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[A Dutch roadmap for care without belts usage].

J P H Hamers1, M J M Gulpers, M H C Bleijlevens

  • 1Department of Health Services Research, Maastricht University, Maastricht, The Netherlands, jph.hamers@maastrichtuniversity.nl.

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|November 9, 2013
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Summary
This summary is machine-generated.

The EXBELT intervention effectively reduces belt restraint use in nursing homes, improving resident safety. Continued focus is crucial for decreasing physical restraints in long-term care and preventing their use in home care settings.

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Area of Science:

  • Gerontology
  • Nursing Home Care
  • Patient Safety

Background:

  • Physical restraints, particularly belt restraints, are widely used in long-term care facilities for older adults.
  • Despite known negative health consequences, restraint use remains high, indicating a need for effective interventions.

Purpose of the Study:

  • To describe the development and evaluation of the EXBELT intervention designed to safely reduce and prevent belt restraint use in nursing homes.

Main Methods:

  • The EXBELT intervention includes policy change promotion, staff education, alternative interventions, and nurse specialist consultation.
  • Effect and process evaluations were conducted to assess the intervention's efficacy and implementation fidelity.

Main Results:

  • EXBELT demonstrated short-term and long-term effectiveness in reducing belt restraint use.
  • The intervention was well-received by staff and residents' relatives and largely implemented as planned.

Conclusions:

  • The EXBELT intervention is effective for reducing physical restraints in nursing homes.
  • Slower-than-expected reductions in Dutch nursing homes highlight the need for sustained efforts.
  • Preventing restraint use in home care settings also requires ongoing attention.