| 노인요양시설에 근무하는 간호요원의 억제대 적용 경험 |
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김덕희, 김춘미, 김은만, 박명숙 |
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| Application of Physical Restraints by Health Personnel in Nursing Homes |
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Kim, Duck Hee · Kim, Chunmi · Kim, Eun Man · Park, Myung Sook |
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| Abstract |
Purpose
The purpose of this research was to describe experiences of nursing home health personnel in using
physical restraints.
Methods
Qualitative data were collected through individual interviews and focus group
interviews with 17 participants from January to May, 2011. All interviews were recorded, transcribed and analyzed
by the content analysis method.
Results
Seven main categories were conceptualized: 'health personnel applying
physical restraints in unavoidable circumstances', 'getting consent of client's family while minimizing the
repulsion', 'deliberate decision making process', 'doing right but feeling sympathy and mental anguish', 'ways of
coping that minimize using restraints', 'trying to use suitable restraints for elders', 'absence of standardized
protocol'.
Conclusion
Study results show that health personnel regard physical restraints as an undesirable
method but the best way in unavoidable circumstances. Further, because there is no standardized protocol for
physical restraints in nursing homes, there are differences in the decision making process and standards among
facilities according to role, educational background and work experience of nursing personnel. Results suggest
the necessity of quality assurance in standards and protocols for physical restraints in nursing homes, and the
importance of developing protocols for restraints and including appraisal standards for restraints in nursing home
quality evaluation criteria. |
| Key words:
Physical restraint, Health personnel, Nursing homes |
| Key words:
억제대, 간호요원, 요양시설 |
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