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The study is aimed at investigating how nursing staffs personal, communal and alternative methods of handling patients in circumstances maps where Physical restraints were used to control movement of older patients (Burns & Grove, 2009, p.23).
Research Study Participant Brochure
Nursing Research is very important to the fields of medicine because it assists in:
Nursing Research The Meaning
A nursing research is basically a scientific study whereby individuals can assist care givers (nurses and doctors) in finding ways to manage symptoms, treat diseases and offer better healthcare services (Dunn, 2001, p.97).. The studies are a very critical part of the process through which certain means of care or methods of treatment find approval for use (Dicenso et al, 2005, p.56). Before a certain practices or device is endorsed for use by the practitioners as fit and safe for handling patients, they have to undergo a certain kind of test in smaller sample of patients to ensure that these practices and devices are not only efficient but also safer.
Using physical restraints for managing movement of older patients entails forms of action that are connected to the individual personalities and methods of individual practitioners or the communal methods of handling patients as mutually agreed upon at the facility (Dicenso et al, 2005, p.56). Practitioners personal methods of handling are connected to consideration towards senior patients when physical restraints are to be used. Communal means of handling entail a joint discussion among practitioners who come up with a decision and draft guidelines that concern the usage of the physical restraint (Polit & Beck, 2008, p.123).
Eligibility For the study
Eligibility criteria will be that before being allowed to participate in the nursing research, you will first be assessed to ensure that you are right for the research and that the research is also correct for you. The process of investigation will be conducted under the direction of established guidelines that describe who to be included and who not to admit into the study (Polit & Beck, 2008, p.123). In some instances, the study could be seeking individuals with specific medical condition and in some instances, healthy volunteers would be allowed.
This study will involve older patients since they are very prone to falls and such accidents only require tat they movement be restricted. Therefore older patients of 60 years and above will be selected for the study. Those indicating informed consent will be enrolled for the study (Polit & Beck, 2008, p.123).
Consent form is a certificate that states the rights of a participant in a research including details like aim of study, period, tests, contact information, possible risks and Benefits.
Accenting to it implies one comprehends what he/she is getting into. It is usually an indication that the participant is voluntarily accenting participation. Even after accenting to the form one can still withdraw.
Where and When?
The study will be a quantitative one taking place across Finlands institutional care centers. The study will take place starting July 2010 to January 2011, hence lasting about six months. Information will be collected from patients from medical facilities all over Finland including healthcare centers, private nursing homes and governmental nursing homes. Structured questions will be employed for the data collection (Dunn, 2001, p.97).
Tests and Procedures
The tests to be done will include assessment of the way nurses have employed physical restraints by interviewing the participants through the five-point likert questions. On the other hand other non- physical control measures like personality, manipulating characters education of the practitioner and rationalization (Melnyk & Fineout-Overholt, 2005, p.78). The impact the too models will be assessed. The impact of control means like geriatric chairs, bed protective rails wheelchairs trays, and also restrain belts.
The Risks
This will address the side effects linked with the procedures tat will be caseired out during the study. Comparing the alternative control measures and the practitioners initiatives or education factors that help manage and restrict movement of older patients is not and easy task. The physical measures portend some risk that could be very harmful to the senior patients (Saarnio et al, 2008, p.133). The physical retraining is characterized by some risks that could be very grave to the health of the parties taking part in the survey.
The physical harm can include pressure sores or incontinence. Besides than physical danger posed there is the mental sufferings are prominent and include issues like violation of patient autonomy and the basic rights as playing with their integrity and movement (Melnyk & Fineout-Overholt, 2005, p.78).
To protect participants, the legal and ethical considerations that are adequate for governing the exercise will be address prior to beginning the study.
Protocol is more or less of a blue print a research. This is what gives the details o0f the procedure to describe what is being done and how it is to be done:
Benefits and Risk Anticipated
Considering that the there are very bad outcomes that can result from physical restraints of older patients (Capezuti et al, 2008, p.116). Finding alternative through this research is very beneficial to the whole healthcare systems of care delivery. This means that the bad mode of restrain will be replaced by better means like negotiating with the patient, use of practitioners education to handle certain situations and the decision will involve the family or the patient himself/herself (Saarnio et al, 2008, p.133). When the family members, the patient and the rest of practitioners are involved in decision making, the outcome is like to be a better way of restraining the patient rather than using means that infringe the rights.
Major risk here is the physical and mental problems that could be suffered when restrained by a better means (Dicenso et al, 2005, p.56).
Institutional Review Boards shall ensure that the safety of the participants is upheld.
IRB is composed of a group of statisticians, physicians, and society counsels forming up a committee that is charged with the duty of reviewing any human clinical research.
The committee ensures that the research keeps the rules of ethics and appropriately informs and safeguards the participants. Basically the IRB will have to approve the process before the research is conducted.
Who will Access the Information?
Personal information will be highly regarded as confidential and only the researchers will have access to it. These researchers will also have to sign a confidentiality accord to ensure that the information is not compromised (Dunn, 2001, p.97).
Nonetheless since this will be an educational survey, the conclusions or findings of the study will be disseminated into medical and nursing journals for educational and informative grounds only. It will not be however treated as a medical advice tool. Further research will also be recommended to exhaustively study the topic (Melnyk & Fineout-Overholt, 2005, p.78). Furthermore all the decision that pertain individuals management or restrain choice should be done after consultation with other profession especially those who have been in practice for long enough.
Be confident to raise all the questions that you may have before accepting to take part in the research.
You could consider discussing with your family, doctor and your trusted friends.
Deciding to participate is a very crucial decision since it could have great implications on you as an individual and many people in days to comer The researcher shall be fully responsible for the contents of this brochure. However the statements and opinions that are stated here do not necessarily express the view of the publishers of the funders.
Frequently Asked Questions before Joining
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What are the Objectives for the research?
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How do I stand to benefit from the research
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How long with the research last
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What will happen in the process of the research and what research/treatment modes will be in use
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What assurances are there that my privacy and confidentiality will not be compromised
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What are the risks involved in the research
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Will there be need for hospitalization
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Where will the study be undertaken
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Who will be in-charge of my wellbeing during the research
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Whom will I contact in case I have question during the study
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How do I get compensation in the event that I suffer serious injury or any other expenses for that matter
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What do the researcher think of the methods to be used
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How will instigators deal with negative outcomes/accidents
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What are the contacts for the organizers
Reference List
Burns, N. & Grove, S.K (2009). The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence (6th Ed). Saunders Elsevier, St Louis, Missouri
Capezuti, E., et al. (2008). Evidence-Based Geriatric Nursing Protocols for Best Practice, (3rd Ed) New York, NY: Springer Publishing Co.
Dicenso, A., Guyatt, G., & Ciliska, D. (2005). Evidence-Based Nursing: A Guide to Clinical Practice. St. Louis, MO: Elsevier Mosby.
Dunn, K.S. (2001). The Effect of Physical Restraints on Fall Rates in Older Adults Who Are Institutionalized. Journal of Gerontological Nursing 27, 4048.
Melnyk, B. M., & Fineout-Overholt, E. (2005). Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice. Philadelphia: Lippincott Williams & Wilkins.
Polit, D. F., & Beck, C. T. (2008). Nursing Research: Generating And Assessing Evidence For Nursing Practice (8th Ed.). Philadelphia: Lippincott Williams & Wilkins.
Saarnio, R., Isola, A., & Laukkala, H. (2008). The Use of Physical Restraint in Institutional Care of Older People in Finland: Nurses Individual, Communal and Alternative Modes of Action, Journal of Clinical Nursing, 18, 132-140
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