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Restraint reduction: research utilization and case study with cognitive impairment.

P A Mayhew1, K Christy, J Berkebile

  • 1Central Texas Veterans Health Care System, Temple, USA.

Geriatric Nursing (New York, N.Y.)
|December 22, 1999
PubMed
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Implementing a research-based approach reduced restraint rates by 28% in long-term care facilities. This strategy also improved nurse contacts while decreasing time spent with cognitively impaired residents.

Area of Science:

  • Gerontology
  • Nursing Science
  • Healthcare Management

Background:

  • Restraint use remains a challenge in long-term care, especially for cognitively impaired residents.
  • Effective strategies for restraint reduction are crucial for improving resident well-being and quality of care.
  • Existing research highlights the difficulties in implementing restraint reduction protocols in clinical settings.

Observation:

  • A research-based approach was implemented in a long-term care facility to address restraint reduction.
  • A case study focused on a cognitively impaired resident undergoing restraint reduction.
  • Staff concerns regarding resident safety persisted despite the reduction in restraint use.

Findings:

  • The implementation of the research-based approach resulted in a 28% decrease in the facility's restraint rate over two years.

Related Experiment Videos

  • The case study showed an increase in nurse-resident interactions but a decrease in overall nurse time spent with the resident after restraint reduction.
  • Weighing the risk/benefit ratio of restraint use is essential, alongside considerations for resident dignity and quality of life.

    • Implications:

    • This study suggests that a structured, research-based approach can significantly reduce restraint use in long-term care.
    • Findings indicate a need for continued vigilance and innovative strategies to address safety concerns for cognitively impaired residents post-restraint reduction.
    • The results emphasize the importance of balancing safety with resident dignity and quality of life in clinical decision-making.