Intervention, Nursing Homes, Older People
Conditions
Keywords
care providers, restraints
Brief summary
Scholars from around the world have been strongly advocating restraint-free care in long-term care institutions. Therefore, the aim of this study was to evaluate the effects of a multifactorial intervention to reduce physical restraints for care providers in nursing homes.
Detailed description
In Taiwanese nursing homes, the use of physical restraints on residents as a protective measure is fairly common. However, physical restraints can be seen as a violation of human rights, and there is no guarantee of the effectiveness or safety of such physical restraints.This study was to evaluate the effects of a multifactorial intervention to reduce physical restraints for care providers in nursing homes. A cluster randomized controlled trial was conducted using pretest-posttest control group design. A purposive sampling of participants was chosen from care providers of 6 nursing home institutions in Taiwan, who were then randomly assigned to the experimental group (3 nursing homes) or the control group (3 nursing homes). The experimental group underwent multifactorial interventions to reduce physical restraint.
Interventions
OTHERmultifactorial interventions
The experimental group underwent multifactorial interventions to reduce physical restraint, including developing routines for physical restraint, promoting institutional policies to reduce the use of physical restraint, developing alternative methods, education, and consultations.
Sponsors
Su-Hua Liang
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* A full-time care provider * Worked in a nursing home for more than three months * Care providers have imposed physical restraints on elderly residents aged 60 or above Within the last month.
Exclusion criteria
• can't speak or read chinese, Vietnamese, Indonesian
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| knowledge | 8 minutes | The Knowledge of Restraints use scale . The Knowledge of Restraints use scale was used to assess the knowledge component. The scale consists of 20 items scored as 1 (true) or 0 (false or uncertainty). A higher score indicates more knowledge; total scores range from 0 to 20. |
| Attitudes | 8 minutes | The Attitudes of Restraints use scale . The Attitudes of Restraints use scale was used to assess participants' attitudes about restraint use. The scale is a 15 items with a 5-point Likert scale ranging from 1 (not at all agree) to 5 (most agree); the range of total scores is from 15 to 75. Higher scores indicate more negative attitudes about physical restraint use. |
| Behavior | 4 minutes | The Behavior of restraints use scale . The Behavior of restraints use scale was used to assess care providers' behavior about restraint use. The scale consists of 13 items scored as 1 (yes) or 0 (no); the range of total scores is from 0 to 13. The higher the score, the better the behavior. |
| physical restraint use | 1 minutes | the percentage of physical restraint use |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| falls rate | 1 minutes | the percentage of falls |
| Restraint types | 1 minutes | The percentage of restraint types use. The restraint types including device (wrist belt, waist belt, ankle belt, vest in wheel chair, belt in wheel chair, wheel chair with a table board, hand mitts, special sheet etc), area (trunk, waist, ankle, wrist), belt in bed, belt in wheel chair, day time, night, whole day. |
| fall-related fractures | 1 minutes | the percentage of fall-related fractures |
| psychotropic medication prescriptions | 1 minutes | the percentage of psychotropic medication prescriptions |
| Multiple restraints | 1 minutes | the percentage of multiple restraints |
| agitated and inappropriate behavior | 1 minutes | the percentage of agitated and inappropriate behavior |
| Extubation rate | 1 minutes | the percentage of extubation |
Countries
Taiwan
Outcome results
None listed