NURSES USING PHYSICAL RESTRAINTS: ARE THE ACCUSED ALSO THE VICTIMS? A STUDY USING FOCUS GROUP INTERVIEWS
The topic of restraint reduction has been under intense scrutiny since the late 1980s, when it began with a public outcry in developed countries arising out of concern with regard to the standard of care in long-term care settings. In Britain, the use of physical restraints on older people is often regarded as abuse . In the United States, a nursing home reform law was enacted in 1987, resulting in an increasing number of studies on restraint use from then onwards. Almost two decades later, however, researchers still find nurses resistant to the notion of removing patients' restraints. Protecting patients from injuries such as falls and preventing treatment disruption are the most important reasons given for the use of physical restraints by all professional groups [2,3]. Reportedly, nurses are most often the personnel who initiate restraint use [4,5].
Although fatal and non-fatal overdoses represent a significant source of morbidity and mortality, current systems of surveillance and communication in Canada provide inadequate measurement of drug trends and lack a timely response to drug-related hazards. In order for an effective early warning system for illicit drug overdoses to become a reality, a number of elements will be...
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Liz Di Bernardo