Nursing Staff Views of Barriers to Physical Restraint Reduction in Nursing Homes

Purpose: There are few studies globally regarding the barriers to restraint-reduction. The purpose of this study was to describe the views of nursing staff (both nurses and geriatric care assistants) regarding the barriers to reducing physical restraint use in Korean nursing homes. Methods: Forty re...

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Main Authors: Eun-Hi Kong, RN, PhD, Lois K. Evans, RN, PhD, FAAN
Format: Article
Language:English
Published: Elsevier 2012-12-01
Series:Asian Nursing Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1976131712000692
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author Eun-Hi Kong, RN, PhD
Lois K. Evans, RN, PhD, FAAN
author_facet Eun-Hi Kong, RN, PhD
Lois K. Evans, RN, PhD, FAAN
author_sort Eun-Hi Kong, RN, PhD
collection DOAJ
description Purpose: There are few studies globally regarding the barriers to restraint-reduction. The purpose of this study was to describe the views of nursing staff (both nurses and geriatric care assistants) regarding the barriers to reducing physical restraint use in Korean nursing homes. Methods: Forty registered nurse and geriatric care assistant informants participated in the first round of interviews and 16 of them participated in second confirmatory interviews. All interviews were conducted on site, one-on-one and face-to-face, using semi-structured interview protocols. Qualitative descriptive method was used and qualitative content analysis was employed. Results: Six themes were identified: (a) being too busy, (b) lack of resources, (c) beliefs and concerns, (d) lack of education, (e) differences and inconsistencies, and (f) relationship issues. Conclusion: The findings of this study provide a valuable basis for developing restraint reduction education programs. Korean national leaders and nursing homes should develop and employ practice guidelines regarding restraints, support nursing staff to follow the guidelines, provide more practical and professional education, employ alternative equipment, use a multidisciplinary team approach, and engage volunteers in care support as well as employ more nursing staff to achieve restraint-free care.
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spelling doaj.art-f209148ca92548fdbb9c2144673189532022-12-22T02:36:40ZengElsevierAsian Nursing Research1976-13172012-12-016417318010.1016/j.anr.2012.10.007Nursing Staff Views of Barriers to Physical Restraint Reduction in Nursing HomesEun-Hi Kong, RN, PhD0Lois K. Evans, RN, PhD, FAAN1Department of Nursing, Gachon University, Seongnam-si, South KoreaSchool of Nursing, University of Pennsylvania, Philadelphia, USAPurpose: There are few studies globally regarding the barriers to restraint-reduction. The purpose of this study was to describe the views of nursing staff (both nurses and geriatric care assistants) regarding the barriers to reducing physical restraint use in Korean nursing homes. Methods: Forty registered nurse and geriatric care assistant informants participated in the first round of interviews and 16 of them participated in second confirmatory interviews. All interviews were conducted on site, one-on-one and face-to-face, using semi-structured interview protocols. Qualitative descriptive method was used and qualitative content analysis was employed. Results: Six themes were identified: (a) being too busy, (b) lack of resources, (c) beliefs and concerns, (d) lack of education, (e) differences and inconsistencies, and (f) relationship issues. Conclusion: The findings of this study provide a valuable basis for developing restraint reduction education programs. Korean national leaders and nursing homes should develop and employ practice guidelines regarding restraints, support nursing staff to follow the guidelines, provide more practical and professional education, employ alternative equipment, use a multidisciplinary team approach, and engage volunteers in care support as well as employ more nursing staff to achieve restraint-free care.http://www.sciencedirect.com/science/article/pii/S1976131712000692nursingnursing homesphysical restraintqualitative research
spellingShingle Eun-Hi Kong, RN, PhD
Lois K. Evans, RN, PhD, FAAN
Nursing Staff Views of Barriers to Physical Restraint Reduction in Nursing Homes
Asian Nursing Research
nursing
nursing homes
physical restraint
qualitative research
title Nursing Staff Views of Barriers to Physical Restraint Reduction in Nursing Homes
title_full Nursing Staff Views of Barriers to Physical Restraint Reduction in Nursing Homes
title_fullStr Nursing Staff Views of Barriers to Physical Restraint Reduction in Nursing Homes
title_full_unstemmed Nursing Staff Views of Barriers to Physical Restraint Reduction in Nursing Homes
title_short Nursing Staff Views of Barriers to Physical Restraint Reduction in Nursing Homes
title_sort nursing staff views of barriers to physical restraint reduction in nursing homes
topic nursing
nursing homes
physical restraint
qualitative research
url http://www.sciencedirect.com/science/article/pii/S1976131712000692
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