Meta synthesis of qualitative research on cognitive experience of physical restraint among nursing assistants in nursing homes
10.3760/cma.j.cn115682-20211112-05086
- VernacularTitle:养老机构护理人员身体约束认知体验质性研究的Meta整合
- Author:
Haixu PU
1
;
Liangchu LUO
;
Yiwen SUN
;
Qian YU
;
Yinhua ZHANG
Author Information
1. 湖南中医药大学护理学院，长沙 410208
- Keywords:
Aged;
Nursing homes;
Nursing staff;
Restraint, physical;
Qualitative research;
Meta synthesis
- From:
Chinese Journal of Modern Nursing
2022;28(25):3412-3417
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the attitudes and experiences of nursing assistants in nursing homes on physical restraint, so as provide a reference for regulating and reducing the physical restraint.Methods:Cochrane Library, PubMed, Embase, EBSCO, Web of Science, China Biology Medicine (CBM) , China National Knowledge Infrastructure, WanFang Data, VIP and other domestic and foreign databases were searched by computer. The retrieval time limit was from the establishment of the database to June 2021. The quality of the article was evaluated using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center in Australia, and the Meta synthesis was used to summarize and interpret the results.Results:A total of 7 articles were included, and 58 results, 11 categories and four synthesis results were extracted. That was, the factors that affected the implementation of physical restraint (the elderly's own factors, the factors of nursing assistants, the influence of other personnel, the factors of elderly care institutions) , the attitude towards physical restraint (support attitude, opposition attitude and neutral attitude) , emotional experience and release methods (emotional experience and ways of release) , existing deficiencies and suggestions for restraint use (existing deficiencies, related suggestions) .Conclusions:The use of physical restraint in elderly care institutions is the result of many factors. Nursing assistants have positive, negative and neutral attitudes and emotional experiences in the implementation of physical restraint, and based on their rich clinical experience, they can find existing problems in restraint use and make relevant suggestions. Relevant departments need to fully consider the interests of all parties when formulating physical restraint norms and restraint reduction strategies, and effectively solve the problem of physical restraint abuse from the root cause.
