Reducing and managing restraints in long-term-care facilities.

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Schnelle, J F (författare)

Reducing and managing restraints in long-term-care facilities.

Artikel/kapitelEngelska1992

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1992
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LIBRIS-ID:oai:DiVA.org:esh-115
https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-115URI

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Språk:engelska
Sammanfattning på:engelska

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OBJECTIVE: To evaluate a management system designed to improve staff adherence to a federal regulation that stated restrained residents should be released, exercised, and repositioned every 2 hours. DESIGN: A delayed intervention, controlled, cross-over design with three phases. During phase one, baseline, the length of intervals that residents remained in restraints was monitored. The intervention was implemented at site A in Phase two while site B remained in baseline. During Phase three, the intervention was replicated at site B. SETTING: Two long-term care proprietary nursing facilities. PATIENTS: Sixty-three physically restrained residents in the two facilities. INTERVENTION: The intervention was a system of restraint release using colored pads corresponding to specific hours. The management rule was that the resident should be on a different colored pad every 2 hours. Staff had to lift residents to place the pad, and the colors made the system easy for supervisors to check. MAIN OUTCOME MEASURES: Checks by research personnel by black light and invisible ink, to detect movement of the knot tying the restraints. RESULTS: During the baseline phase, the majority of residents at both sites were inappropriately restrained longer than 2 hours (site A: 54.1%; site B: 60.1%). The percentage of residents restrained over 2 hours was significantly reduced during the intervention phase to 13.9% (site A) and 19.4% (site B). Three weeks after the end of the intervention, inappropriate use of restraints remained low, 14.2%, but rose to 47.7% after another 3 weeks. CONCLUSION: The management system is an effective way to increase the consistency with which nursing-home staff release and reposition restrained residents.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
Caring sciences
Vårdvetenskap

Biuppslag (personer, institutioner, konferenser, titlar ...)

Newman, D R (författare)
White, M (författare)
Volner, T R (författare)
Burnett, J (författare)
Cronqvist, Agneta (författare)
Ory, M (författare)

Sammanhörande titlar

Ingår i:Journal of The American Geriatrics Society40:4, s. 381-50002-86141532-5415

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https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-115

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Journal of The American Geriatrics Society (Sök värdpublikationen i LIBRIS)

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Av författaren/redakt...: Schnelle, J F; Newman, D R; White, M; Volner, T R; Burnett, J; Cronqvist, Agnet ...; visa fler...; Ory, M; visa färre...

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