Nurses' decision-making process in cases of physical restraint in acute elderly care: A qualitative study.
Background: The increasing vulnerability of patients in acute elderly care requires constant critical reflection in ethically charged situations such as when employing physical restraint. Qualitative evidence concerning nurses' decision making in cases of physical restraint is limited and fragmented...
| Publicado en: | International Journal of Nursing Studies Vol. 50; no. 5; pp. 603 - 613 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104264141&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104264141 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00207489 JHV jtl: International Journal of Nursing Studies issn: 00207489 maglogo: N pubinfo: dt: 2013 vid: 50 iid: 5 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 104264141 86698974 10.1016/j.ijnurstu.2012.10.006 NLM23123034 104264141 ppf: 603 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Nurses' decision-making process in cases of physical restraint in acute elderly care: A qualitative study. aug: au: Goethals, S. de Casterle, B. Dierckx Gastmans, C. affil: Department of Nursing, Catholic University College Ghent, Belgium sug: subj: Restraint, Physical Utilization Decision Making, Clinical Acute Care In Old Age Gerontologic Nursing Human Qualitative Studies Descriptive Research Exploratory Research Grounded Theory Belgium Interviews Inpatients Purposive Sample Theoretical Sample Staff Nurses Female Male Adult Middle Age Aged Data Analysis Software Constant Comparative Method Coding Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Background: The increasing vulnerability of patients in acute elderly care requires constant critical reflection in ethically charged situations such as when employing physical restraint. Qualitative evidence concerning nurses' decision making in cases of physical restraint is limited and fragmented. A thorough understanding of nurses' decision-making process could be useful to understand how nurses reason and make decisions in ethically laden situations. Objectives: The aims of this study were to explore and describe nurses' decision-making process in cases of physical restraint. Design: We used a qualitative interview design inspired by the Grounded Theory approach. Data analysis was guided by the Qualitative Analysis Guide of Leuven. Setting: Twelve hospitals geographically spread throughout the five provinces of Flanders, Belgium. Participants: Twenty-one acute geriatric nurses interviewed between October 2009 and April 2011 were purposively and theoretically selected, with the aim of including nurses having a variety of characteristics and experiences concerning decisions on using physical restraint. Results: In cases of physical restraint in acute elderly care, nurses' decision making was never experienced as a fixed decision but rather as a series of decisions. Decision making was mostly reasoned upon and based on rational arguments; however, decisions were also made routinely and intuitively. Some nurses felt very certain about their decisions, while others experienced feelings of uncertainty regarding their decisions. Conclusions: Nurses' decision making is an independent process that requires nurses to obtain a good picture of the patient, to be constantly observant, and to assess and reassess the patient's situation. Coming to thoughtful and individualized decisions requires major commitment and constant critical reflection. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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