The Use of Physical Restraints on Geriatric Patients: Culture and Attitudes among Healthcare Professionals at Intermediate Care Hospitals in Majorca. A Qualitative Study Protocol

Alba Carrero-Planells, Ana Urrutia-Beaskoa and Cristina Moreno-Mulet
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Alba Carrero-Planells: Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122 Palma, Spain
Ana Urrutia-Beaskoa: Fundación Cuidados Dignos, 48300 Gernika, Spain
Cristina Moreno-Mulet: Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122 Palma, Spain

IJERPH, 2021, vol. 18, issue 14, 1-11

Abstract: The use of physical restraints is a common practice in the care of hospitalised and institutionalised elderly people. This use is determined by factors related to the patients, their families, the healthcare professionals, the institution, and prevailing social values. Today, however, this practice is often questioned because of its physical, psychological, moral, ethical, and legal repercussions. The present study explores attitudes among healthcare professionals towards the physical restraint of geriatric patients in intermediate care hospitals in Majorca. This study is based on a qualitative design, combining an ethnomethodological approach with critical discourse analysis. The theoretical framework is drawn from Foucault’s work in this field and from Haslam’s theory of mechanisation. Individual interviews will be conducted with physicians, nurses, and nursing assistants at intermediate care hospitals in Majorca. The analysis will focus on these professionals’ knowledge, attitudes, and practices regarding the use of such measures, seeking to identify the factors, especially institutional factors, that determine the use of restraints. It is essential to determine the prevailing culture among healthcare professionals regarding the use of physical restraints on geriatric patients in order to design and propose a more dignified health care model in which such restraints are eliminated.

Keywords: physical restraint; health knowledge; attitudes; practice; organisational culture; health personnel; safety (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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