Actitudes, conocimientos y práctica de los profesionales de enfermería en el uso de restricciones físicas con personas mayores

Fariña-López, Emilio; Estévez-Guerra, Gabriel J.; González, Eduardo Núñez; Hernández, Domingo de Guzmán Pérez; Crego, Manuel Gandoy

doi:10.1016/j.regg.2013.01.005

Cited by 7 publications

(21 citation statements)

References 22 publications

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“…However, in Spain there are no specific laws, and only brief references to its application in some regional regulations can be found (Teijeira & Caballín, ). This study and other data collected in Spanish nursing homes substantiate the need for this (Burgueño et al., ; Fariña‐López et al., ; Galán et al., ). It would therefore be desirable to have a national law clearly establishing the policies and procedures that should be integrated in the care of persons under physical restraint.…”

Section: Discussionsupporting

confidence: 84%

“…While in other countries, such as the United States, the Netherlands, or Germany, the practice of restraint has been studied in detail (Capezuti, ; Gulpers et al., ; Köpke et al., ), in Spain there has been little research to examine the reasons that favor its use. The few studies that have been conducted in this country suggest that, although professionals have voiced a slightly negative attitude toward restraint, they will use it when they consider it necessary (Fariña‐López, Estévez‐Guerra, Núñez, Pérez, & Gandoy, ). It is important to carry out further studies to explore the factors that contribute to the implementation of physical restraint.…”

mentioning

confidence: 99%

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Perception of Spanish Nursing Staff on the Use of Physical Restraints

Fariña-López

Estévez-Guerra

Crego

et al. 2014

J of Nursing Scholarship

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Section: Discussionsupporting

confidence: 84%

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confidence: 99%

Perception of Spanish Nursing Staff on the Use of Physical Restraints

Fariña-López

Estévez-Guerra

Crego

et al. 2014

J of Nursing Scholarship

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“…The attitude of nursing staff towards the use of physical restraint is an important contributing factor since it will influence the process of decision-making [3]. While nurses often have negative feelings towards this procedure, in practice they use it whenever they consider it necessary, especially to address patient safety concerns [3, 34–36]. This finding was confirmed by reviewing clinical records and interviewing staff: the risk of falls was the most common justification for the use of restraint, as also found in studies from other countries [1, 2].…”

Section: Discussionmentioning

confidence: 99%

“…Another aspect that could be related to the high prevalence is that there is very little training in fall prevention or the management of behavioral and psychological problems for professionals [34, 36, 40], leading them to see restraint as one of the few alternatives available. Previous studies also detected a lack of awareness of the potential complications [34, 36, 40], so that staff may erroneously overestimate the benefits of these devices.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies also detected a lack of awareness of the potential complications [34, 36, 40], so that staff may erroneously overestimate the benefits of these devices. Teaching programs addressing these issues, supported by other measures, such as the implementation of technical assistance, changes in institutional culture, or support from a specialist consultant, have been found effective in reducing their usage [16, 41, 42].…”

Section: Discussionmentioning

confidence: 99%

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The use of physical restraints in long-term care in Spain: a multi-center cross-sectional study

et al. 2017

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BackgroundPhysical restraint is a procedure used frequently in long-term care. It is a controversial practice because its use is associated with numerous complications and also affects freedom and individual autonomy. The objective of this study was to examine the use of physical restraint of long-term care residents with the ability to move voluntarily.MethodsWe conducted a cross-sectional observational and correlational multi-center study. Nine centers agreed to participate. Of the 1,200 people present at the time of data collection, those without voluntary movement or in the facility for less than a month were excluded. Thus, the final sample was 920 residents. Data on the use of restraints was collected by direct observation. Information about the age, gender, length of stay, falls, mobility, cognition and functional status of residents was gathered by reviewing clinical records and interviewing nursing staff. A descriptive analysis of the data obtained was conducted. The generalized linear model was used, considering only the principal effects of each variable and using the logit link function. The model has been adjusted for clusters and for other possibly confounding factors. For all analyses, a confidence interval (CI) of 95% was estimated.ResultsThe prevalence of residents with at least one physical restraint was 84.9% (95% CI: 81.7–88.1), with variability between centers of 70.3 to 96.6% (p-value Kruskal Wallis test <0.001). Full-enclosure side rails were most often used (84.5; 95% CI: 81.1–87.9), but other types of restraints were also used frequently. Multivariate analysis showed that the degree of functional impairment increased the probability of the use of restraint. A significant association was also found between restraint use and the impaired cognitive status of residents.ConclusionsThe prevalence was higher than in studies from other countries. The results emphasize the need to improve the training of nursing staff in the care of residents with impairments in functional and cognitive status. The use of alternative devices and nurse consultants need to be evaluated, and the introduction of specific laws considered.

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The optimal intervention for preventing physical restraints among older adults living in the nursing home: A systematic review

Liang

Huang

2023

Nursing Open

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Aim This study aimed to evaluate the effectiveness of restraint reduction programs for nursing home care providers in enforcing physical restraint on residents and identify the best strategies for such programs. Design Systematic Review. Methods We searched for randomized controlled trials published until February 2021 for systematic review. The systematic review captured multifactorial interventions, education and consultation measures, including nursing home residents' and care providers' results. Study quality was assessed using the Cochrane Collaboration criteria. Results In all seven trials, the interventions were led by a nurse specialist or unit leader and targeted at care providers. Five of the restraint reduction programs effectively reduced the rate of physical restraint use; two increased knowledge of restraint reduction for care providers; and one each promoted positive attitudes and behaviours. Duration of at least 6 weeks significantly improved the knowledge of care providers.

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Actitudes, conocimientos y práctica de los profesionales de enfermería en el uso de restricciones físicas con personas mayores

Cited by 7 publications

References 22 publications

Perception of Spanish Nursing Staff on the Use of Physical Restraints

Perception of Spanish Nursing Staff on the Use of Physical Restraints

The use of physical restraints in long-term care in Spain: a multi-center cross-sectional study

The optimal intervention for preventing physical restraints among older adults living in the nursing home: A systematic review

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