检索结果-南通市图书馆

physical restraint using,autonomy,ethics among psychiatric patients in nursing practice in China

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Integrative Nursing 2020年第3期2卷 97-102页

作者： Jun‑Fang ZENG Hong‑Tao CAI Wei‑Ming LI Cai‑Mei ZOU Department of Affective Disorder Affiliated Brain Hospital of Guangzhou Medical UniversityGuangzhouChina Department of Nursing Administration The Third People's Hospital of FoshanFoshanChina

The application of physical restraint for patients represents ethical dilemmas for psychiatric nurses in terms of maintaining the safety of all(clients and staff)while at the same time curtailing the individual’s *** article aimed to provide a sound knowledge of ethical positions and strategies for psychiatric nurses to address ethical issues of physical restraint according to the ethical principles of autonomy,beneficence,nonmaleficence,and ethical *** that nursing workforce was limited and workload among psychiatric nurses was heavy,physical restraint was one of the coercive interventions managing aggressive *** relation to address ethical dilemmas,it was proposed to acquire informed consent of physical restraint from the individuals and provide person‑centered *** communication and negotiation with patients could help to strike a balance between patients’autonomy and nurses’accountability when using physical *** addition,guidelines and targeted intervention strategies need to be developed to regulate and reduce the implementation of ***,a collaboration among nurses,psychiatrists,and families is essential to protect patients’autonomy concerning physical restraint use.

关键词： Autonomy ethics nursing practice physical restraint psychiatric nurses

Attitude and practice toward physical restraint among psychiatric nurses in Guangdong,China:a cross-sectional survey

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Frontiers of Nursing 2021年第1期8卷 59-68页

作者： Jun-Rong Ye Jun-Fang Zeng Ai-Xiang Xiao Zhi-Chun Xia Lian-Di Dai Chen Wang Department of Nursing Administration Affiliated Brain Hospital of Guangzhou Medical University(Guangzhou Huiai Hospital)GuangzhouGuangdong 510370China Department of Social Psychiatry Affiliated Brain Hospital of Guangzhou Medical University(Guangzhou Huiai Hospital)GuangzhouGuangdong 510370China Department of Affect Disorder Affiliated Brain Hospital of Guangzhou Medical University(Guangzhou Huiai Hospital)GuangzhouGuangdong 510370China Department of Traditional Chinese Medicine Affiliated Brain Hospital of Guangzhou Medical University(Guangzhou Huiai Hospital)GuangzhouGuangdong 510370China Department of Adult Psychiatry Affiliated Brain Hospital of Guangzhou Medical University(Guangzhou Huiai Hospital)GuangzhouGuangdong 510370China Department of Early Intervention Affiliated Brain Hospital of Guangzhou Medical University(Guangzhou Huiai Hospital)GuangzhouGuangdong 510370China

Objective:To explore the correlation between nurses’attitude and practice toward physical restraint(PR)in psychiatric settings and identify the factors that influence the use of ***:A cross-sectional survey was conducted.A self-designed questionnaire containing a PR scale was used to assess the attitude and practice of registered psychiatric nurses in Guangdong,China,from November 1,2018 to December 31,*** statistics,the Mann–Whitney U test,the Kruskal–Wallis test,and ordinal regression analysis were used to analyze the ***:The response rate was 74.6%.The nurses’responses showed neutral attitude and a moderate level of practice regarding the use of *** such as age,gender,marital status,professional position,nightshift,and the frequency of training programs on PR showed a significant association with nurses’attitude and practice concerning PR(P<0.05).In addition to these factors,this study found that the practice of PR was associated with nurses’attitude toward it(P<0.05).Our results showed that nurses with a largely negative attitude toward PR were more likely to use it(OR=1.91,P<0.001).Conclusions:Clinically,psychiatric nurses with negative attitude are more likely to practice *** and education programs are highly recommended for nursing managers to change the nursing staff’s attitude,since their attitude may have an impact on the PR what they practice.

关键词： attitude physical restraint practice psychiatric hospitals

Clinical decision making on the use of physical restraint in intensive care units

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

International Journal of Nursing Sciences 2014年第4期1卷 446-450页

作者： Xinqian Li Tonks NFawcett Department of Nursing The First Affiliated Hospital of Dalian Medical UniversityNo.222 Zhongshan RoadXigang DistrictDalianLiaoning Province 116001China Student Learning(Nurse Education)Nursing Studies The School of Health in Social ScienceThe University of EdinburghEdinburghUnited Kingdom

physical restraint is a common nursing intervention in intensive care units and nurses often use it to ensure patients'safety and to prevent unexpected ***,existing literature indicated that the use of physical restraint is a complex one because of inadequate rationales,the negative physical and emotional effects on patients,but the lack of perceived *** paper is aimed to interpret the clinical decision-making theories related to the use of physical restraint in intensive care units in order to facilitate our understanding on the use of physical restraint and to evaluate the quality of decisions made by *** reviewing the literature,intuition and heuristics are the main decision-making strategies related to the use of physical restraint in intensive care units because the rapid and reflexive nature of intuition and heuristics allow nurses to have a rapid response to urgent and emergent ***,it is problematic if nurses simply count their decision-making on experience rather than incorporate research evidence into clinical practice because of inadequate evidence to support the use of physical *** that,such a rapid response may lead nurses to make decisions without adequate assessment and thinking and therefore biases and errors may be ***,despite the importance of intuition and heuristics in decision-making in acute settings on the use of physical restraint,it is recommended that nurses should incorporate research evidence with their experience to make decisions and adequate assessment before implementing physical restraint is also necessary.

关键词： Clinical decision-making Intensive care units Intuition Heuristics physical restraint

Evaluation and analysis of the effect of continuing education on nurses’physical restraint knowledge,attitude,and behavior

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Integrative Nursing 2020年第1期2卷 11-17页

作者： Luo YANG Ling TANG Hong GUO Yan-Ling SHEN Li LI Qing-Xia LIU Hai-Yan WANG Yan-Juan LIU School of Nursing Beijing University of Chinese MedicineBeijingChina Department of Nursing Dongfang Hospital of Beijing University of Chinese MedicineBeijingChina Surgical Intensive Care Unit Geriatric Ward Department of Nursing China-Japan Friendship HospitalBeijingChina National Geriatric Center Beijing HospitalBeijingChina

Objective:The objective of the study is to construct a training course for physical restraint(PR)evidence‑based practice project and apply it to verify its ***:A total of 162 nurses from five departments of a general hospital in Beijing were trained to compare the PR knowledge,attitudes,and behaviors of nurses before and after ***:The nurses were satisfied with the overall curriculum;the total scores of PR’knowledge,attitude and behavior of nurses after training were higher than before,and the difference was statistically significant(Pphysical and psychological rehabilitation of patients.

关键词： Continuing education nursing physical restraint

Adverse events related to physical restraint use in intensive care units: A review of the literature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Intensive Medicine 2024年第3期4卷 318-325页

作者： Sebastian Berger Pascale Grzonka Simon A.Amacher Sabina Hunziker Anja I.Frei Raoul Sutter Clinic for Intensive Care Department of Acute MedicineUniversity Hospital BaselBaselSwitzerland Medical Communication and Psychosomatic Medicine University Hospital BaselBaselSwitzerland Medical faculty University of BaselBaselSwitzerland Department of Clinical Research University of BaselBaselSwitzerland

physical restraints are widely used and accepted as protective measures during treatment in intensive care unit (ICU). This review of the literature summarizes the adverse events and outcomes associated with physical restraint use, and the risk factors associated with their use during treatment in the ICU. The PubMed, Scopus, and Google Scholar databases were screened using predefined search terms to identify studies pertaining to adverse events and/or outcomes associated with physical restraint use, and the factors associated with their use in adult patients admitted to the ICU. A total of 24 articles (including 6126 patients) that were published between 2006 and 2022 were identified. The described adverse events associated with physical restraint use included skin injuries, subsequent delirium, neurofunctional impairment, and a higher rate of post-traumatic stress disorder. Subsequent delirium was the most frequent adverse event to be reported. No alternative measures to physical restraints were discussed, and only one study reported a standardized protocol for their use. Although physical restraint use has been reported to be associated with adverse events (including neurofunctional impairment) in the literature, the available evidence is limited. Although causality cannot be confirmed, a definite association appears to exist. Our findings suggest that it is essential to improve awareness regarding their adverse impact and optimize approaches for their detection, management, and prevention using protocols or checklists.

关键词： physical restraint Intensive care unit Delirium Complication Adverse event

Possible involvement of integrin signaling pathway in the process of recovery from restraint stress in rats

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Neuroscience Bulletin 2007年第4期23卷 229-235页

作者：高玉振郭试瑜印其章 Xiang—Qin CUI 久光正蒋星红苏州大学医学院神经生物学教研室苏州215123 苏州大学衰老与神经疾病实验室苏州215123 昭和大学医学部第一生理学教室东京142855日本阿拉巴马大学伯明翰分校生物统计学系阿拉巴马35294—0022美国

Objective To search novel genes or pathways involved in the recovery process after restraint stress in rats. Methods We compared the hypothalamus transcriptional profiles of two different recovery patterns （fast recovery vs slow recovery） from restraint stress in rats using oligonucleotide microarray, the recovery pattern was determined by the decrement of plasma adrenocorticotropic-hormone （ACTH） and corticosterone levels during one hour recovery period after stress. A real-time quantitative RT-PCR was applied to validate the differential expressed genes. Results Analysis of the microarray data showed that most of genes were not differentially expressed between fast recovery group and slow recovery group. Among the differentially expressed genes we found that talin, together with serine/threonine protein phosphatase PPl-beta catalytic subunit （PP-1B） and integrin α-6 precursor （VLA-6） genes, were at least 1.5 fold upregulated in the fast recovery group, while junctional adhesion molecule 1 （F11r） was 1.5 fold down-regulated in the fast recovery group. Conclusion The results implied that integrin signaling pathway may be involved in the recovery from restraint stress in rats. The present study provided a global overview of hypothalamus transcriptional profiles during the process of recovery from the restraint stress in rats. The integrin signaling pathway seems to be involved in the recovery process, which deserves further study to clarify the integrin-mediated recovery mechanism after restraint stress.

关键词： physical restraint adrenocorticotropic hormone corticosterone post-stress recovery oligonucleotide microarray