Restraints as nurse's aides see them

Neary, Mary; Kanski, Genevieve W; Janelli, Linda M.; Scherer, Yvonne K.; North, Nancy

doi:10.1016/s0197-4572(05)80200-9

Cited by 16 publications

(12 citation statements)

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“…They also described positive experiences from outpatient care. These participants describing alternatives to the use of coercion, in contrast to earlier studies reporting that staff have difficulties in seeing alternatives to use of coercion (Neary et al 1991, Olofsson et al 1998).…”

Section: Discussionmentioning

confidence: 70%

A plea for respect: involuntarily hospitalized psychiatric patients’ narratives about being subjected to coercion

Olofsson

Jacobsson

2001

Psychiatric Ment Health Nurs

137

155

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Eighteen involuntarily hospitalized psychiatric patients narrated their experiences of being subjected to coercion and their thoughts on how to prevent the coercion. A qualitative content analysis identified recurring themes, which were incorporated in two core themes describing the participants' experience. The core theme Not being respected as a human being included most of their narrated experiences, described in the themes Not being involved in one's own care, Receiving care perceived as meaningless and not good, and Being an inferior kind of human being. The core theme Being respected as a human being included a minor part of the narrated experiences and how the participants wanted things to be, described in the themes Being involved in one's own care, Receiving good care, and Being a human being like other people. The participants' plea for respect is discussed in relation to the ongoing deinstitutionalization of psychiatric care and the need for attitude changes in care and community, leading to the treating of mentally disordered people with more respect.

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Section: Discussionmentioning

confidence: 70%

A plea for respect: involuntarily hospitalized psychiatric patients’ narratives about being subjected to coercion

Olofsson

Jacobsson

2001

Psychiatric Ment Health Nurs

137

155

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“…The relationship we found between residents' impaired walking ability and high restraint use could be an indicator of how ward units manage the problem of residents' risk of falling. This finding is supported by findings that prevention of falls is the predominant reason for using physical restraints in care of older people 32 and the reason nursing staff often give for their use, because they feel there are no satisfactory alternatives 33 …”

Section: Discussionmentioning

confidence: 81%

Factors Relating to the Use of Physical Restraints in Geriatric Care Settings

Karlsson

Bucht

Eriksson

et al. 2001

J American Geriatrics Society

105

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Physical restraints are commonly used on older persons living in geriatric care settings. The aim of this study was to investigate the influence of environmental and organizational variations and resident and staff characteristics on restraint prevalence. In this cross-sectional study of 33 nursing home wards and 12 group living units for old persons with dementia in two municipalities in northern Sweden, 540 residents (mean age 82) and 529 staff members were evaluated for resident and staff characteristics and organizational and environmental variables. The proportion of residents with impaired mobility function, the number of behavioral disturbances, and nursing staff's attitudes towards use of restraints were the strongest discriminators between restraint-free wards and wards that used restraints. A classification function analysis showed that these three variables could correctly classify the wards as restraint-free, low-use, and high-use wards in 63.6% of the cases, with the highest figures for restraint-free wards (91%). This study has shown that the use of physical restraints is strongly connected with residents' functional status and nursing staffs' attitudes toward their use.

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“…Almost half of the nurse's aides at an American nursing home either believed that there were no good alternatives to physical restraints or were not sure if there were alternatives. The authors discussed the proposition that believing there are no good alternatives deters the nurse's aides from seeking effective restraint alternatives ( Neary et al 1991 ). This indicates a need to provide support for nurses in practice.…”

Section: Reflectionmentioning

confidence: 99%

Nurses’ narratives about using coercion in psychiatric care

Olofsson

Gilje

Jacobsson

et al. 1998

Journal of Advanced Nursing

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To illuminate nurses' experience of using coercion against psychiatric patients, a phenomenological hermeneutic study was conducted with seven registered nurses and seven enrolled mental nurses. The findings revealed that these nurses desired to be seen by themselves, their co-workers and patients as doing good, being good and providing good care but they experienced the use of coercion as not good. This conflict made it difficult for these nurses to question the use of coercion and consider alternative solutions. The theory of change by Watzlawick et al. (1974) served as a theoretical framework for the interpretation of all interviews regarded as one text. In order to explore alternatives to the use of coercion in psychiatric care, nurses need assistance to step outside the traditional way of regarding coercion in psychiatric care and seek to create new solutions.

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Restraints as nurse's aides see them

Cited by 16 publications

References 0 publications

A plea for respect: involuntarily hospitalized psychiatric patients’ narratives about being subjected to coercion

A plea for respect: involuntarily hospitalized psychiatric patients’ narratives about being subjected to coercion

Factors Relating to the Use of Physical Restraints in Geriatric Care Settings

Nurses’ narratives about using coercion in psychiatric care

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