TITLE:
Development of ethical dilemma scale Japanese nurse faced physical restraints to elderly patients with dementia
AUTHORS:
Miwa Yamamoto, Masako Nakamura, Shigeru Sakuraba
KEYWORDS:
Ethical Dilemma Scale; Japanese Nurse; Physical Restraints; Elderly Patients with Dementia
JOURNAL NAME:
Open Journal of Nursing,
Vol.3 No.2,
June
3,
2013
ABSTRACT:
Purpose:
This study aimed to develop an ethical dilemma scale for nurses faced with the
use of physical restraint when caring for elderly patients with dementia. Methods:
We used a previously established 20-item dilemma scale. The objective and method
of the study were explained to the head of nursing at 17 selected hospitals, and
121 nurses working in the general wards of 14 hospitals (excluding emergency department
wards of psychiatry, pediatrics, obstetrics, outpatients, operating rooms and intensive care units) who agreed to participate
were enrolled in 2000. Seventy-six nurses from one of the hospitals were selected
after eight years (2008) to provide a comparison. Ethical considerations: The
study was conducted with the approval of the ethics committee at Meiji University
of Integrative Medicine. Results and discussion: Four factors were compared between
2000 and 2008: “execution of treatment and security”,
“characteristic features in nursing of elderly patients with dementia”,
“cooperative relationship in nursing”, and “priorities in nursing”. The cumulative
contribution ratio was 65.3% (KMO = 0.77, p = 0.000) in 2000 and 72.5% (KMO = 0.78,
p = 0.000) in 2008. Therefore, the scale dilemma
nurse faced physical restraints to elderly
patients with dementia in Japan was developed 4 facoters from 17-delremmas items
of 20 items.