FAMILY REACTIONS TO RESTRAINTS in an Acute Care Setting

Kanski, Genevieve W; Janelli, Linda M.; Jones, Helen; Kennedy, Mary C.

doi:10.3928/0098-9134-19960601-05

Cited by 22 publications

(11 citation statements)

References 7 publications

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“…Therefore, the role of social workers in interdisciplinary teams related to the quality of care of elderly persons is pivotal (Joseph & Conrad, 1989;Mellor & Lindeman, 1998); especially in situations in which the decisions involve cognitively impaired elderly persons and their families. Lately, researchers have turned their attention towards the importance of increasing family members' knowledge and understanding about the advantages and disadvantages of physical restraints (Kanski et al, 1996;Werner et al, 1993). Informing family members only after the fact or not informing them at all is associated with anger, complaints and even law suits (Kapp, 1999;Varon & Tabak, 1996).…”

Section: Introductionmentioning

confidence: 97%

Perceptions regarding the use of physical restraints with elderly persons: comparison of Israeli health care nurses and social workers

Werner

2002

Journal of Interprofessional Care

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In view of the difficulty involved in decision-making regarding the use or removal of physical restraints and the recent pattern encouraging the use of interdisciplinary teams for elder care issues, the present study compared the perceptions of Israeli nurses and social workers in health care settings regarding the use of physical restraints. Data were collected from a convenience sample of 50 nurses and 69 social workers working in long-term and acute care settings. The findings indicated that participants in all professions attributed moderate to low importance towards the use of physical restraints. Social workers' perceptions were similar to those of nurses in psychiatric hospitals and slightly more favourable to the use of physical restraints than those of nurses in nursing homes. Patients' safety (as reflected in the scores of the items related to protecting an older person from falling and protecting an older person from pulling out a catheter) was the most important reason for using physical restraints for both groups. Increased attention should be given to the role of social workers as team members in the process of decision-making regarding the use or removal of physical restraints, especially as mediators between the elderly person, family members and staff members.

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Section: Introductionmentioning

confidence: 97%

Perceptions regarding the use of physical restraints with elderly persons: comparison of Israeli health care nurses and social workers

Werner

2002

Journal of Interprofessional Care

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“…15,18,20,[23][24][25] Families and student nurses share these concerns. 26,27 Understaffing is a consistent theme in the literature on restraint use in hospitals. 12,19,28,29 Although a recent study investigated the relationship between restraint use and staffing, results were reported at the hospital level, aggregated across 10 hospitals in an integrated system, and failed to include patient characteristics.…”

mentioning

confidence: 98%

“…Nurses consistently cite understaffing or inability to provide appropriate patient observation as reasons for restraint use 15,18,20,23–25 . Families and student nurses share these concerns 26,27 . Understaffing is a consistent theme in the literature on restraint use in hospitals 12,19,28,29 .…”

mentioning

confidence: 99%

Organizational Characteristics and Restraint Use for Hospitalized Nursing Home Residents

Bourbonniere

Strumpf

Evans

et al. 2003

J American Geriatrics Society

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OBJECTIVES: To examine the effect of organizational characteristics on physical restraint use for hospitalized nursing home residents. DESIGN: Secondary analysis of data obtained between 1994 to 1997 in a prospective phase lag design experiment using an advanced practice nurse (APN) intervention aimed at reducing physical restraint for a group of hospitalized nursing home residents. SETTING: Eleven medical and surgical units in one 600‐bed teaching hospital. PARTICIPANTS: One hundred seventy‐four nursing home residents aged 61 to 100, hospitalized for a total of 1,085 days. MEASUREMENTS: Physical restraint use, APN intervention, age, perceived fall risk, behavioral phenomena, perceived treatment interference, mental state, severity of illness, day of week, patient–registered nurse (RN) ratio, patient–total nursing staff ratio, and skill mix. RESULTS: Controlling for the APN intervention, age, and patient behavioral characteristics (all of which increased the likelihood of restraint use), weekend days as an organizational characteristic significantly increased the odds of restraint (weekend day and patient–RN ratio on physical restraint use: odds ratio (OR) = 1.92, 95% confidence interval (CI) = 1.38–2.68, P < .001; weekend day and patient–total staff ratio on physical restraint use: OR = 1.91, 95% CI = 1.37–2.66, P < .001; weekend day and skill mix on physical restraint use: OR = 1.91, 95% CI = 1.37–2.67, P < .001). CONCLUSION: Key findings suggest that organization of hospital care on weekends and patient characteristics that affect communication ability, such as severely impaired mental state, English as a second language, sedation, and sensory‐perceptual losses, may be overlooked variables in restraint use.

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“…이처럼 억제대 사용에 대한 관심이 증 가하고 환자의 인권과 자율성 존중에 대한 권리와 요구가 강조 되면서 억제대를 적용받는 환자에게는 관심이 높아지고 있으 나 (Yeo & Park, 2006), 억제대를 적용한 환자를 지켜보는 가 족들이 겪을 수 있는 정서적 고통에 대해서는 간과되고 있는 실 정이다 (Macpherson, Lofgren, Granieri, & Myllenback, 1990). 중환자 가족의 요구를 분석한 Kwon과 Lee (1987) 억제대 적용에 대한 가족의 반응을 조사한 선행 연구 (Hardin, Magee, Vinson, Owen, & Hyatt, 1993;Kanski, Janelli, Jones, & Kennedy, 1996;Newbern & Lindsey, 1994 (Kang, 2003;Kim, 2001), 중환자실에서의 신체 억제 대 적용에 관한 연구 (Choi, 1999;, 중환자 실 간호사의 억제대 사용의도와 관련요인에 관한 연구 (Park, 1997), 중환자를 위한 억제대 개발과 그 사용 효과에 관한 연구 (Seo & Lee, 1996) …”

Section: 최근 보건의료분야에서는 의료지식과 기술의 팽창과 함께unclassified

Development and Testing of an Instrument to Measure Family's Emotional Response toward Physically Restrained Patients

Lee

Kang

2008

J Korean Acad Nurs

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Purpose: This was a methodological research to develop an instrument to assess the emotional response of family members of physically restrained patients. Methods: A primary instrument with 68 questions was developed based on literature review and semi-structured interviews with family members. A group of experts revised individual questions and removed 4 irrelevant questions. This secondary instrument, then, was tested with 199 family members of physically restrained patients in intensive care units of a university hospital. The validity and reliability of the instrument were tested by factor analysis. Results: After item analysis, 3 questions with a correlation coefficient under .30 were discarded and the questions with a factor loading under .45 on Varimax Rotation were also removed. After factor analysis on the final 37 questions, 7 factors were identified; avoidance, shock, helplessness, grudge, depression, anxiousness, and acceptance. The total variance explained was 55.63%. The reliability of this instrument was 0.93 of Cronbach's alpha. Conclusion: This instrument was statistically reliable and valid to measure family's emotional response to physical restraints of the patients. This instrument can be useful in assessing the effects of nursing interventions for family members of restrained patients.

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FAMILY REACTIONS TO RESTRAINTS in an Acute Care Setting

Cited by 22 publications

References 7 publications

Perceptions regarding the use of physical restraints with elderly persons: comparison of Israeli health care nurses and social workers

Perceptions regarding the use of physical restraints with elderly persons: comparison of Israeli health care nurses and social workers

Organizational Characteristics and Restraint Use for Hospitalized Nursing Home Residents

Development and Testing of an Instrument to Measure Family's Emotional Response toward Physically Restrained Patients

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