Nursing Personnel's Perceptions of Physical Restraint Use in Long-Term Care

1993 ◽  
Vol 2 (1) ◽  
pp. 98-110 ◽  
Author(s):  
Victoria Schirm ◽  
Marjorie Gray ◽  
Marlene Peoples
Keyword(s):  
Long Term Care ◽  
Physical Restraint ◽  
Term Care ◽  
Restraint Use

scholarly journals The Impact of the Long-term Care Homes Act and Public Reporting on Physical Restraint and Potentially Inappropriate Antipsychotic Use in Ontario’s Long-term Care Homes

2019 ◽  
Author(s):  
Kevin Walker ◽  
Sara Shearkhani ◽  
Yu Qing Bai ◽  
Katherine S McGilton ◽  
Whitney B Berta ◽  
...  
Keyword(s):  
Long Term Care ◽  
Physical Restraint ◽  
Public Reporting ◽  
Care Homes ◽  
Term Care ◽  
Early Adopters ◽  
Inappropriate Use ◽  
Restraint Use ◽  
The Impact

Abstract Background We report on the impact of two system-level policy interventions (the Long-Term Care Homes Act [LTCHA] and Public Reporting) on publicly reported physical restraint use and non-publicly reported potentially inappropriate use of antipsychotics in Ontario, Canada. Methods We used interrupted time series analysis to model changes in the risk-adjusted use of restraints and antipsychotics before and after implementation of the interventions. Separate analyses were completed for early ([a] volunteered 2010/2011) and late ([b] volunteered March 2012; [c] mandated September 2012) adopting groups of Public Reporting. Outcomes were measured using Resident Assessment Instrument Minimum Data Set (RAI-MDS) data from January 1, 2008 to December 31, 2014. Results For early adopters, enactment of the LTCHA in 2010 was not associated with changes in physical restraint use, while Public Reporting was associated with an increase in the rate (slope) of decline in physical restraint use. By contrast, for the late-adopters of Public Reporting, the LTCHA was associated with significant decreases in physical restraint use over time, but there was no significant increase in the rate of decline associated with Public Reporting. As the LTCHA was enacted, potentially inappropriate use of antipsychotics underwent a rapid short-term increase in the early volunteer group, but, over the longer term, their use decreased for all three groups of homes. Conclusions Public Reporting had the largest impact on voluntary early adopters while legislation and regulations had a more substantive positive effect upon homes that delayed public reporting.

Perceptions of physical restraint use and barriers to restraint reduction in a long-term care facility

1997 ◽  
Vol 11 (1) ◽  
pp. 49-62 ◽  
Author(s):  
Catherine Hagan Hennessy ◽  
Elizabeth A. Mcneely ◽  
Frank J. Whittington ◽  
Dale C. Strasser ◽  
Constance K. Archea
Keyword(s):  
Long Term Care ◽  
Physical Restraint ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Restraint Reduction ◽  
Restraint Use

scholarly journals Variation of the Occurrence of Physical Restraint Use in the Long-Term Care: A Scoping Review

2021 ◽  
Vol 18 (22) ◽  
pp. 11918
Author(s):  
Elisa Ambrosi ◽  
Martina Debiasi ◽  
Jessica Longhini ◽  
Lorenzo Giori ◽  
Luisa Saiani ◽  
...  
Keyword(s):  
Scoping Review ◽  
Care Setting ◽  
Long Term Care ◽  
Physical Restraint ◽  
Data Sources ◽  
Physical Restraints ◽  
Design Data ◽  
Term Care ◽  
Restraint Use

Physical restraints in the long-term care setting are still commonly used in several countries with a prevalence ranging from 6% to 85%. Trying to have a broad and extensive overlook on the physical restraints use in long-term care is important to design interventions to prevent and/or reduce their use. Therefore, the aim of this scoping review was to analyze the range of occurrence of physical restraint in nursing homes, long-term care facilities, and psychogeriatric units. Pubmed, CINAHL, Ovid PsycINFO- databases were searched for studies with concepts about physical restraint use in the European long-term care setting published between 2009 and 2019, along with a hand search of the bibliographies of the included studies. Data on study design, data sources, clinical setting and sample characteristics were extracted. A total of 24 studies were included. The median occurrence of physical restraint in the European long-term care setting was still high (26.5%; IQR 16.5% to 38.5%) with a significant variability across the studies. The heterogeneity of data varied according to study design, data sources, clinical setting, physical restraint’s definition, and patient characteristics, such as ADLs dependence, presence of dementia and psychoactive drugs prescription.

scholarly journals Definition and Measurement of Physical and Chemical Restraint in Long-Term Care: A Systematic Review

2021 ◽  
Vol 18 (7) ◽  
pp. 3639
Author(s):  
Lauren M. Robins ◽  
Den-Ching A. Lee ◽  
J Simon Bell ◽  
Velandai Srikanth ◽  
Ralph Möhler ◽  
...  
Keyword(s):  
Systematic Review ◽  
Long Term Care ◽  
Physical Restraint ◽  
Consensus Definition ◽  
Term Care ◽  
Chemical Restraint ◽  
Restraint Use ◽  
Definition Of ◽  
Physical And Chemical

This systematic review aimed to identify thematic elements within definitions of physical and chemical restraint, compare explicit and implicit definitions, and synthesize reliability and validity of studies examining physical and/or chemical restraint use in long-term care. Studies were included that measured prevalence of physical and/or chemical restraint use, or evaluated an intervention to reduce restraint use in long-term care. 86 papers were included in this review, all discussed physical restraint use and 20 also discussed chemical restraint use. Seven themes were generated from definitions including: restraint method, setting resident is restrained in, stated intent, resident capacity to remove/control, caveats and exclusions, duration, frequency or number, and consent and resistance. None of the studies reported validity of measurement approaches. Inter-rater reliability was reported in 27 studies examining physical restraint use, and only one study of chemical restraint. Results were compared to an existing consensus definition of physical restraint, which was found to encompass many of the thematic domains found within explicit definitions. However, studies rarely applied measurement approaches that reflected all of the identified themes of definitions. It is necessary for a consensus definition of chemical restraint to be established and for measurement approaches to reflect the elements of definitions.

scholarly journals No Decision About Me Without Me: International Views on Providing Care Against Someone’s Will

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 664-664
Author(s):  
Michel Bleijlevens ◽  
Jan Hamers ◽  
Elizabeth Capezuti
Keyword(s):  
Cognitive Impairment ◽  
The Netherlands ◽  
Home Care ◽  
Psychotropic Medication ◽  
Long Term Care ◽  
Physical Restraint ◽  
Care Recipient ◽  
Term Care ◽  
Systems Research

Abstract People with cognitive impairment may experience the care provided by their caregiver(s) as unnecessary or undesirable, which is expressed by behaviors such as resisting the efforts of a caregiver or preventing the caregiver to perform or assist with ADL such as bathing, dressing and toileting. This can lead to stress, agitation and aggression for both the care recipient and the caregiver, and places the caregiver in a complex dilemma. Should the caregiver force hygiene or respect the person’s autonomy to refuse care? It is difficult for caregivers to find a balance between quality of care and safety, while accepting the person’s autonomy. Caregivers in long-term care often feel the necessity to provide care against the will of people with a cognitive impairment, including physical restraints, psychotropic medication, and non-consensual care. This symposium provides an international perspective with presenters from Belgium, Switzerland, Germany, and the Netherlands. The first presenter explores the use and factors associated with physical restraint, psychotropic medication, and non-consensual care in people with dementia receiving home care in the Netherlands and Belgium. Second, a presenter from Switzerland focuses on the prevalence of restraint use in nursing homes. The third presenter introduces an Advance Care Planning intervention from Germany that aims to ensure that personal wishes in home care are followed. The last presenter assesses the feasibility of an approach to prevent and reduce care against a person’s will in the Netherlands. To conclude, our discussant will integrate these insights and draw conclusion for policy, practice and further research. Systems Research in Long-Term Care Interest Group Sponsored Symposium

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