Abstract
In 2001, the Ministry of Health, Labor and Welfare called upon nursing and welfare homes to take measures to reduce the use of physical restraints. However, depending on circumstances, nurses find it, necessary to restrain patients to prevent accidents and for treatment purposes, which makes them face a dilemma over ethical problems and suffer great stress in a clinical setting. We received a lot of advice as to how to think about and use physical restraints in acutecare and chroniccare, and from legal, safety and ethical points of view. Doctors claimed that they are also caught in the ethical dilemma, and tend to stay away from any risks that they might have. Then, we discussed how to solve any ethical problems. It was clarified that we should get rid of worry by establishing mutual understanding. Therefore, it is necessary to set up a relief organization in case of medical dispute, hold problem-solving conferences and risk preventive meetings. Through thses occasion, we have noticed how to cope with ethical problems of the use of physical restraints on the job.
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