2.50
Hdl Handle:
http://hdl.handle.net/10755/161331
Type:
Presentation
Title:
Pilot Study: Psychiatric Nurses' Decision to Restrain
Abstract:
Pilot Study: Psychiatric Nurses' Decision to Restrain
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Lindsey, Pamela, MS, APN
Title:Undergraduate Program Director
Contact Address:Mennonite CON, Campus Box 5810, Normal, IL, 61790, USA
Understanding decision making of psychiatric nurses regarding restraint use may provide a better understanding of variations in clinical practice. The purposes of this pilot study were to: 1) test an instrument that will be used in the researcher’s dissertation, 2) give the researcher experience with data collection methods, and 3) test data analysis techniques. To collect information about nurses’ judgment concerning restraint, the writer created vignettes that depict patient scenarios which approximate situations in which restraints might be considered. Social judgment theory, the framework for this study, focuses on how people “weigh and combine evidence from multiple fallible indicators (cues) to arrive at judgments about intangible objects, events, or states” (Holzworth & Wills, 1999, p. 191). Judgment policy refers to the strategy a person uses when making a judgment. In this study, judgment policy refers to the decision-making strategy of psychiatric nurses when making decisions concerning management of situations that may require restraint of a psychiatric patient. A convenience sample of 12 psychiatric nurses at two sites participated in focus groups in order to evaluate the research instrument’s utility in eliciting psychiatric nurses’ decision-making process regarding restraint use. Nurses were able to identify cues and provide rationale for their decisions. Other vignettes will be created based on respondent feedback and utilization of cues identified as characteristic of actual patient situations in which restraint might be considered (Holzworth & Wills, 1999). Results of the focus groups were congruent with written responses to the vignettes indicating that the instrument yielded analogous results, supporting the instrument’s utility in eliciting psychiatric nurses’ decision-making process about restraint use. Results of this study support the use of vignettes in the writer’s future dissertation study, which will further examine organizational factors relationship with psychiatric nurses’ decision-making about restraint use.
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.titlePilot Study: Psychiatric Nurses' Decision to Restrainen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161331-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Pilot Study: Psychiatric Nurses' Decision to Restrain </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">Lindsey, Pamela, MS, APN</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Undergraduate Program Director</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Mennonite CON, Campus Box 5810, Normal, IL, 61790, USA</td></tr><tr><td colspan="2" class="item-abstract">Understanding decision making of psychiatric nurses regarding restraint use may provide a better understanding of variations in clinical practice. The purposes of this pilot study were to: 1) test an instrument that will be used in the researcher&rsquo;s dissertation, 2) give the researcher experience with data collection methods, and 3) test data analysis techniques. To collect information about nurses&rsquo; judgment concerning restraint, the writer created vignettes that depict patient scenarios which approximate situations in which restraints might be considered. Social judgment theory, the framework for this study, focuses on how people &ldquo;weigh and combine evidence from multiple fallible indicators (cues) to arrive at judgments about intangible objects, events, or states&rdquo; (Holzworth &amp; Wills, 1999, p. 191). Judgment policy refers to the strategy a person uses when making a judgment. In this study, judgment policy refers to the decision-making strategy of psychiatric nurses when making decisions concerning management of situations that may require restraint of a psychiatric patient. A convenience sample of 12 psychiatric nurses at two sites participated in focus groups in order to evaluate the research instrument&rsquo;s utility in eliciting psychiatric nurses&rsquo; decision-making process regarding restraint use. Nurses were able to identify cues and provide rationale for their decisions. Other vignettes will be created based on respondent feedback and utilization of cues identified as characteristic of actual patient situations in which restraint might be considered (Holzworth &amp; Wills, 1999). Results of the focus groups were congruent with written responses to the vignettes indicating that the instrument yielded analogous results, supporting the instrument&rsquo;s utility in eliciting psychiatric nurses&rsquo; decision-making process about restraint use. Results of this study support the use of vignettes in the writer&rsquo;s future dissertation study, which will further examine organizational factors relationship with psychiatric nurses&rsquo; decision-making about restraint use. </td></tr></table>en_GB
dc.date.available2011-10-26T23:19:39Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:19:39Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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