The Use of Physical Restraints on Geriatric Patients: Culture and Attitudes among Healthcare Professionals at Intermediate Care Hospitals in Majorca. A Qualitative Study Protocol.
Alba Carrero-PlanellsAna Urrutia-BeaskoaCristina Moreno-MuletPublished in: International journal of environmental research and public health (2021)
The use of physical restraints is a common practice in the care of hospitalised and institutionalised elderly people. This use is determined by factors related to the patients, their families, the healthcare professionals, the institution, and prevailing social values. Today, however, this practice is often questioned because of its physical, psychological, moral, ethical, and legal repercussions. The present study explores attitudes among healthcare professionals towards the physical restraint of geriatric patients in intermediate care hospitals in Majorca. This study is based on a qualitative design, combining an ethnomethodological approach with critical discourse analysis. The theoretical framework is drawn from Foucault's work in this field and from Haslam's theory of mechanisation. Individual interviews will be conducted with physicians, nurses, and nursing assistants at intermediate care hospitals in Majorca. The analysis will focus on these professionals' knowledge, attitudes, and practices regarding the use of such measures, seeking to identify the factors, especially institutional factors, that determine the use of restraints. It is essential to determine the prevailing culture among healthcare professionals regarding the use of physical restraints on geriatric patients in order to design and propose a more dignified health care model in which such restraints are eliminated.
Keyphrases
- healthcare
- mental health
- end stage renal disease
- chronic kidney disease
- ejection fraction
- newly diagnosed
- quality improvement
- study protocol
- palliative care
- peritoneal dialysis
- randomized controlled trial
- prognostic factors
- primary care
- clinical trial
- patient reported outcomes
- chronic pain
- affordable care act
- social media
- data analysis
- decision making
- hip fracture
- patient reported