Restraint Reduction in a Nursing Home and Its Impact on Employee Attitudes

Sundel, Martin; Garrett, Rosa M.; Horn, R.

doi:10.1111/j.1532-5415.1994.tb07485.x

Cited by 38 publications

(29 citation statements)

References 7 publications

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“…Similar ndings were reported by other studies using nurses (Helmuth, 1995;Karlsson et al, 1998;Sundel et al, 1994;Thomas et al, 1995). Our ndings also showed that for social workers, who are not involved directly in the daily care of the elderly patients and in the decisions to restrain, issues of safety and appropriate treatment were of utmost importance.…”

Section: Discussionsupporting

confidence: 92%

Perceptions regarding the use of physical restraints with elderly persons: comparison of Israeli health care nurses and social workers

Werner

2002

Journal of Interprofessional Care

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In view of the difficulty involved in decision-making regarding the use or removal of physical restraints and the recent pattern encouraging the use of interdisciplinary teams for elder care issues, the present study compared the perceptions of Israeli nurses and social workers in health care settings regarding the use of physical restraints. Data were collected from a convenience sample of 50 nurses and 69 social workers working in long-term and acute care settings. The findings indicated that participants in all professions attributed moderate to low importance towards the use of physical restraints. Social workers' perceptions were similar to those of nurses in psychiatric hospitals and slightly more favourable to the use of physical restraints than those of nurses in nursing homes. Patients' safety (as reflected in the scores of the items related to protecting an older person from falling and protecting an older person from pulling out a catheter) was the most important reason for using physical restraints for both groups. Increased attention should be given to the role of social workers as team members in the process of decision-making regarding the use or removal of physical restraints, especially as mediators between the elderly person, family members and staff members.

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Section: Discussionsupporting

confidence: 92%

Perceptions regarding the use of physical restraints with elderly persons: comparison of Israeli health care nurses and social workers

Werner

2002

Journal of Interprofessional Care

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“…They demonstrate conclusively, through analysis of prevalence and intensity, that both clinically relevant and statistically significant levels of restraint reduction can be achieved without increasing staff, serious injuries, or psychoactive drug use. These results are supported by other reports regarding restraint reduction, 14,15,34,35 post‐restraint reduction of falls, 34 and staffing, 34,36 thus adding confidence regarding generalizability. While some may conclude from these findings that reducing restraint use to less than 10% may be extremely difficult, an equally viable interpretation is that by extending the rather modest intervention beyond 6 months, full restraint removal may be possible.…”

Section: Resultssupporting

confidence: 85%

A Clinical Trial to Reduce Restraints in Nursing Homes

Evans

Strumpf

Allen-Taylor

et al. 1997

J American Geriatrics Society

209

284

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“…Furthermore, there is a need to examine in closer detail the contents of education and the knowledge, competence, and roles of different professional groups in decision making on restraint use. It may not be possible to eliminate restraint use altogether, but there is some research evidence indicating that it is possible to reduce its prevalence by educating staff in alternative ways of treating residents' behavior symptoms and by informing staff about legal and ethical matters that should be taken into account when considering restraint use 36–40 …”

Section: Discussionmentioning

confidence: 99%

Factors Relating to the Use of Physical Restraints in Geriatric Care Settings

Karlsson

Bucht

Eriksson

et al. 2001

J American Geriatrics Society

105

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Physical restraints are commonly used on older persons living in geriatric care settings. The aim of this study was to investigate the influence of environmental and organizational variations and resident and staff characteristics on restraint prevalence. In this cross-sectional study of 33 nursing home wards and 12 group living units for old persons with dementia in two municipalities in northern Sweden, 540 residents (mean age 82) and 529 staff members were evaluated for resident and staff characteristics and organizational and environmental variables. The proportion of residents with impaired mobility function, the number of behavioral disturbances, and nursing staff's attitudes towards use of restraints were the strongest discriminators between restraint-free wards and wards that used restraints. A classification function analysis showed that these three variables could correctly classify the wards as restraint-free, low-use, and high-use wards in 63.6% of the cases, with the highest figures for restraint-free wards (91%). This study has shown that the use of physical restraints is strongly connected with residents' functional status and nursing staffs' attitudes toward their use.

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Restraint Reduction in a Nursing Home and Its Impact on Employee Attitudes

Cited by 38 publications

References 7 publications

Perceptions regarding the use of physical restraints with elderly persons: comparison of Israeli health care nurses and social workers

Perceptions regarding the use of physical restraints with elderly persons: comparison of Israeli health care nurses and social workers

A Clinical Trial to Reduce Restraints in Nursing Homes

Factors Relating to the Use of Physical Restraints in Geriatric Care Settings

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