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Can Physically Restrained Nursing‐Home Residents Be Untied Safely? Intervention and Evaluation Design
Author(s) -
Neufeld Richard R.,
Libow Leslie S.,
Foley William,
White Harry
Publication year - 1995
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1995.tb07403.x
Subject(s) - medicine , intervention (counseling) , nursing , psychological intervention , nursing homes , multidisciplinary approach , work (physics) , medical emergency , social science , sociology , mechanical engineering , engineering
OBJECTIVE: To develop an intervention that will enable nursing home personnel to remove physical restraints from nursing‐home residents safely and cost effectively. DESIGN: A multicenter prospective pre‐post study. SETTING: Sixteen high‐restraint‐use nursing homes, four each from California, Michigan, New York, and North Carolina. The 16 facilities has 2075 beds. INTERVENTION: A 2‐year educational demonstration study, including a 2‐day workshop, specially prepared written and video materials, and telephone and on‐site clinical consultations. Each nursing home designated a nurse to be the clinical coordinator and to lead a multidisciplinary team in conducting a restraint assessment and devising interventions for removal. OUTCOME MEASURES: We compared pre‐ and post‐study aggregate and individual facility rates of restraint use, incidents and accidents, family attitudes, financial impact, serious injuries, and staff attitudes and work patterns. CONCLUSION: Preliminary data suggest that this intervention was well received and appears to be effective in achieving restraint‐free care.