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Nursing staff perceptions of the behaviour of older nursing home residents and decision making on restraint use: a qualitative and interpretative study
Author(s) -
Hantikainen V.
Publication year - 2001
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/j.1365-2702.2001.00468.x
Subject(s) - nursing , perception , nursing staff , psychology , qualitative research , older people , nursing homes , medicine , gerontology , sociology , social science , neuroscience
• This study examined staff perceptions of the behaviour of older nursing home residents and how these perceptions govern their decision making on restraint use. • Data were collected in unstructured interviews with 20 trained and untrained nursing staff from two Swiss nursing homes. • Data analysis was based on Colaizzi's phenomenological method. • Two main themes were extracted from the data: (i) situations in which behaviour is perceived in terms of a problem that needs to be controlled and consequently leads to restraint use; and (ii) situations in which behaviour is perceived in terms of something one has to learn to live with and consequently leads to avoidance of restraint. • Staff members’ choices to perceive resident's behaviour from the angle they did were clearly associated with the rights and responsibilities of both nursing staff and older people. • It is concluded that the primary source of change towards the avoidance of restraint use does not necessarily lie in external factors, but in staff members themselves.