Can Physically Restrained Nursing‐Home Residents Be Untied Safely? Intervention and Evaluation Design

Richard R. Neufeld, Leslie S. Libow, William Foley, Harry White

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

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. 1995 The American Geriatrics Society

Original languageEnglish
Pages (from-to)1264-1268
Number of pages5
JournalJournal of the American Geriatrics Society
Volume43
Issue number11
DOIs
StatePublished - Nov 1995

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