Nurses' perceptions on the use and effects of chemical restraints on institutionalised elderly residents

Abstract

Chemical restraints are frequently administered to elderly individuals to inhibit challenging behaviour, yet they are under assessed, lack adequate rational and documentation. The changes in pharmacodynamics in older individuals due to age make these individuals vulnerable to complications especially when such drugs are used inappropriately. This study sought to explore nurses' perception on the use and effect of chemical restraints on institutionalised elderly under their care. A survey style descriptive approach was applied to collect data qualitatively by using semi structured face-to-face interviews with a convenience sample of nine nurses from a state run nursing home. Data revealed consisted of three main areas: (1) nurses knowledge on restraints, chemical restraints, and their effect; (2) Attitudes on effects of chemical restraints and in assessing residents' needs; and (3) feelings on administering a drug which they disagree with. It is recommended that further research is required on the effects of chemical restraints, education on challenging behaviors is offered to all staff that is in contact with frail elderly and how they can be tackled.