| Effects of a restraint minimization program on staff knowledge, attitudes, and practice: a cluster randomized trial. | |
| | |
MedLine Citation:
|
PMID: 20122041 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: To evaluate the effects of a restraint minimization education program on staff knowledge and attitudes and use of physical restraints. DESIGN: Cluster-randomized controlled trial with nursing units as the basis for randomization. SETTING: Forty group dwelling units for people with dementia. PARTICIPANTS: At baseline, there were 184 staff and 191 residents in the intervention group and 162 staff and 162 residents in the control group. At the 6-month follow-up, there were 156 staff and 185 residents (36 newly admitted) in the intervention group and 133 staff and 165 residents (26 newly admitted) in the control group. INTERVENTION: A 6-month education program for all nursing staff. MEASUREMENTS: Staff knowledge and attitudes and physical restraint use were measured before and after the education program. RESULTS: In the intervention group, staff knowledge about and attitudes toward restraint use changed, and the overall use of physical restraints decreased. A comparison including only residents present during the whole study period showed that the level of use was similar between the groups at baseline, whereas it was significantly lower in the intervention group at follow-up. Adjusted analyses showed that the odds of being restrained at follow-up were lower in the intervention group than in the control group. There was no significant change in the number of falls or use of psychoactive medication. CONCLUSION: The results indicate that staff education can increase knowledge, change attitudes, and reduce the use of physical restraints without any change in the incidence of falls or use of psychoactive drugs. |
| | |
Authors:
|
Tony J-E Pellfolk; Yngve Gustafson; G?sta Bucht; Stig Karlsson |
Publication Detail:
|
Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Journal of the American Geriatrics Society Volume: 58 ISSN: 1532-5415 ISO Abbreviation: J Am Geriatr Soc Publication Date: 2010 Jan |
Date Detail:
|
Created Date: 2010-02-03 Completed Date: 2010-03-03 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7503062 Medline TA: J Am Geriatr Soc Country: United States |
Other Details:
|
Languages: eng Pagination: 62-9 Citation Subset: IM |
Affiliation:
|
Division of Geriatric Medicine, Department of Community Medicine and Rehabilitation, Umea University, Umea, Sweden. Tony.Pellfolk@germed.umu.se |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged, 80 and over Female Health Knowledge, Attitudes, Practice* Health Personnel / education* Humans Male Restraint, Physical* / standards |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Adverse effects of complementary and alternative medicine on antihypertensive medication adherence: ...
Next Document: Physical Performance and Subsequent Disability and Survival in Older Adults with Malignancy: Results...