Use of physical restraints Falls, Therapy interruptions, Prescription of psychotropic medication
Conditions
Interventions
Group 1: Intervention group: The intervention program is based on an intervention developed in the previous feasibility study (MARAH). The program will be further developed and adapted in a preparator
coordination of all activities for change in practice
support of all stakeholders during decision-making regarding the use of PR
critical review of the PR used and development of an agenda with prevention strategies
• Interdisciplinary short information sessions (45-minute with the following target groups: nurses, medical staf
Sponsors
Martin-Luther-Universität Halle-Wittenberg, Medizinische Fakultät
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Cluster level: Internal medicine, surgery, trauma surgery, neurology, and general acute care hospital units. Individual level: Adult patients (18 years and older) treated in participating wards at the time of data collection.
Exclusion criteria
Exclusion criteria: Cluster level: Emergency departments, intensive care units, pediatric and psychiatric wards. Individual level: Patients who are primarily treated for a psychiatric illness and pediatric patients who are actually assigned to another ward but are treated on the addressed ward (e.g., due to lack of available beds in other wards).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients with at least one physical restraint (PR) after six months. The frequency and type of PR will be assessed by direct observation using a standardized form during the observation period. Observation occurs on seven consecutive days, three times each day, morning (08:30 to 10:30 am), noon (01:00 to 03:00 pm), and evening (07:00 to 09:00 pm), by blinded trained study staff. Examples of PR types: Continuous bed rails on both sides, belts of various types, fixed tables/therapy tables, other PR such as mitts. | — |
Secondary
| Measure | Time frame |
|---|---|
| Safety parameters: Falls, therapy interruptions (e.g., removal of medical devices), and prescriptions of psychotropic medication. | — |
Countries
Germany
Contacts
Public ContactSusan;Jens Gottschalk;Abraham
Martin-Luther-Universität Halle-Wittenberg, Medizinische Fakultät, Institut für Gesundheits- und Pflegewissenschaft;Martin-Luther-Universität Halle-Wittenberg, Medizinische Fakultät, Institut für Gesundheits- und Pflegewissenschaft
Outcome results
None listed