Barriers to reducing the use of restraints in residential elder care facilities

Moore, Kirsten; Haralambous, Betty

doi:10.1111/j.1365-2648.2007.04298.x

Cited by 52 publications

(83 citation statements)

References 21 publications

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“…Similarly Johnson, Ostaszkiewicz, and O'Connell, 2009 reported that the nurses initiated the use of restraints in all cases [44]. Moore and Haralambous indicated that restraints were sometimes applied for the convenience of nursing staff rather than for the safety of patients [19]. Our results indirectly corroborated this possibility.…”

Section: Discussionsupporting

confidence: 82%

“…Although nurses are aware of the ethical dilemmas arising from the use of physical restraints and are uncomfortable with their decision to use them, they often feel that they have no alternatives if they are to keep the patient safe [47], or that it is easier to apply restraints than think of alternatives [19]. Nurses would benefit from exposure to technologies that could improve patient and caregiver safety [48].…”

Section: Recommendationsmentioning

confidence: 99%

“…Staff claims that they have already done their best [17], and that they use restraints because of shortage of manpower [18], and that few alternatives are available [19].…”

Section: Adverse Effects Of Restraint Usementioning

confidence: 99%

See 2 more Smart Citations

Use of Physical Restraints in a Rehabilitation Setting: Findings from a Point Prevalence Survey

Lai¹

2015

J Nurs Care

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A point prevalence survey among 125 patients in two units of a rehabilitation facility showed that the physical restraint rate was 12.8% (n=16). The survey examined the reason(s) for restraint use, whether its use had been explained, consent obtained and documented, whether the restraint had been appropriately applied and patients monitored during the period when restraint was applied, and whether alternatives had been attempted. Interestingly, six patients were found to have had their restraints removed either before or after the survey. A slightly less restrictive form of restraint, boxing gloves, was used for seven patients instead of limbs holders. Three patients remained restrained. The results of this study revealed that there was room for improvement in practice of restraints, and that measures to reduce the use of restraints were not necessarily very costly. Applying physical restraints is counter-productive to rehabilitative care. Nurses and other health disciplines need to be better informed regarding restraint reduction programs.

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Section: Discussionsupporting

confidence: 82%

Section: Recommendationsmentioning

confidence: 99%

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Use of Physical Restraints in a Rehabilitation Setting: Findings from a Point Prevalence Survey

Lai¹

2015

J Nurs Care

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“…Barriers to shortening the restraint use included: fear of patient injury, staff and resource restrictions, lack of education and information about alternatives to restraints, policy and management issues, beliefs and expectations (of staff, family and residents), inadequate review practices and statement barriers (Moore & Haralambous 2007).…”

Section: Barriers Hindering Restraint Eliminationmentioning

confidence: 99%

Use of Physical Restraints in Neurosurgery: Guide for a Good Practice

Demir¹

2012

Explicative Cases of Controversial Issues in Neurosurgery

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“…13 Various types of coercive measures, such as mechanical and non-mechanical restraint, compulsion to take part in nursing and medical treatments or activities of daily life (ADLs), seem to be common practice in institutional care in most Western countries. 7,[14][15][16][17][18][19] Coercive measures have been associated with severe adverse effects. 12,14,17,18 Despite coercive measures' harmful effect on quality of life, use of them is probably primarily based on lack of education and unawareness of alternative measures.…”

Section: Introductionmentioning

confidence: 99%

The ethics of coercive treatment of people with dementia

et al. 2013

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The aim of the present study was to describe how registered nurses in nursing homes ensure legal security, good and safe nursing care and uphold the dignity of nursing home residents with severe dementia without violating residents' integrity. Semi-structured interviews were conducted with 10 charge nurses in a county in central Sweden. The transcribed interviews were examined using manifest and latent content analyses. The manifest analysis identified actual local routines involving coercive treatment and registered nurses' descriptions of complications and alternative measures. The latent analysis resulted in three themes describing nursing strategies: one with coercive treatment, one with coercive treatment under specific circumstances and one to prevent coercive treatment. Interpretations of legal terms regarding coercive treatment and inadequate gerontological nursing training and understaffing seem to preserve the use of coercive treatment.

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Barriers to reducing the use of restraints in residential elder care facilities

Abstract: Further education and support for staff and family members in evidence-based practice in relation to resident care and restraint use is needed in at least some residential elder care facilities.

Cited by 52 publications

References 21 publications

Use of Physical Restraints in a Rehabilitation Setting: Findings from a Point Prevalence Survey

Use of Physical Restraints in a Rehabilitation Setting: Findings from a Point Prevalence Survey

Use of Physical Restraints in Neurosurgery: Guide for a Good Practice

The ethics of coercive treatment of people with dementia

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