I really could use some help organizing the bib and as per usual with the grammer please. I reaaly don't like this writing I've done I just need to know it flows!
Moore, K., & Haralambous, B. (2007). Barriers to reducing the use of restraints in residential elder care facilities. Journal of Advanced Nursing, 58(6), 532-540.
This research based article is a study to compare perspectives about barriers to reducing restraints. The study looks at barriers reported by staff, residents and family members of three different residential elder care facilities. One on One interviews were conducted with twelve residents, seventeen family members, and eighteen staff members including eight nurses, six personal care assistants, an activities co-coordinator, two general practitioners and a pharmacist. The intended audience of the study is anyone working or planning on working in the geriatric community. The study indicated that although participating facilities wanted to reduce the use of restraints, they were still being in all three facilities. Barriers included fear of resident injury, staff and resource limitations, lack of education and information about alternatives to restraints, environmental constraints, policy and management issues, beliefs and expectations, inadequate review practices and communication barriers. Staff reported more barriers that residents or family members. Family members put a lot of trust in staff to use restraints appropriately not realizing that staff was also lacking information. The study concludes that education and support for staff and family members was needed in order to provide minimal restraint use.
This article outlined researched based evidence justifying the need to reduce restraints, then providing barriers to reducing restraints this helped me understand why nurses are using restraints although the evidence proves contrary. It let me analyze if nursing is an evidence based practice then why nurses practice conflicting care, it gave me a different perspective on why nurses not so much ignore the evidence but rather have limitations that further prevent them from putting this evidence into practice. It influenced my practice as a nurse that now I know what barriers exist that refrain facilities from using minimal restraint use, therefore, now I know what to look for and can advocate for clients and can use least restraints in my own practice and can help other staff become drivers of change that move the facility towards least restraint use. What I learned about nursing in this article is that this profession is education focused. Continual education is the key to best practice care. Lack of education and resources can be the biggest barriers to providing efficient, autonomous, client centered care. Although the article clearly illustrates the studies point about barriers to reducing restraints, it does not explore many ways to reduce the barriers leaving the audience with many questions.
This article meets the criteria for a peer reviewed journal hence is a credible source. Compared to other articles cited in the study this article provides a new perspective and is relevant to the topic because although extensive research shows that restraint use should be minimized there is very little research showing why nurses have difficulty adopting the least restraint use policy. I would draw the same conclusions as the authors that restraints should be used minimally as possible and that barriers do exist that prevent this from happening. Limitations of this article are that they used a small sample size, no residents that had been in restraints were represented and respondents could have provided false information fearing about their jobs.