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Related Experiment Videos

Restraint reduction: can it be achieved?

F K Ejaz1, S J Folmar, M Kaufmann

  • 1Margaret Blenker Research Center, Benjamin Rose Institute, Cleveland, OH 44115.

The Gerontologist
|October 1, 1994
PubMed
Summary
This summary is machine-generated.

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Implementing restraint reduction programs in nursing homes significantly decreased physical restraint use among elderly residents. This demonstrates that effective, dignified care is achievable without resorting to physical restraints.

Area of Science:

  • Gerontology
  • Healthcare Management
  • Nursing Practice

Background:

  • Physical restraints are frequently used in skilled nursing facilities for elderly residents.
  • Restraint use raises concerns regarding resident dignity, autonomy, and potential for injury.
  • Effective alternatives to physical restraints are needed to improve quality of care.

Purpose of the Study:

  • To describe the implementation of restraint reduction programs in two skilled nursing facilities.
  • To evaluate the effectiveness of these programs in reducing physical restraint use.
  • To explore the feasibility of providing dignified care without physical restraints for frail elderly individuals.

Main Methods:

  • A step-by-step implementation process involving standardized and customized guidelines.

Related Experiment Videos

  • Engagement of direct-care staff in identifying and overcoming challenges.
  • A research-practice partnership facilitated a formal program evaluation.
  • A pre- and posttest study design was employed to assess changes.

    • Main Results:

    • Significant reductions in the use of physical restraints were observed.
    • These reductions were achieved without an increase in staff numbers.
    • The implementation process was successful in both facilities.

    Conclusions:

    • Frail, elderly individuals in nursing homes can receive effective care without physical restraints.
    • Alternative, more dignified care options are viable and effective.
    • Restraint reduction programs are feasible and beneficial in skilled nursing facilities.