Browse > Article
http://dx.doi.org/10.14400/JDC.2016.14.12.503

Family Member's Perceptions of Side Rail Use in Geriatric Hospital  

Lee, Keum-Jae (Dept. of Nursing, Gachon University)
Park, Gyeong-Sook (Dept. of Nursing, DongA College of Health)
Park, Yeon-Suk (Dept. of Nursing, Kongju National University)
Publication Information
Journal of Digital Convergence / v.14, no.12, 2016 , pp. 503-513 More about this Journal
Abstract
The purpose of this study is to figure out family member's perceptions of side rail use in geriatric hospital by Cavanagh's content analysis with in-depth interview. This finding of the study suggests that the six themes of these perceptions are precautionary safety supervision, movement convenience, ritualistic nursing, physical restraint, danger of wounds, and alternative methods in an older person ward, and that the cause of recognized perceptions is not based on actual events, but rather on relatives' perceived protective value. With the transition of medical industry environment, there is a significant emphasis on efficacy and effectiveness of practice, risk management and evidence-based practice. However, the issue of side rail use and physical restraints remains unsolved in care of older people. Nurses claim the necessity of regimented protocol and clarification from professional organization regarding the side rail use.
Keywords
Side Rail; Physical Restraint; Patient's Family; Fusion; Compound;
Citations & Related Records
연도 인용수 순위
  • Reference
1 "A survey on the status of elders". Seoul: Ministry of Health and Welfare (Korea), http://www.mw.go.kr/, Aug 12, 2015.
2 "Status of health care resources". Seoul: Health Insurance Review and Associaton Service (Korea), http://www.hira.or.kr/rec_infopub.medical.do/., Aug 12, 2013.
3 DOI:, http://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_HIRA43&vw_cd=MT_OTITLE&list_id=354_MT_DTITLE&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=E1
4 H. J. Song, S. M. Jang & S. Y. Shin, "Patterns of medical care utilization behavior and related factors among hypertensive patients", Korea J Health Educ Promot, Vol. 29, No. 2. pp.1-12. 2012
5 H. S. Park, S. R. Suh & S. H. Kim, "Relationship among Knpwledhe, Attitude, and use of negative control maintenance techniques toward older adults among nurses working in geriatric hospitals", Korean Journal of Adult Nursing, Vol. 4, No. 19, pp614-623, 2007
6 J. P. Quenot, J. P. Rigaud, S. Pri,, S. Barbar, A. Pavon, & M. Hamet, "Suffering among carers working in critical care can be reduced by an intensive communication strategy on end-of-life practices". Intensive Care Med, Vol. 38, No. 1, pp. 55-61, 2012..   DOI
7 M. Donius & J. Rader, "Use of side rails : Rethinking a standard of practice", Journal of Gerontological Nursing, Vol. 23, pp.23-27, 1994
8 E. B. Wilson, "Physical restraint of elderly patients in critical care : historical perspectives and new directions", Crit Care Nurs Clin North Am, Vol. 8, No.1, pp.61-70, 1996   DOI
9 C. Heinze, T. Dassen & U. Grittner, "Use of physical restraints in nursing homes and hospitals and related factors : a cross-sectional study", Journal of Clinical Nursing, Vol. 21, No.7-8, pp.1033-1040, 2011   DOI
10 B. R. Ferrel, N. Coyle, "Textbook of palliative nursing". New york, US:Oxford University Press, 2001.
11 A. R. Yoo & H. S. Kim, "Physical restraints use and associated factors among older adults in nursing homes", Vol. 22, No.1, pp.39-58, 2016
12 J. K. Koo & M. Y. Song, "Staff Perceptions on the Use of Physical Restraint in Nursing Facilities for the Aged: Focused on Senile Dementia", Korean Journal of Clinical Social Work, Vol. 2, No. 3, pp.25-34, 2005
13 R. Gallinagh, R. Nevin, L.Campbell, F.Mitchell & R. Ludwick, "Relatives' perceptions of side rail use on the older person in hospital", British Journal of Nursing, Vol. 10, No. 6, pp.391-402, 2001   DOI
14 DOI : http://www.fda.gov/downloads/MedicalDevices/ProductsandMedicalProcedures/GeneralHospitalDevicesandSupplies/HospitalBeds/UCM397178.pdf
15 E. Capezuti, K. A. Talerice, I. Cochran & H. Becker, "Individualized interventions to prevent bed-related falls and reduce siderail use", Journal of Gerontological Nursing, Vol. 25, No. 11, pp.26-34, 1999   DOI
16 J. P. H. Hamers & A. R. Huizing, "Why do we use physical restraints in the elderly?", Z Gerontol Geriat, Vol. 38, pp.19-25, 2005   DOI
17 DOI : https://www.leadingagemn.org/inc/data/side%20rail%20issues%20update.pdf
18 J. M. Morse, S. J. Tylko & H. A. Dixon, "Characteristics of the Fall-Prone Patient", The Gerontologist, Vol. 27, No. 4, pp.516-522, 1987   DOI
19 Ali & Ayou, "Nurses' attitude toward caring for dying patient in Mansoura University hospitals". Journal of Medicine and Biomedical Sciences, Vol. 1, No. 1, pp. 16-23, 2010.
20 V. B. Newbern & I. H. Lindsey, "Attitudes of wives toward having their elderly husbands restrained: Professional caregivers should be mindful of the feelings of spouses, who may view the use of restraints on their loved one as the end of hope and dreams", Geriatric Nursing, Vol. 15, No. 3, pp135-138, 1994   DOI
21 Hospital Bed Safety Work Group,"clinical guidance for the assessment and implementation of bed rails on hospitals, long term care facilities, and home care settings", EBSCO publishing, pp.244-262, 2003
22 S. Cavanagh, "Content analysis : concepts, methods and application", Nurse Researcher, Vol. 4, No. 3, pp.5-13, 1997   DOI
23 M. Sandelowski, "Focus on research methods-whatever happened to qualitative description?", Research in Nursing and Health, Vol. 23, pp.334-340, 2000   DOI
24 M. H. Kearney, "Levels and application of qualitative research evidence", Reasearch in Nursing and Health, Vol. 24, pp.145-153, 2001   DOI
25 P. L. Rice & D. Ezzy, "Qualitative research methods : a health focus", Oxford University Press, 1999
26 U. H. Graneheim, "Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness", Nurse Education Today, Vol. 24, No.2, pp.105-112, 2004   DOI
27 E.G. Guba & Y. S. Lincoln, "Competing paradigms in qualitative research", Handbook of qualitative research, pp.105-117, 1994
28 M. K. Jeong, "A Study on the Experiences of Terminal Care by Nurses in the Hospice.Palliative Care Unit", Qualitative research. Vol. 13. No. 1, pp. 50-65, 2012.   DOI
29 N. N. Eustis, R. A. Kane & L.R. Fischer, "Home Care Quality and the Home Care Worker: Beyond Quality Assurance as Usual", The Gerontologist, Vol.33, No. 1, pp.64-73, 1993   DOI
30 M. Linda, Y. K. Scherer, G. W. Kanski & M.A. Neary, "What Nursing Staff Members Really Know About Physical Restraints", Rehabilitation Nursing, Vol. 16, No. 6, pp.345-348, 1991   DOI
31 S. B. Hardin, R. Magee, M. H. Vison, M. Owen, E. Hyatt & D. Strutmann, "Patient and Family Perceptions of Restraints", J Holist Nurs, Vol. 11, No. 4, pp.383-397, 1993   DOI
32 L. Z. Rubenstein & K. R. Josephson, "Falls and their prevention in elderly people : what does the evidence show?', The Medical Clinics of North America, Vol. 90, pp.807-824   DOI
33 W. Jehan, "Restraint or protection? The use of bedside rails", Nurs Manag, Vol. 6, No. 2. pp.9-13, 1999   DOI
34 E. Capezuti, L. M. Wagner, Barbara. L. Brush, M. Bolz, S. Renz & K. A. Talerico, "Consequences of an Intervention to Reduce Restrictive Side Rail Use in Nursing Homes", American Geriatrics Society, Vol. 55 N. 3, pp334-341, 2007   DOI
35 N. E Strumpf & L.K. Evans, ."Physical Restraint of the Hospitalized Elderly: Perceptions Of Patients and Nurses", Vol. 37, No. 3, pp. 145-156, 1988