The use of physical restraints in nursing home residents with dementia
The use of physical restraints in nursing home residents with dementia The use of physical restraints in nursing home residents with dementia
Results reason, consequences and appropriateness • Nursing staff have neutral attitudes regarding reason and consequences, but do have a positive attitude regarding appropriateness in own clinical practice – ‘in our nursing home restraint usage is always appropriate’ • Experienced nursing staff and charge nurses do have more negative attitudes • Differences between countries – E.g., Dutch nurses assess the measures as less restrictive than both German and Swiss nurses and do expierence less discomfort in applying restraints Hamers et al. (submitted)
Results opinion regarding measures Measure Restrictiveness Discomfort Wrist belt 2.87 (0.4) 2.90 (0.4) Ankle belt 2.80 (0.5) 2.83 (0.5) Belt in bed 2.67 (0.5) 2.59 (0.6) Bedroom door locked 2.58 (0.7) 2.51 (0.7) Special sheet 2.53 (0.6) 2.53 (0.6) Belt in chair 2.28 (0.6) 2.14 (0.7) Ward door locked 2.17 (0.7) 2.07 (0.8) Deep chair 2.12 (0.7) 1.93 (0.7) Chair with a table 2.09 (0.6) 1.85 (0.7) Bilateral bedrails 1.96 (0.6) 1.82 (0.7) Sleep suit 1.72 (0.7) 1.73 (0.7) Infrared system 1.42 (0.6) 1.41 (0.6) Unilateral bedrail 1.38 (0.5) 1.33 (0.6) Sensor mat 1.35 (0.6) 1.32 (0.5) Hamers et al. (submitted)
- Page 1 and 2: The use of physical restraints in n
- Page 3 and 4: Physical restraints Any limitation
- Page 5 and 6: Determinants of restraint use • P
- Page 7 and 8: Determinants of restraint use based
- Page 9 and 10: How can we reduce the use of physic
- Page 11 and 12: Educational program • Basic princ
- Page 13 and 14: Hypotheses The educational interven
- Page 15 and 16: Restraint use 50 45 40 35 30 25 20
- Page 17 and 18: Restraint use Percentag restrained
- Page 19 and 20: Comparsion of two studies investiga
- Page 21: Attitudes regarding restraint use
- Page 25 and 26: Pilotproject ‘Stop the belt!’
- Page 27 and 28: ‘A miracle has occured: I can wal
Results reason, consequences and<br />
appropriateness<br />
• Nurs<strong>in</strong>g staff have neutral attitudes regard<strong>in</strong>g<br />
reason and consequences, but do have a positive<br />
attitude regard<strong>in</strong>g appropriateness <strong>in</strong> own cl<strong>in</strong>ical<br />
practice<br />
– ‘<strong>in</strong> our nurs<strong>in</strong>g <strong>home</strong> restra<strong>in</strong>t usage is always appropriate’<br />
• Experienced nurs<strong>in</strong>g staff and charge nurses do<br />
have more negative attitudes<br />
• Differences between countries<br />
– E.g., Dutch nurses assess the measures as less restrictive<br />
than both German and Swiss nurses and do expierence less<br />
discomfort <strong>in</strong> apply<strong>in</strong>g <strong>restra<strong>in</strong>ts</strong><br />
Hamers et al. (submitted)
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