Patient and Family Perceptions of Restraints

Abstract

Based on a holistic philosophy that aging persons' most primary need is that of autonomy and freedom, this qualitative descriptive study examined patients' and their family members' perceptions of the restraint procedure. Twenty-five restrained patients were interviewed, and 19 of their family members completed mailed surveys to describe their perceptions about restraints. Results indicated that the majority of patients (52%) expressed negative feelings about being restrained. Family members expressed a wide variety of feelings and were ambivalent about seeing a loved one restrained. Implications are that nursing needs to become committed to the philosophy of autonomy and freedom for elderly persons.

Nurses’ feelings and thoughts about using physical restraints on hospitalized older patients

“…1999, Marangos‐Frost & Wells 2000). In contrast, some studies found that nurses had no manifest ethical dilemmas (Hardin et al. 1994, Chien 2000, Werner & Mendelsson 2001).…”

“…2001, Huang et al. 2003), on patients’ experience of being restrained (Strumpf & Evans 1988, Hardin et al. 1994, Gallinagh et al.…”

Changing Nursing Students' Attitudes About Aging: An Argument For The Successful Aging Paradigm

“…Negative attitudes about aging affect career choices and the quality of health care older adults receive (Gomez, Otto, Blattstein, & Gomez, 1985;Happell & Brooker, 2001;McKinlay & Cowan, 2003;Philipose, Tate, & Jacobs, 1991;Sainsbury, Wilkinson, & Smith, 1992;Spier & Yurick, 1989). Nurses with negative attitudes toward older persons, for example, often favor using physical and chemical restraints rather than less restrictive behavioral management strategies (Armstrong-Esther & Browne, 1986;Hardin et al, 1993;Helmuth, 1995;Wilkes, LeMiere, & Walker, 1998). Because healthcare behaviors are guided by attitudes (Stroebe, 2000), and education's role is to shape values and attitudes (Lutz, Elfrink, & Eddy, 1991), this paper focuses on the effect of curriculum changes on students' attitudes about aging.…”

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

“…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) …”