Nursing staff perceptions of the behaviour of older nursing home residents and decision making on restraint use: a qualitative and interpretative study.

Autor: Hantikainen V
Zdroj: Journal of Clinical Nursing (Wiley-Blackwell); Mar2001, Vol. 10 Issue 2, p246-256, 11p
Abstrakt: * This study examined staff perceptions of the behaviour of older nursing home residents and how these perceptions govern their decision making on restraint use.* Data were collected in unstructured interviews with 20 trained and untrained nursing staff from two Swiss nursing homes.* Data analysis was based on Colaizzi's phenomenological method.* Two main themes were extracted from the data: (i) situations in which behaviour is perceived in terms of a problem that needs to be controlled and consequently leads to restraint use; and (ii) situations in which behaviour is perceived in terms of something one has to learn to live with and consequently leads to avoidance of restraint.* Staff members' choices to perceive resident's behaviour from the angle they did were clearly associated with the rights and responsibilities of both nursing staff and older people.* It is concluded that the primary source of change towards the avoidance of restraint use does not necessarily lie in external factors, but in staff members themselves. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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