physical restraints use in the nursing home care of older people with dementia. Het gebruik van vrijheidsbeperkende materialen in verpleeghuizen dementerende ouderen
Conditions
Interventions
The four key components of EXBELT are:
1. Implementation of institutional policy change that prohibits belt restraint use including communication of the policy change to:
a. Nursing home staff
b. Residents’ relatives.
2. Intensive educational intervention program for nursing home staff (nursing home physicians, nurses, paramedical staff, psychologists and ward managers) that address changi
b. Taught by a nurse specialist during three small-scale meetings, each lasting three hours, over a three week period
c. Small-scale meetings attended by nursing home staff from different wards
d. A 90-minute educational session directed toward all nursing home staff of each intervention ward after the three small-scale meetings were delivered
e. One specific module focused on strategies for changing attitudes such as shifting perspectives.
3. Consultation:
a. The nurse specialist who delivered the educational program will provide on-site
b. A nursing home manager and the Dutch inspectorate for health care (IGZ) will be available as a consultant to nursing home managers and clinical staff for indivicual cases, as needed
c. Representatives of the nursing staffs, product developers, and the research team will discuss problem cases in a creative session.
4. Development and availability of alternative interventions:
a.
Sponsors
Maastricht University
Faculty of Health, Medicine, and Life Sciences
School for Public Health and Primary Care (CAPHRI)
Post-office box 616
6200 MD Maastricht
Eligibility
Inclusion criteria
Inclusion criteria: The management boards of the four participating nursing home associations agreed with the implementation of the EXBELT program. To participate, the prevalence of belt use on psychogeriatric nursing home wards had to be at least 10%.
Exclusion criteria
Exclusion criteria: Wards are excluded if the unit is dedicated to residents with Korsakoff’s, if far-reaching reorganizations and/or constructional renovations will be implemented, and if participating in other studies and/or projects aimed at the reduction of restrain use.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure of the effect evaluation is the use of belts. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures include other types of physical restraints (e.g. belts, bilateral full-enclosure bedrails, deep or overturned chairs, chairs with a locked tray table, chairs on a board), psychoactive drug use, number of falls and fall-related injuries, the use of alternative interventions, cognitive level, activities of daily living (ADL)-status, ADL-dependency, and mobility. | — |
Contacts
Public ContactM.J.M. Gulpers
Outcome results
None listed