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Journal of Korean Academy of Fundamentals of Nursing 2013;20(4): 345
노인요양시설의 신체적 억제대 프로토콜 개발
임미혜1, 고일선2
1제주한라대학교 간호학과
2연세대학교 간호대학
Protocol for Physical Restraints of Patients in Nursing Homes
Mi Hye Lim1, Il Sun Ko2
1Department of Nursing, Cheju Halla University
2College of Nursing. Nursing Policy Research Institute, Yonsei University
Abstract
Purpose: The purpose of this study was to develop a protocol that would help prevent accidents, apply physical restraints properly, and reduce the use of physical restraints in nursing homes.
Method: A review of the literature and analysis of existing statutes and regulations were used to develop the preliminary protocol. To test the validity of this preliminary protocol, ten experts were selected from academia and clinical practice to review the protocol. The initial protocol was finalized after it had been reviewed by experts and tested for clinical validity in five different nursing homes. Result: The protocol consists of objectives, definitions and accident probability assessment, principle of using physical restraints, monitoring and documentation of physical restraints.
Conclusion: The findings of this study can be used as guidelines to focus on preventing accidents arising out of use of physical restraints, assessing the probability of accidents, and reducing the use of physical restraints through preventive interventions. This will be helpful to prevent ethical, physical, or psychological problems arising from use of physical restraints and to protect the rights of elderly people in nursing homes.
Key words: Physical Restraint | Protocol | Nursing Home
주요어: 신체적 억제대 | 프로토콜 | 노인요양시설
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