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Staff perceptions of barriers to physical restraint-reduction in long-term care: a meta-synthesis.
- Source :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.); Jan2017, Vol. 26 Issue 1-2, p49-60, 12p
- Publication Year :
- 2017
-
Abstract
- Aims and objectives To critically review the existing qualitative studies to identify, from the perspective of staff, the barriers to physical restraint reduction in long-term geriatric care facilities. Background Despite the adverse physical and psychosocial effects, physical restraints are still used frequently in many geriatric long-term care facilities around the world. There is, however, no study that synthesises the existing qualitative literature regarding the barriers to the restraint reduction from the perspective of facility staff. Design/Methods The metastudy research process guided this qualitative synthesis. Five electronic databases were searched, and ten studies were included in this metastudy. Results Five themes were identified through metasynthesis of the findings: concern about and responsibility for safety, unclear and inconsistent definitions of restraint and restraint-free care, difficulties in the transition from acceptance to removal, noninvolvement in decision-making to remove restraint and insufficient resources and education. Conclusion A concept analysis of physical restraint is sorely needed, and future studies should explore the prevalence of restraint, the effects of education for staff and family on restraint reduction, and success stories related to restraint-free care. More research is needed regarding the restraint reduction effectiveness and cost issues. Relevance to clinical practice Physical restraints, commonly used in many geriatric long-term care facilities, result in many negative effects and ethical issues. To achieve success in reducing physical restraint use, governmental policies and long-term care institutions should underpin staff efforts with legal, educational and practical support. [ABSTRACT FROM AUTHOR]
- Subjects :
- RESEARCH methodology evaluation
MEDICAL personnel
ATTITUDE (Psychology)
CINAHL database
DECISION making
MEDICAL information storage & retrieval systems
PSYCHOLOGY information storage & retrieval systems
LONG-term health care
MEDLINE
ONLINE information services
PATIENT safety
PERSONNEL management
RESTRAINT of patients
QUALITATIVE research
THEORY
THEMATIC analysis
META-synthesis
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 09621067
- Volume :
- 26
- Issue :
- 1-2
- Database :
- Complementary Index
- Journal :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 120325986
- Full Text :
- https://doi.org/10.1111/jocn.13418