Nursing staff perceptions of the behaviour of older nursing home residents and decision making on restraint use: a qualitative and interpretative study

Hantikainen, Virpi

doi:10.1111/j.1365-2702.2001.00468.x

Cited by 23 publications

(54 citation statements)

References 74 publications

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“…The present findings also show that the extent of restraint use was not related to the attitudes of the participants toward people with dementia or to their perceptions of restraint use. This is inconsistent with previous findings, which showed a relationship between the decisions of nurses and their interpretation of the behaviour of older people with dementia (Hantikainen 2001) as well as their attitudes toward restraint use (Karlsson et al. 2000).…”

Section: Discussioncontrasting

confidence: 99%

The prevalence and correlates of the use of restraint and force on hospitalised older people

Yan¹,

Kwok²,

Lee³

et al. 2009

J of Nursing and Healthcare

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The prevalence and correlates of the use of restraint and force on hospitalised older people Aims. This study examined the prevalence and correlates of the use of restraint and force in care for older people in the hospital setting in Hong Kong. Background. The use of restraint and force is common in care for older people. Although some knowledge exists on the potential consequences and characteristics of patients where restraint is used, little is known about the profiles of the nursing staff administering restraint. Design. Descriptive cross-sectional study. Method. Data were collected in 2006. A total of 187 nursing staff provided information on their demographic characteristics, coworker emotional support, burnout symptoms, attitudes toward patients with dementia, as well as their perceptions of the use of restraint and force in care for older people and their experiences with it. Results. More than two-thirds (73AE8%) of the participants reported using restraint or force in the past three months, with physical restraint endorsed by 69%, the use of force in examination or treatment endorsed by 48AE1% and the use of force in activities of daily living endorsed by 46AE5% of the participants. Pearson correlation analysis results show that use of physical restraint was negatively correlated with the age of participants (r = À0AE44, p<0AE01) and coworker emotional support (r = À0AE20, p<0AE05), but positively correlated with emotional exhaustion (r = 0AE21, p<0AE01). Use of force in examination or treatment and in relation to activities of daily living was negatively correlated with the age of participants (r = À0AE32 & Ó 2009 Blackwell Publishing Ltd 147 À0AE18, p<0AE01 & 0AE05), but positively correlated with emotional exhaustion (r = 0AE16 & 0AE15, p<0AE05) and lack of personal achievement (r = 0AE18 & 0AE19, p<0AE05). Years of experience in dementia care, training in dementia care, attitudes toward people with dementia and perception of the use of restraint were not related to the use of physical restraint or force (p > 0AE05).Conclusion. The use of restraint and force is common among nurses in hospital medical wards in Hong Kong. To reduce restraint use in patient care, steps need to be taken to mitigate feelings of burnout and to foster sense of social support among nurses.Relevance to clinical practice. The hospital administration can take a leading role in restraint reduction by setting standards of care and by formulating institutional policy regarding the use of restraint or force.

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Section: Discussioncontrasting

confidence: 99%

The prevalence and correlates of the use of restraint and force on hospitalised older people

Yan¹,

Kwok²,

Lee³

et al. 2009

J of Nursing and Healthcare

View full text Add to dashboard Cite

show abstract

“…Restraint use is closely related to crucial aspects of patient safety such as preventing falls (M€ ohler & Meyer, 2014) and controlling the behaviours of older adults (Hantikainen & K€ appeli, 2000). While the prevalence of physical restraint use has decreased in Western countries, 78.2% of older adults in South Korea were reportedly restrained by full-side bed rails, with trunk restraints being applied to 31.9% of them (Yoo & Kim, 2016).…”

Section: Discussionmentioning

confidence: 99%

Barriers to ethical nursing practice for older adults in long‐term care facilities

Choe

Kang

Lee

2018

Journal of Clinical Nursing

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“…A considerable amount of research has reported on what constitutes good quality in the care of older people in a community setting, from the point of view of caregivers (Hantikainen, 2001; Puts et al. , 2007), relatives (Jeon, 2004; Janlöv et al.…”

Section: Introductionmentioning

confidence: 99%

The meaning of good and bad care in the community care: older people’s lived experiences

From¹,

Johansson²,

Athlin³

2009

Int J Older People Nursing

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In spite of a considerable body of research in the past decades on what does or does not constitute good care for older people, there are still few studies addressing this question in which older people narrate their experiences of being dependent on community care. This study was therefore carried out aiming to explore older people's lived experiences of what good and bad care meant to them, when it was offered by community care services. Nineteen older persons in three Swedish communities participated in the study, which used a phenomenological-hermeneutic approach. Data were collected through unstructured interviews and Colaizzi's framework was utilized in the analysis of the data. The key theme arising from the analysis was that of being encountered as a human being by caregivers who, through the provision of safe and secure care, provide opportunities for living life as usual. When any of these circumstances are lacking, bad care will be the consequence. As the general intention in society is to ensure good quality of care to older people as well as others, the findings in our study should have important implications for providers of community care for older people.

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Nursing staff perceptions of the behaviour of older nursing home residents and decision making on restraint use: a qualitative and interpretative study

Cited by 23 publications

References 74 publications

The prevalence and correlates of the use of restraint and force on hospitalised older people

The prevalence and correlates of the use of restraint and force on hospitalised older people

Barriers to ethical nursing practice for older adults in long‐term care facilities

The meaning of good and bad care in the community care: older people’s lived experiences

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