”

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Diseño y validación de una escala de actitudes de los profesionales asistenciales hacia la liberación del uso de sujeciones en personas dependientes

Villacieros¹,

Steegman²,

Mejias³

et al. 2013

Anales Sis San Navarra

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resuMenFundamento. En nuestro entorno ya existen estudios sobre prevalencia y uso de sujeciones pero no un instrumento de medida que elimine la subjetividad del evaluador para su uso en clínica y en investigación. Objetivo: diseño y validación de una escala de medida de la actitud del profesional asistencial hacia el uso de las sujeciones físicas y farmacológicas.Método. Estudio descriptivo y correlacional de validación de escala. Tras revisión bibliográfica, se elaboró un listado de ítems que se sometieron a análisis de validez; de contenido mediante jueces, de criterio mediante contraste con variable externa y de constructo mediante análisis factorial exploratorio. La fiabilidad mediante coeficiente alfa de Cronbach.resultados. Contestaron al cuestionario 276 personas, 224 mujeres (82,4%) y 48 hombres (17,6%), media de edad de 38,65 años. La escala con 40 ítems ofreció un alfa de Cronbach 0,90. Se obtuvieron 4 dimensiones que explicaban un 46,76% de la varianza total. Se nombraron los factores Autonomía (15,08% de la varianza), Seguridad (12,23%), Entorno (8,46%) y Evitación (6,06%). Salvo la última, todas las subescalas obtuvieron un alfa superior a 0,72. Se obtuvieron diferencias debido a la experiencia en el cuidado del Alzheimer. El personal con experiencia puntúa significativamente más bajo en Factor 1 y Factor 3 y más alto en Factor 2, pero sin diferencias en el cómputo global. También por género, las mujeres puntuaron en Factor 1 más alto.conclusión. Esta escala constituye un paso significativo en el estudio de las actitudes de los profesionales asistenciales profundizando en las causas subyacentes.Palabras clave. Actitudes. Sujeciones. Geriatría. Escala. aBstractBackground. There are studies on the prevalence and use of restraints but not a measuring instrument to eliminate subjectivity in evaluation of their use in clinical practice and research in our environment. Objective. Design and validation of a scale of measurement of attitudes of health care professionals towards the use of physical and pharmacological restraints.

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Nurses’ feelings and thoughts about using physical restraints on hospitalized older patients

Cited by 78 publications

References 37 publications

The ethics of coercive treatment of people with dementia

The ethics of coercive treatment of people with dementia

Practices Used in Israel by Nurses Who Care During Hospitalization for Older Patients With Dementia or Who are Bedridden

Diseño y validación de una escala de actitudes de los profesionales asistenciales hacia la liberación del uso de sujeciones en personas dependientes

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