Restraining the Elderly
Project Management
The Project Management path for this research proposal will follow the path of quantitative research in a 'quasi-experimental' environment. Adhering as closely as possible to quantitative experiments designed to establish the causal factors or interdependent links between grouped variables, the researcher will follow a natural course of progression in administering dependent and independent variables, designing the sampling set, determining the optimal time(s) and location(s) for conducting the research, developing the measures and instruments necessary for evaluation of non-empirical evidentiary conclusion (i.e., the thought processes and reasoning of medical staff), measuring the response to education and procedural methodology, documentation to include evaluation materials, response forms, and restraint logs, preparing the education program, delivering the lectures, and evaluating the results in change or lack of change in care providers attitudes toward patient restraint.
Project Limitations
Any project that measures the process of learning, comprehension, acceptance or denial, and implementation has inherent limitations. Human variables such as attendance at scheduled lectures, attention to content, understanding or the demonstration of non-understanding in the classroom, full participation, attendee focus, pre-determined opinions, biases, tradition, and workplace procedures can affect the outcome of the results. Direct research, test, and application is not easily done with this process as the patient is ultimately the one to approve or disapprove the process of restraint; measuring full capability to provide this consent is a decided limitation which could violate the human ethic of individual patients. Lastly, the project may be limited if the medical professionals in the study choose to refrain from modifying their behavior over a long period of time; demonstrable change and internalized change are different issues requiring an entirely different study.
Data Analysis
Sampling
Many extraneous...
Another study surrounding the use of restraints in non-psychiatric patients (Strumpf and Evans, 1998) reported that the nurses had difficulty reconciling the administration of restraints with concerns regarding patient dignity and autonomy. So it appears that the use of restraints is difficult on staff and patients alike. Interestingly enough, in a literature review for this paper, the writer could find no significant supporting data to recommend restraint devices as
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