Nurses' perceptions of the use of physical restraints with elderly patients in an acute care hospital

2.50
Hdl Handle:
http://hdl.handle.net/10755/149297
Type:
Presentation
Title:
Nurses' perceptions of the use of physical restraints with elderly patients in an acute care hospital
Abstract:
Nurses' perceptions of the use of physical restraints with elderly patients in an acute care hospital
Conference Sponsor:Sigma Theta Tau International
Conference Year:1991
Author:Quinn, Carroll, DNS/DNSc/DSN
P.I. Institution Name:Miami University
Title:Visiting Associate Professor
The use of physical restraints, a common intervention in the

nursing management of elderly persons, can present the nurse with

a potential moral conflict concerning patient rights to

self-determination. Research to date on restraint use did not

examine the moral dimensions of restraint situations. Research

related to moral thinking in clinical nursing situations provided

limited insight into how nurses respond to moral problems arising

out of their everyday clinical experiences. The purposes of this

study were to describe how nurses explained their use of physical

restraints with elderly patients and to examine whether or not

these nurses' explanations of restraint use reflected their

perception of the restraint situation as a moral problem. A

Grounded Theory approach, including the principles of theoretical

sampling and constant comparison data analysis, was used to obtain

the perceptions of 20 female registered nurses who had cared for

restrained patients 65 years of age or older. Participants were

staff nurses from five medical-surgical units of one private

community hospital, representing all three tours of duty. Each

participant was interviewed twice by the investigator, using an

interview guide designed and piloted for the study. Other than

brief descriptive data on participants and their patients, the

primary source of data was verbatim transcripts of the audio

tape-recorded interviews.



Four themes emerged from the data: goal orientation, multiple

meanings of restraints, feelings of distress and redefinition.

Participants were highly committed to four nursing goals which were

their reasons for restraint use: prevention of patient harm,

maintenance of therapeutic regimes, prevention of harm to others,

and fulfilling other obligations. When participants discussed

restraints from a personal perspective, they spoke in terms of the

desire and right of human beings to be free and the wish for

themselves and their families to not be restrained. From a

functional perspective, restraint was defined in terms of

facilitating accomplishment of their nursing goals. Redefinition

was a process in which five distancing strategies were used to

cognitively restructure the meaning of restraints from the personal

to the functional. Feelings of distress appeared related to 1)

participants' perception of restraint use as a conflict of

fundamental nursing values and 2) the extent to which the

participant had redefined restraints.



Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNurses' perceptions of the use of physical restraints with elderly patients in an acute care hospitalen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149297-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nurses' perceptions of the use of physical restraints with elderly patients in an acute care hospital</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1991</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Quinn, Carroll, DNS/DNSc/DSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Miami University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Visiting Associate Professor</td></tr><tr><td colspan="2" class="item-abstract">The use of physical restraints, a common intervention in the<br/><br/>nursing management of elderly persons, can present the nurse with<br/><br/>a potential moral conflict concerning patient rights to<br/><br/>self-determination. Research to date on restraint use did not<br/><br/>examine the moral dimensions of restraint situations. Research<br/><br/>related to moral thinking in clinical nursing situations provided<br/><br/>limited insight into how nurses respond to moral problems arising<br/><br/>out of their everyday clinical experiences. The purposes of this<br/><br/>study were to describe how nurses explained their use of physical<br/><br/>restraints with elderly patients and to examine whether or not<br/><br/>these nurses' explanations of restraint use reflected their<br/><br/>perception of the restraint situation as a moral problem. A<br/><br/>Grounded Theory approach, including the principles of theoretical<br/><br/>sampling and constant comparison data analysis, was used to obtain<br/><br/>the perceptions of 20 female registered nurses who had cared for<br/><br/>restrained patients 65 years of age or older. Participants were<br/><br/>staff nurses from five medical-surgical units of one private<br/><br/>community hospital, representing all three tours of duty. Each<br/><br/>participant was interviewed twice by the investigator, using an<br/><br/>interview guide designed and piloted for the study. Other than<br/><br/>brief descriptive data on participants and their patients, the<br/><br/>primary source of data was verbatim transcripts of the audio<br/><br/>tape-recorded interviews.<br/><br/><br/><br/>Four themes emerged from the data: goal orientation, multiple<br/><br/>meanings of restraints, feelings of distress and redefinition.<br/><br/>Participants were highly committed to four nursing goals which were<br/><br/>their reasons for restraint use: prevention of patient harm,<br/><br/>maintenance of therapeutic regimes, prevention of harm to others,<br/><br/>and fulfilling other obligations. When participants discussed<br/><br/>restraints from a personal perspective, they spoke in terms of the<br/><br/>desire and right of human beings to be free and the wish for<br/><br/>themselves and their families to not be restrained. From a<br/><br/>functional perspective, restraint was defined in terms of<br/><br/>facilitating accomplishment of their nursing goals. Redefinition<br/><br/>was a process in which five distancing strategies were used to<br/><br/>cognitively restructure the meaning of restraints from the personal<br/><br/>to the functional. Feelings of distress appeared related to 1)<br/><br/>participants' perception of restraint use as a conflict of<br/><br/>fundamental nursing values and 2) the extent to which the<br/><br/>participant had redefined restraints.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T09:59:40Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:59:40Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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