2023 Fiscal Year Final Research Report

Examination of Educational Effects on Nurses by Implementing In-Hospital Day Care Services with Physical Restraints Removed

Research Project

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Project/Area Number	19K11152
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58080:Gerontological nursing and community health nursing-related
Research Institution	Seitoku University (2023) Teikyo University (2022) Tokyo Junshin University (2020-2021) Tokyo Medical University (2019)
Principal Investigator	Shimizu Noriko 聖徳大学, 看護学部, 准教授 (30710090)
Co-Investigator(Kenkyū-buntansha)	加藤真由美金沢大学, 保健学系, 教授 (20293350) 山本君子東京純心大学, 看護学部, 教授 (00622078)
Project Period (FY)	2019-04-01 – 2024-03-31
Keywords	身体拘束 / 院内デイケア / 高齢患者 / 認知症 / 教育効果 / 倫理教育
Outline of Final Research Achievements	This study clarified the experience of nurses operating in-hospital day care services for older adult patients whether the operation of such services would change the nurses’ attitude toward physical restraints and their behavior in the ward．Some hospitals kept the restraints lifted even after the patients returned to their hospital room; they removed restraints since “how the patients acted in the day care facility was a catalyst for the lifting of restraints.” These hospitals “restricted the use of restraints”“as hospital-wide initiatives.”The provision of in-hospital day care services enabled the nurses to“reflect on their care and face challenges,” and “apply day care services to patient care in the ward.” The services may allow nurses to discover a different side of patients from what is observed in the hospital room. This may enable nurses to find new ways to relate to patients and to consider lifting physical restraints in the ward.
Free Research Field	高齢者看護学
Academic Significance and Societal Importance of the Research Achievements	本研究は、認知機能低下高齢患者を対象に院内デイケアを病棟看護師が運営することで、病棟看護師の身体拘束に対する意識や行動に変化を生じるのか、認知機能低下患者に対する病棟での接し方に変化があるのかを明らかにすることである。院内デイケアは、患者と看護師の新たな場での関係性の構築となり、看護師の患者の尊厳を考える機会となることから、倫理観を高める教育効果が期待できる。また、身体拘束の判断の多くは看護師が行うことから、この研究は不必要な身体拘束や行動制限をなくすことに寄与できると考えると考える。