scholarly journals The Use of Physical Restraints on Geriatric Patients: Culture and Attitudes among Healthcare Professionals at Intermediate Care Hospitals in Majorca. A Qualitative Study Protocol

2021 ◽  
Vol 18 (14) ◽  
pp. 7509
Author(s):  
Alba Carrero-Planells ◽  
Ana Urrutia-Beaskoa ◽  
Cristina Moreno-Mulet
Keyword(s):  
Critical Discourse Analysis ◽  
Geriatric Patients ◽  
Healthcare Professionals ◽  
Physical Restraint ◽  
Nursing Assistants ◽  
Critical Discourse ◽  
Intermediate Care ◽  
Physical Restraints ◽  
Individual Interviews ◽  
Attitudes And Practices

The use of physical restraints is a common practice in the care of hospitalised and institutionalised elderly people. This use is determined by factors related to the patients, their families, the healthcare professionals, the institution, and prevailing social values. Today, however, this practice is often questioned because of its physical, psychological, moral, ethical, and legal repercussions. The present study explores attitudes among healthcare professionals towards the physical restraint of geriatric patients in intermediate care hospitals in Majorca. This study is based on a qualitative design, combining an ethnomethodological approach with critical discourse analysis. The theoretical framework is drawn from Foucault’s work in this field and from Haslam’s theory of mechanisation. Individual interviews will be conducted with physicians, nurses, and nursing assistants at intermediate care hospitals in Majorca. The analysis will focus on these professionals’ knowledge, attitudes, and practices regarding the use of such measures, seeking to identify the factors, especially institutional factors, that determine the use of restraints. It is essential to determine the prevailing culture among healthcare professionals regarding the use of physical restraints on geriatric patients in order to design and propose a more dignified health care model in which such restraints are eliminated.

scholarly journals Knowledge, Attitude, and Practice of Nurses Working in the Adult Intensive-Care Unit and Associated Factors towards the Use of Physical Restraint in Federally Administered Hospitals in Addis Ababa, Ethiopia: A Multicenter Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Lielt Mersha Woldekirkos ◽  
Tilahun Jiru ◽  
Heyria Hussien ◽  
Belayneh Shetie
Keyword(s):  
Associated Factors ◽  
Addis Ababa ◽  
Physical Restraint ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Physical Restraints ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices ◽  
Nurses Knowledge

Background. Physical restraint is any chemical or physical involuntary method restricting an individual’s movement, physical activity, or normal access to the body. Physical restraints are prescribed by the physician, but the ICU nurse remains the decision maker responsible in assessing the need, application, and removal of PR on patients in the ICU setting. Objectives. This cross-sectional descriptive study was carried out to determine the knowledge, attitudes, and practices of nurses working in adult ICU and associated factors towards the use of physical restraints in federally administered hospitals in Addis Ababa, Ethiopia, 2019. Methods. The study was conducted in ICUs of Federal Hospitals in Addis Ababa, Ethiopia, 2019. A hospital-based descriptive cross-sectional study design was carried out. By census, a total of 126 nurses were included. The data were checked for their completeness and were entered to EpiData version 4.2 and analyzed using SPSS version 25 software with 95% CI. Also, the Pearson correlation coefficient and binary logistic regression analysis were used to find an association. Result. Majority of nurses was found to be aged between 21 and 30 years, (62.5%) have worked 2–5 years, and (83%) were degree graduates. The nurses’ knowledge score was 6.1 ± 2.6 (50.8%) with possible range 0–11, the attitude score was 14.1 ± 3.1 (64%) with possible range 0–22, and the practice score was 13.9 ± 3.8 (63.18%) with possible range 0–22. Their demographical characteristics such as gender, working year, and education levels were not significantly associated with knowledge, attitudes, and practices ( P  > 0.05). Only age significantly associated with practice. Lack of a written policy or guideline and not being trained on application of physical restraint were significantly associated with knowledge. Also, practice was associated with knowledge and attitude. Conclusion. According to the study, there was a poor level of nurses’ knowledge, proper attitude, and satisfactory practice toward the use of physical restraints.

scholarly journals Promoting and Hindering Health and Well-Being in Firefighter Discourse

SAGE Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 215824402097917 ◽  
Author(s):  
Ann Jacobsson ◽  
Susann Backteman Erlanson ◽  
Christine Brulin ◽  
Annika Egan Sjolander
Keyword(s):  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Well Being ◽  
Critical Discourse ◽  
Work Culture ◽  
Rescue Service ◽  
Individual Interviews ◽  
Routine Work ◽  
External Pressures ◽  
Health And Well Being

The aim of this critical discourse analysis is to identify and discuss dominant and recurrent themes in firefighter discourse that promote and hinder firefighters’ health and well-being. Using critical discourse analysis, the focus is directed toward routine work culture at the station, as well as how firefighters deal with extraordinary events. The empirical material was collected from rescue services in Sweden representing different geographical areas. In total, 28 firefighters participated in focus group discussions or individual interviews. We identified dominant themes in the discourse that promoted firefighters’ health and well-being. We also identified recurrent themes that may serve as hindrances to health and well-being. We note that themes in the latter category also relate to changes in the profession and work culture, expressing external pressures on the rescue service. One reason for resistance toward change might be the health benefits that the current order of firefighter discourse brings.

scholarly journals A critical discourse analysis of adolescent fertility in Zambia: a postcolonial perspective

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Margarate N. Munakampe ◽  
Charles Michelo ◽  
Joseph M. Zulu
Keyword(s):  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Health Workers ◽  
Fertility Control ◽  
Critical Discourse ◽  
Early Marriage ◽  
Individual Interviews ◽  
Child Bearing ◽  
Adolescent Fertility ◽  
Sub Saharan

Abstract Background Despite global and regional policies that promote the reduction of adolescent fertility through ending early marriages and reducing early child-bearing, adolescent fertility remains high in most sub-Saharan countries. This study aimed to explore the competing discourses that shape adolescent fertility control in Zambia. Methods A qualitative case study design was adopted, involving 33 individual interviews and 9 focus group discussions with adolescents and other key-informants such as parents, teachers and policymakers. Thematic and critical discourse analysis were used to analyze the data. Results Adolescents’ age significantly reduced their access to Sexual and Reproductive Health, SRH services. Also, adolescent fertility discussions were influenced by marital norms and Christian beliefs, as well as health and rights values. While early marriage or child-bearing was discouraged, married adolescents and adolescents who had given birth before faced fewer challenges when accessing SRH information and services compared to their unmarried or nulliparous counterparts. Besides, the major influencers such as parents, teachers and health workers were also conflicted about how to package SRH information to young people, due to their varying roles in the community. Conclusion The pluralistic view of adolescent fertility is fueled by “multiple consciousnesses”. This is evidenced by the divergent discourses that shape adolescent fertility control in Zambia, compounded by the disempowered position of adolescents in their communities. We assert that the competing moral worlds, correct in their own right, viewed within the historical and social context unearth significant barriers to the success of interventions targeted towards adolescents’ fertility control in Zambia, thereby propagating the growing problem of high adolescent fertility. This suggests proactive consideration of these discourses when designing and implementing adolescent fertility interventions.

Critical Discourse Analysis as an Instrument to Enhance Social Justice Among Teenage Mothers

2022 ◽  
pp. 202-220
Author(s):  
Tshimangadzo Selina Mudau ◽  
Roehl Sybing
Keyword(s):  
Social Justice ◽  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Critical Discourse ◽  
Community Leaders ◽  
Shared Meaning ◽  
Group Discussions ◽  
Critical Dialogue ◽  
Individual Interviews ◽  
Marginalized Groups

The aim of this study is to present how critical discourse analysis was used to enhance social justice among teenaged mothers. Critical discourse analysis was used to promote critical dialogue between the socially legitimate structures and the marginalized teenaged mothers to deconstruct text and discourses that perpetuate social injustice. The study is anchored on community engagement. Data was generated with seven teenaged mothers, parents, and community leaders. Individual interviews, focus group discussions, and reflections were used to generate data with co-researchers. The study found that when teenaged mothers are exposed to social marginalization, they are denied the needed support in the development of personal, cultural, and social skills. Through critical dialogue, social text and discourses were deconstructed to co-create contextual and shared meaning leading to social justice for the marginalized teenaged mothers. The study concludes that critical discourse analysis is most appropriate in studies with youth or marginalized groups.

Nursing professionals’ attitudes toward use of physical restraints in Styrian nursing homes Austria

Pflege ◽  
2019 ◽  
Vol 32 (1) ◽  
pp. 57-63
Author(s):  
Hannes Mayerl ◽  
Tanja Trummer ◽  
Erwin Stolz ◽  
Éva Rásky ◽  
Wolfgang Freidl
Keyword(s):  
Nursing Homes ◽  
Large Scale ◽  
Critical Role ◽  
Physical Restraint ◽  
Care Practice ◽  
Physical Restraints ◽  
Convenience Sample ◽  
Restraint Use ◽  
Positive Attitudes ◽  
Nursing Professionals

Abstract. Background: Given that nursing staff play a critical role in the decision regarding use of physical restraints, research has examined nursing professionals’ attitudes toward this practice. Aim: Since nursing professionals’ views on physical restraint use have not yet been examined in Austria to date, we aimed to explore nursing professionals’ attitudes concerning use of physical restraints in nursing homes of Styria (Austria). Method: Data were collected from a convenience sample of nursing professionals (N = 355) within 19 Styrian nursing homes, based on a cross-sectional study design. Attitudes toward the practice of restraint use were assessed by means of the Maastricht Attitude Questionnaire in the German version. Results: The overall results showed rather positive attitudes toward the use of physical restraints, yet the findings regarding the sub-dimensions of the questionnaire were mixed. Although nursing professionals tended to deny “good reasons” for using physical restraints, they evaluated the consequences of physical restraint use rather positive and considered restraint use as an appropriate health care practice. Nursing professionals’ views regarding the consequences of using specific physical restraints further showed that belts were considered as the most restricting and discomforting devices. Conclusions: Overall, Austrian nursing professionals seemed to hold more positive attitudes toward the use of physical restraints than counterparts in other Western European countries. Future nationwide large-scale surveys will be needed to confirm our findings.

Discursive construction of an anti-immigration Europe by a Sweden Democrat in the European Parliament

2019 ◽  
Vol 16 (3) ◽  
pp. 429-439
Author(s):  
Kamber Güler
Keyword(s):  
Critical Discourse Analysis ◽  
Direct Democracy ◽  
Public Discourse ◽  
Social Power ◽  
European Parliament ◽  
Critical Discourse ◽  
Discursive Construction ◽  
Cognitive Approach ◽  
The Public ◽  
Political Group

Discourses are mostly used by the elites as a means of controlling public discourse and hence, the public mind. In this way, they try to legitimate their ideology, values and norms in the society, which may result in social power abuse, dominance or inequality. The role of a critical discourse analyst is to understand and expose such abuses and inequalities. To this end, this paper is aimed at understanding and exposing the discursive construction of an anti-immigration Europe by the elites in the European Parliament (EP), through the example of Kristina Winberg, a member of the Sweden Democrats political party in Sweden and the political group of Europe of Freedom and Direct Democracy in the EP. In the theoretical and methodological framework, the premises and strategies of van Dijk’s socio-cognitive approach of critical discourse analysis make it possible to achieve the aim of the paper.

The Media Conspiracy Behind the Death of Diana, Princess Of Wales: A Study of Critical Discourse Analysis

Metahumaniora ◽  
2017 ◽  
Vol 7 (2) ◽  
pp. 56
Author(s):  
Indah Mustika Santhi
Keyword(s):  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Qualitative Method ◽  
Critical Discourse ◽  
Daily Mail ◽  
Daily Newspapers ◽  
Analysis Theory ◽  
The Media ◽  
Material Process ◽  
Social Level

ABSTRAKPenelitian ini berjudul “The Media Conspiracy Behind the Death of Diana, Princessof Wales: A Study of Critical Discourse Analysis”. Penelitian ini bertujuan untuk menjelaskanbagaimana kematian Putri Diana direpresentasikan oleh The Daily Mail dalam artikelartikelpemberitaannya melalui dimensi tekstual dan juga memaparkan cara pandang TheDaily Mail sebagai pelaku media konspirasi pada praktik kerjanya terkait berita kematianPutri Diana dalam dimensi sosiokultural. Objek penelitian ini adalah The Daily Mail, salahsatu tabloid harian terbesar di Inggris. Metode yang digunakan dalam penelitian ini adalahmetode kualitatif, analisis deskriptif. Penulis menggunakan teori analisis wacana kritisFairclough (1995), disertai dengan beberapa teori pendukung lainnya, seperti teori klausasebagai representasi Halliday (2004), teori konspirasi Feaster (2008), Birchall (2006),Barkun (2003), Hodapp dan von Kannun (2008). Hasil dari penelitian ini menunjukkanbahwa representasi kematian Putri Diana dalam dimensi tekstual didapat melalui prosesmaterial, proses mental, proses relasional, proses verbal, dan proses eksistensial yangterdapat dalam artikel-artikel The Daily Mail. Sementara itu, cara pandang The Daily Mailsebagai pelaku media konspirasi atas berita kematian Putri Diana didapat melalui prosestataran sosial, tataran institusional, tataran sosial pada dimensi praktik sosiokultural.Kata Kunci: Transitivitas, Analisis Wacana Kritis, Media konspirasi.ABSTRACTThis thesis is entitled “The Media Conspiracy Behind the Death of Diana, Princessof Wales: A Study of Critical Discourse Analysis”. This thesis is aimed to describe therepresentation of Princess Diana’s death and The Daily Mail’s perspective as a mediaconspiracy actor through textual and sociocultural dimension. The object of this thesis isThe Daily Mail, one of the widest national daily newspapers in England. The method that isused in this thesis is a qualitative method, a descriptive analytic method. The writer uses thecritical discourse analysis theory of Fairclough (1995) and some other supported theories,such as clause as representation theory by Halliday (2004), the conspiracy theory by Feaster(2008), Birchall (2006), Barkun (2003), Hodapp and von Kannun (2008). The result of thisresearch shows that the representation in textual dimension that appear on Princess Diana’sdeath is derived from material process, mental process, relational process, verbal process, andexistential process. While The Daily Mail’s perspective on Princess Diana’s death is derivedfrom situational level, institutional level and social level of sociocultural practice dimension.Keywords: Transitivity, Critical Discourse Analysis, Media Conspiracy.

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