Physical restraints in nursing homes: A qualitative study with multiple stakeholders

Area of Science:

• Gerontology
• Healthcare Management
• Bioethics

Background:

• Physical restraints are utilized in elder care settings.
• Stakeholder perceptions of restraint use are crucial for improving care quality.

Purpose of the Study:

• To explore elder-care professional stakeholders' perceptions of physical restraint use.
• To identify key themes influencing the application and regulation of restraints in elder care.

Main Methods:

• Qualitative methodology utilizing semi-structured interviews.
• Thematic analysis of data from 19 participants including managers, nurses, physicians, and experts.

Main Results:

• Professionals acknowledge progress but emphasize the negative impact of restraints and the need for cultural change.
• Concerns exist regarding the feasibility of a 'zero restraints' policy.
• Divergent views were observed on the necessity of a strengthened regulatory framework.

Conclusions:

• A cultural shift is needed to reduce the negative impact of physical restraints in elder care.
• Further discussion is required on the practical implementation of restraint reduction strategies and regulatory oversight.