Nursing home nurses' decisions to document and report acute confusion and to initiate restraints

2.50
Hdl Handle:
http://hdl.handle.net/10755/161334
Type:
Presentation
Title:
Nursing home nurses' decisions to document and report acute confusion and to initiate restraints
Abstract:
Nursing home nurses' decisions to document and report acute confusion and to initiate restraints
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Ludwick, Ruth, PhD, RNC
Title:Professor
Contact Address:3326 Lake Rockwell Rd, Kent, OH, 44266, USA
Co-Authors:Susan Jones, PhD, RN, CNS, Professor Emeritus
Purpose and theoretical framework: The purpose of the study was to examine nurse decision-making about confusion and restraint use in nursing homes. The focus of the study was to examine the impact of 9 resident variables and selected nurse variables on nurses’ decisions to report and to document acute confusion and to use restraints. Social interaction theory, which explains that people act on the basis of “meanings” evolving from personal interaction and subjective interpretation, framed the research questions and subsequent discussion of findings. Sample and methods: RNs and LPNs from a random sample of 144 nursing homes participated in this study. A factorial survey method was employed. The factorial survey is a research design in which the effect of independent variables is measured by combining the classic factorial design experiment with the sample survey in order to realize the benefits from both methods. The strength of the factorial survey is that it is a hybrid technique, combining the strength of random assignment inherent in the classical experimental design with the simplicity of sampling and survey research methods. Results: Statistical analysis was carried out using ordinary least squares regression (OLS). The regression analyses demonstrated the effect sizes, statistical significances, and variances explained for the independent variables on the dependent variables of reporting/documenting confusion and the initiation of restraints. The results showed the vignette variables (resident characteristics) were the most significant and consistent predictors on decision-making outcomes. Nurse characteristics (e.g. experience, licensure level) had less predictive power on the dependent variables. Conclusion: In conclusion this study showed there is considerable consensus among nurses on when to report and document resident confusion and when to use and not use restraints. This study is important as because it tested an innovative method, the factorial survey in a nursing home setting in order to sort out the contextual factors influencing nurse decisions.
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.titleNursing home nurses' decisions to document and report acute confusion and to initiate restraintsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161334-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nursing home nurses' decisions to document and report acute confusion and to initiate restraints</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">Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3326 Lake Rockwell Rd, Kent, OH, 44266, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Susan Jones, PhD, RN, CNS, Professor Emeritus</td></tr><tr><td colspan="2" class="item-abstract">Purpose and theoretical framework: The purpose of the study was to examine nurse decision-making about confusion and restraint use in nursing homes. The focus of the study was to examine the impact of 9 resident variables and selected nurse variables on nurses&rsquo; decisions to report and to document acute confusion and to use restraints. Social interaction theory, which explains that people act on the basis of &ldquo;meanings&rdquo; evolving from personal interaction and subjective interpretation, framed the research questions and subsequent discussion of findings. Sample and methods: RNs and LPNs from a random sample of 144 nursing homes participated in this study. A factorial survey method was employed. The factorial survey is a research design in which the effect of independent variables is measured by combining the classic factorial design experiment with the sample survey in order to realize the benefits from both methods. The strength of the factorial survey is that it is a hybrid technique, combining the strength of random assignment inherent in the classical experimental design with the simplicity of sampling and survey research methods. Results: Statistical analysis was carried out using ordinary least squares regression (OLS). The regression analyses demonstrated the effect sizes, statistical significances, and variances explained for the independent variables on the dependent variables of reporting/documenting confusion and the initiation of restraints. The results showed the vignette variables (resident characteristics) were the most significant and consistent predictors on decision-making outcomes. Nurse characteristics (e.g. experience, licensure level) had less predictive power on the dependent variables. Conclusion: In conclusion this study showed there is considerable consensus among nurses on when to report and document resident confusion and when to use and not use restraints. This study is important as because it tested an innovative method, the factorial survey in a nursing home setting in order to sort out the contextual factors influencing nurse decisions.</td></tr></table>en_GB
dc.date.available2011-10-26T23:19:42Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:19:42Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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