Physical restraints in nursing homes Not Applicable
Conditions
Interventions
The intervention is based on an evidence-based guidance on the reduction of physical restraints in nursing homes, comprising 24 statements on relevant interventions to avoid physical restraints. The i
Sponsors
German Federal Ministry of Education and Research (Bundesministerium Fur Bildung und Forschung [BMBF]) (Germany)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Nursing homes in the city of Hamburg and in surrounding cities of Witten/Herdecke with at least 20% of residents with physical restraints and at least 60 residents. All residents will be included.
Exclusion criteria
Exclusion criteria: Nursing homes with less than 20% of residents with physical restraints and less than 60 residents.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of residents with at least one physical restraint after six months of follow-up. Physical restraints are defined as any device, material or equipment attached to or near a person's body, which cannot be controlled easily or removed by the person and which deliberately prevents or is deliberately intended to prevent a person's free body movement to a position of choice. Prevalence data of physical restraints will be obtained by direct observation on three occasions on one day (morning, noon, evening) by trained external investigators, who are blinded to allocation of nursing homes. Data will be collected before randomisation, after three and after six months using a proven data collection instrument of a previous epidemiological study. | — |
Secondary
| Measure | Time frame |
|---|---|
| The number of falls and fall-related fractures. Nursing staff will document fall events within their in-house documentation system throughout the whole study period. If no documentation sheet for fall events exists it will be provided by the researchers. Data will be collected throughout the study period (6 months). | — |
Countries
Germany
Outcome results
None listed