Nurse decision making about initiating, continuing and terminating restraints in acute care

2.50
Hdl Handle:
http://hdl.handle.net/10755/159240
Type:
Presentation
Title:
Nurse decision making about initiating, continuing and terminating restraints in acute care
Abstract:
Nurse decision making about initiating, continuing and terminating restraints in acute care
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Ludwick, Ruth, PhD, RNC
Title:Associate Professor
Contact Address:CON, East Main and Lincoln Ave, Kent, OH, 44242, USA
Co-Authors:Anita J Meehan, MSN, RN, ONC
The purpose of this descriptive, qualitative study was to explore similarities and differences among RN decision-making about the initiation, continuation, and the termination of the use of restraints for hospitalized patients on general medical-surgical units. Framework: Social interaction theory, which explains that people act on the basis of "meanings" that have evolved from personal interaction and subjective interpretation, framed this research. Sample: A purposeful sample of 12 female registered nurses from a large urban hospital, representing all shifts, participated in focused interviews. The medical surgical experience of the nurses interviewed ranged from 2 to 20 years. A purposive sample was conducted until saturation was determined. Method: Grounded theory methodology, which is used to discover the intricacy, variations, and patterns in social processes, was used to guide this study's design and analysis. Two registered nurses and a sociologist collected data. The face-to-face interviews took place over a 2-week time period in the summer of 2003. The interviews were audio taped and then transcribed for analysis using the general procedures for analysis recommended by Glaser & Strauss (1967). Results: Personal, policy and patient perspectives emerged as guiding nurses in their decision-making. Nurses' more easily and readily recalled terminating or continuing restraints and most often discussed the initiation of restraints as the work of "others": nurses, shifts, and units. Discussion: This study is important in that it explores the use of restraints from the unique perspective of differentiating restraint use into the activities of initiation, continuation, and termination. Evaluating restraint usage in this manner provides an opportunity to explore the variety of meanings associated with each of these activities and how they influence nurses' perceptions and decisions regarding the use of restraints.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNurse decision making about initiating, continuing and terminating restraints in acute careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159240-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nurse decision making about initiating, continuing and terminating restraints in acute care</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ludwick, Ruth, PhD, RNC</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">CON, East Main and Lincoln Ave, Kent, OH, 44242, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Anita J Meehan, MSN, RN, ONC</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this descriptive, qualitative study was to explore similarities and differences among RN decision-making about the initiation, continuation, and the termination of the use of restraints for hospitalized patients on general medical-surgical units. Framework: Social interaction theory, which explains that people act on the basis of &quot;meanings&quot; that have evolved from personal interaction and subjective interpretation, framed this research. Sample: A purposeful sample of 12 female registered nurses from a large urban hospital, representing all shifts, participated in focused interviews. The medical surgical experience of the nurses interviewed ranged from 2 to 20 years. A purposive sample was conducted until saturation was determined. Method: Grounded theory methodology, which is used to discover the intricacy, variations, and patterns in social processes, was used to guide this study's design and analysis. Two registered nurses and a sociologist collected data. The face-to-face interviews took place over a 2-week time period in the summer of 2003. The interviews were audio taped and then transcribed for analysis using the general procedures for analysis recommended by Glaser &amp; Strauss (1967). Results: Personal, policy and patient perspectives emerged as guiding nurses in their decision-making. Nurses' more easily and readily recalled terminating or continuing restraints and most often discussed the initiation of restraints as the work of &quot;others&quot;: nurses, shifts, and units. Discussion: This study is important in that it explores the use of restraints from the unique perspective of differentiating restraint use into the activities of initiation, continuation, and termination. Evaluating restraint usage in this manner provides an opportunity to explore the variety of meanings associated with each of these activities and how they influence nurses' perceptions and decisions regarding the use of restraints.</td></tr></table>en_GB
dc.date.available2011-10-26T21:50:06Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:50:06Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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