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      How Nurses Balance Risk with Patient Autonomy When Making Decisions about Physical Restraint Use with Older Patients in Acute Care

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      CARRIERE-THESIS-2019.pdf (1.545Mb)
      Date
      2019-02-25
      Author
      Carriere, Sarah Ann L 1982-
      ORCID
      0000-0002-6582-6415
      Type
      Thesis
      Degree Level
      Masters
      Metadata
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      Abstract
      The use of physical restraints to reduce falls within the older adult population in acute care hospital settings, are regarded as an integral part of risk management and prevention of patient harm (Bigwood & Crowe, 2008). Although literature indicates that nurses apply physical restraints to prevent injuries from a fall, there appears to be no robust evidence that links this intervention to injury prevention (Oliver, Healey, & Haines, 2010). Adding to this, decision-making around physical restraint use is a complex process and is influenced by different contextual factors (Dierckx de Casterle, Goethals, & Gastmans, 2015). The purpose of this interpretive descriptive study was to further understand how nurses balance risk with patient autonomy when making decisions about physical restraint use for falls prevention, and to provide a deeper understanding of risk and patient autonomy that are applicable and meaningful to everyday nursing practice. Perceptions related to nurses’ experience with balancing risk with patient autonomy were elicited through individual interviews with seven participants and one focus group session made up of five additional participants. The results of this research study provides insight into factors that influence the nurses’ decision-making process about whether or not to apply physical restraints.
      Degree
      Master of Nursing (M.N.)
      Department
      Nursing
      Program
      Nursing
      Supervisor
      Penz, Kelly
      Committee
      Martin, Wanda; Bath, Brenna; Lasiuk , Gerri; Campbell, Diane
      Copyright Date
      June 2019
      URI
      http://hdl.handle.net/10388/11884
      Subject
      Risk
      patient autonomy
      sense of agency
      decision-making
      patient safety
      resilience
      physical restraints
      unsafe behaviour
      situational awareness
      violence prevention
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