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Reducing restraints. Impact on staff attitudes

P Werner, J Cohen-Mansfield, V Koroknay

Journal of Gerontological Nursing

|December 1, 1994

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Nursing staff education is key to reducing physical restraint use in elder care. Training improved perceptions, especially among experienced nurses, highlighting the need for ongoing support and alternative strategies.

Area of Science:

Gerontology
Nursing Practice
Healthcare Management

Background:

Physical restraints are frequently used in elder care, raising concerns about patient safety and quality of life.
Nursing staff are central to the implementation and potential reduction of restraint use.

Purpose of the Study:

To assess the impact of an educational program on nursing staff perceptions of physical restraint use in elderly care.
To identify factors influencing changes in nursing staff attitudes towards restraint alternatives.

Main Methods:

Implementation of a restraint-reduction program including mandatory in-service education for nursing staff.
Surveys and data collection to measure changes in staff perceptions regarding the importance of physical restraints.

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Main Results:

Following the educational program, 58% of nursing staff participants perceived restraint use as less important for elderly care.
Perception changes were more pronounced immediately after the in-service training.
Registered nurses and licensed practical nurses with more experience and seniority showed greater shifts in perception.

Conclusions:

Targeting nursing staff with education is crucial for changing practices around physical restraint use.
Ongoing education is vital for reducing staff stress and promoting awareness of alternatives to physical restraints.
Experienced nursing staff may be more receptive to changes in restraint practices following targeted interventions.