Open AccessPerception of a multidisciplinary team on physical restraint use on older adults: care paradoxes
Author(s) -
Maria Risiane da Silva Andrade,
Marcia Bastos Couto,
Ana Carolina Siqueira de Carvalho,
Patrícia de Fátima Augusto Barros,
Romulo Delvalle,
Rosimere Ferreira Santana
Publication year - 2020
Publication title -
geriatrics, gerontology and aging
Language(s) - English
Resource type - Journals
eISSN - 2447-2123
pISSN - 2447-2115
DOI - 10.5327/z2447-212320202000057
Subject(s) - dignity , thematic analysis , perception , multidisciplinary approach , psychology , nursing , multidisciplinary team , health care , qualitative research , health professionals , gerontology , medicine , applied psychology , sociology , political science , social science , neuroscience , law
OBJECTIVE: To describe the perception of a multidisciplinary team on the use of physical restraint in older adults. METHODS: Qualitative research conducted with 58 health professionals in two long term care facilities for older adults located in the state of Rio de Janeiro, Brazil. Semi-structured interviews were further analyzed using thematic content analysis. The data was collected from November 2017 to June 2018. RESULTS: Twenty-one initial codes were identified and organized in three categories: team perception of the consequences and risks of a physical restraint (the patient’s safety paradox); implications of the decision of physical restraint of the older adults; and strategies to restrain and not restrain. CONCLUSIONS: The results reinforce the need for training of professionals on restraint-free alternatives of care, as part promoting a culture of care that respects the right to freedom and the dignity of people — especially the most vulnerable ones.