Page 24
September 02-03, 2019 | Vienna, Austria
WORLD NURSING FORUM
RHEUMATOLOGY & TRAUMA CARE
13
th
International Conference on
&
Nursing Forum 2019 & Rheumatology 2019
September 02-03, 2019
Journal name: Journal of Nursing Research and Practice
J Nurs Res Pract, Volume 3
Volume 3 | ISSSN: 2632-251X
The success story of nurses who have declared to fight against bad care practices,
creating innovative care models in hospitals and nursing homes
Fabio Cimador
Azienda Sanitaria Universitaria Integrata di Trieste, Italy
P
hysical, mechanical and pharmacological restraint is a care procedure widely used throughout the world both in long-term
institutions and in hospitals.
A bad practice that contrasts with the numerous scientific evidences that highlight its extreme danger and complications for
people in fragile conditions.
For many years now, a team of nurses from the city of Trieste has wanted to oppose this phenomenon, managing to declare Trieste
as a "City Free from Restraint" in 2013.
Based on the heritage and ethics of the psychiatrist Franco Basaglia who freed psychiatric patients from mental institutions,
the team of nurses from Trieste broke a cultural taboo and succeeded in proposing innovative nursing models. These models
have had success in the reality of the territory, succeeding over a few years to reduce to the point of eliminating even in hospital
contexts the use of Restraint as a practice with the help of volunteers. The models of health care in Trieste have restored dignity
to frail people by developing models of responsibility, attention and respect. This new welfare culture expresses a proactive
nursing model and guarantees everyone's rights. The duration in time of the care experience both in the public and private contest
has allowed to consolidate and build, techniques, environments, innovative and creative procedures to eradicate a wrong culture
in the health field but specially to create a care culture guaranteeing rights and freedom. In fact, the Restraint violates the rights
of every constitution, fundamental human rights and ethical ethics, it provokes physical, mental and psychological damages to
the person, causes the loss of functions to the sick and frail patients, lengthens the stays and nullifies the effects of cures, as
demonstrated by numerous evidences.
Eliminating the Restraint in assistance, is an ethical, juridical, deontological, scientific and common-sense commitment that
every nurse should consider in his/her care path.
Biography
Fabio Cimador is a Nursing coordinator in the Trieste University. He is the Teacher of courses for health professionals and adjunct
lecturer at Its Volta school for “The new Technologies of Life”. International collaborator accredited in the CNPQ together with EEAAC /
Federale Fluminense University- State of Rio de Janeiro. - Brazil. He is a founding Member of the International Group "ATriple Aleanca"
dedicated to the Culture of Non-Restraint. Researcher at "Nucleos de Estudos e Pesquisas em Emfermagem Gerontologica- NEPEG-
Fluminense Federal University, Rio De Janeiro, Brazil.
fabio.cimador@asuits.sanita.fvg.it