Sheela Devi
Universiti Tunku Abdul Rahman, Malaysia
Title: Knowledge And Perception of Nurses on Use of Physical Restraint Among the Elderly with Dementia
Biography
Biography: Sheela Devi
Abstract
There has been much false impression among nurses on use of physical restraint thus contributing to the persistent practice. The purpose of this review is to appraise evidence for the effectiveness qualitative studies on knowledge and perception of nurses in contributing to use of physical restraint among elderly care. It also aims to determine the factors contributing to barriers of restraint-free care adherence. The synthesis of qualitative research was done to produce a “new” form of research evidence, which impacts clinical decision making. A comprehensive search strategy was developed to increase the possibility of finding all relevant studies through major databases and reference list of relevant papers. Four major themes were identified: knowledge on use of physical restraint; reasons for use of physical restraint; feelings and perceptions on use of physical restraint; and barriers to restraint-free care. Interpretation of the themes produced a synthesis describing how four major factors interact to affect adherence to restraint-free care. Through a process of reciprocal translation, there is a patterning of practice to use of physical restraint that is common among nurses from different countries and healthcare settings. Non-adherence to restraint-free care was found to be strongly associated with factors related to personal, organisational and family. In using the meta-ethnographic method, it provided information that should be helpful to nurses, management and policy makers in trying to understand the phenomena. The findings of the review could help inform the development of patient-centered interventions and to address structural barriers to treatment adherence