RESUMO
As part of a three-site cooperative physical restraint reduction program in acute-care hospitals, a multidisciplinary team created a survey instrument to measure staff's knowledge, unit beliefs about practice patterns, ethical concerns, and more.
Assuntos
Atitude do Pessoal de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Recursos Humanos em Hospital/educação , Recursos Humanos em Hospital/psicologia , Restrição Física , Humanos , Responsabilidade Legal , Defesa do Paciente , Comitê de Profissionais , Restrição Física/efeitos adversos , Restrição Física/legislação & jurisprudência , Inquéritos e QuestionáriosRESUMO
The incidence of both hip fracture and stroke increases with age. With the increasing age of the United States population, it is expected that the orthopaedic nurse will be challenged to care for clients with the dual disabilities of hip fracture and stroke. This article discusses incidence of these disabilities, describes the pathophysiology of stroke, and uses a case study to outline specific nursing interventions for the patient with hip fracture and stroke.
Assuntos
Transtornos Cerebrovasculares/complicações , Fraturas do Quadril/etiologia , Idoso , Causalidade , Transtornos Cerebrovasculares/enfermagem , Transtornos Cerebrovasculares/fisiopatologia , Pessoas com Deficiência , Fraturas do Quadril/enfermagem , Humanos , Incidência , Masculino , Enfermagem Ortopédica , Planejamento de Assistência ao PacienteRESUMO
1. A survey of knowledge, practice and attitudes about physical restraints was completed by nursing staff (RN, LPN, CNA) from four hospitals. 2. Nurses from both geriatric and geropsychiatric units reported significantly more educational activities about restraint use than did nurses on medical units. 3. RNs had the highest knowledge scores (56%), but lacked specific information about the dangers associated with restraint use. 4. While education about restraints is important, staff need role models who can help them problem solve and examine alternatives to restraints.
