KMID : 0367020130250030344
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Journal of Korean Academic of Adult Nursing 2013 Volume.25 No. 3 p.344 ~ p.355
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Perceptions of Family Care-givers toward Use of Physical Restraints: An Application of Q-methodology
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Yeun Eun-Ja
An Jeong-Hwa Kim Jung-A Jeon Mi-Soon
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Abstract
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Purpose: The purpose of this study was to identify on the perceptions of family care-givers toward use of physical restraints according to their values, beliefs, and perceptions using Q methodology.
Methods: Thirty-three family care-givers classified 41 selected Q-statements into 9 points standard. The obtained data were analyzed by using a pc QUANL program.
Results: Principal component analysis identified 4types of the perceptions of family care-givers toward the use of physical restraints. Type I is ¡¯Rational accepted¡¯, which means that they perceived the restraints are essential therapeutic devices and had cooperative attitude to use of medical staffs¡¯ restraints. Type II is ¡¯Sardonic sensibility¡¯, which means that they have a negative and a cynical attitude to use of physical restraints. Type III is ¡¯Ambivalent¡¯, which means that they have conflicts between rationality and emotion, and type IV is ¡¯Practical claim of a right¡¯, which means they insist that patients and their family members must be provided with a detailed explanation regarding the application of physical restraints.
Conclusion: The findings of this study suggest that perceptions toward the use of physical restraints among family care-givers should be understood for patients¡¯ safety and dignity in medical circumstance. Based on the results, this study will be useful in developing the customized nursing intervention for supporting family care-givers¡¯ subjectivity considering the Korean context.
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KEYWORD
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Intensive care units, Family, Perception, Physical restraint, Q-methodology
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