Dilemmas faced by Nurses and Associated Coping FactorsRelated to Physical Restraint Use in ElderlyPatientswith Dementia in Japan

Miwa YAMAMOTO

Volume : IV, Issue : VIII, August - 2015

Dilemmas faced by Nurses and Associated Coping FactorsRelated to Physical Restraint Use in ElderlyPatientswith Dementia in Japan

Miwa Yamamoto

Abstract :

Objective: The purpose of this study was to clarify dilemmas related to physically restraining elderly patients with dementia faced by Japanese nurses and how they cope with such dilemmas based on experience. Methods: A questionnaire survey. Participants: A total of 340 nurses who work in the general ward. Ethical Considerations: This study was approved by the ethics committee of Meiji University of Integrative Medicine. Results and Conclusion: Factor analysis revealed four and two dilemma factors related to dealing and coping, respectively, with physically restraining elderly people with dementia. There was a positive correlation between the dilemma–coping factor �self–initiated positive cognition and activity� and the dilemma factor �execution of treatment and security� among novice and advanced beginner nurses, whereas a negative correlation was found between the dilemma–coping factor �negative cognition� and the dilemma factor �a cooperative relationship.� With respect to expert nurses, there was a significant positive correlation between �self–initiated positive cognition and activity� and �a cooperative relationship.� These results suggest an improvement in dilemma coping behavior as novice and advanced beginner nurses transition to expert nurses.