Physical restraint in healthcare settings

Haidrani, Layla

doi:10.7748/nm.24.1.13.s19

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“…These reasons become obstacles to increasing knowledge. On the other hand, erroneous views have also been verified by a large number of researches on institutional or nursing home staff (Haidrani, 2017), which once again proves that relevant knowledge is not yet widespread, and the wrong perception is regarded as common sense. Although it is difficult to resolve conflicts, family caregivers take their subjective initiative and use smart methods to reduce the use of unnecessary physical restraints, such as the use of digital locator apps.…”

Section: Discussionmentioning

confidence: 99%

Physical restraints applied to people diagnosed with dementia in home care from the perceptions of family caregivers: A qualitative study in China

2023

Psychiatric Ment Health Nurs

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Accessible SummaryWhat is known on the subject? Physical restraint is widely used in the elderly at home, and cognitive impairment is an important risk factor. Family caregivers of people with dementia are the main decision makers and implementers of physical restraint at home. Most people with dementia in China receive home care, and family caregivers face enormous care and moral pressures influenced by Confucian culture. Current research on physical restraints focuses on quantitative analysis of its prevalence and reasons within the institutions. There is little research on how family caregivers perceive physical restraints in home care context, especially under Chinese culture. What the paper adds to existing knowledge? Many family caregivers face approach – avoidance conflict and moral dilemmas when making decisions to restrain, and they make difficult choices in these dilemmas. In China, family caregivers are influenced by many unique factors, including traditional Confucian culture, family affection, and rural home environment. Inadequate laws and policies provide the ground for abuse of physical restraints, and family caregivers rarely consider legal and policy restrictions when using physical restraints. What are the implications for practice? With limited medical resources, nurse‐led dementia management is the hope to reduce physical restraints in home. Mental health nurses need to assess for the appropriateness of physical restraints associated with psychiatric symptoms in people with dementia. At both organizational and community levels, improving effective communication and relationships between professionals and family caregivers are important to address. Improvements in this context require education and time for staff to develop skills and experience which is necessary to provide family caregivers with ongoing information and psychological support within their communities. Considering Confucian culture will be of value for mental health nurses working in other countries where there are Chinese communities to better understand perceptions of family caregivers. AbstractIntroductionThe use of physical restraints is a common practice in home care. Family caregivers face care‐related and moral pressures due to the influence of Confucian culture in China. The use of physical restraints in the Chinese cultural environment may differ from the use of such restraints in other cultures.Scientific RationaleCurrent research on physical restraints focuses on quantitative analysis of its prevalence and reasons within the institutions. However, there is little research on how family caregivers perceive physical restraints in home care context, especially under Chinese culture.AimTo explore the perceptions of family caregivers on physical restraints in people diagnosed with dementia receiving home care.MethodA descriptive, qualitative study of Chinese family caregivers of people diagnosed with dementia in home care. Framework method analysis was adopted using the multilevel socio‐ecological model.ResultsBeliefs about benefit lead to a dilemma for family caregivers. Cherishing family's affection encourages caregivers to reduce physical restraints, but lack of help from family members, professionals and the community forces them to restrain their loved ones.DiscussionFuture research should explore the complex issue of culturally specific physical restraints decisions.Implications for PracticeMental health nurses must receive education regarding the negative outcomes of the use of physical restraints for family members of people diagnosed with dementia. A more liberal approach to mental health and relevant legislation, which is an emerging global phenomenon that is currently in an early phase of development in China, grants human rights to people diagnosed with dementia. Effective communication and relationships between professionals and family caregivers can contribute to the establishment of a dementia‐friendly community in China.

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Section: Discussionmentioning

confidence: 99%

Physical restraints applied to people diagnosed with dementia in home care from the perceptions of family caregivers: A qualitative study in China

2023

Psychiatric Ment Health Nurs

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Physical restraint in healthcare settings

Abstract: Essential facts In January, new guidance was drawn up for police and healthcare professionals, outlining for the first time how and when police officers should be involved in physically restraining people in healthcare settings in England and Wales.

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Physical restraints applied to people diagnosed with dementia in home care from the perceptions of family caregivers: A qualitative study in China

Physical restraints applied to people diagnosed with dementia in home care from the perceptions of family caregivers: A qualitative study in China

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