Effects of a restraint minimization program on staff knowledge, attitudes, and practice: a cluster randomized trial

Journal of the American Geriatrics Society
Tony J-E PellfolkS Karlsson

Abstract

To evaluate the effects of a restraint minimization education program on staff knowledge and attitudes and use of physical restraints. Cluster-randomized controlled trial with nursing units as the basis for randomization. Forty group dwelling units for people with dementia. 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. A 6-month education program for all nursing staff. Staff knowledge and attitudes and physical restraint use were measured before and after the education program. 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 c...Continue Reading

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Citations

Mar 15, 2012·International Psychogeriatrics·Tony PellfolkHugo Lövheim
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