Effects of Educational Intervention on Physical Restraint Use in Nursing Homes
Author Information
Author(s): Huizing Anna R, Hamers Jan PH, Gulpers Math JM, Berger Martijn PF
Primary Institution: Maastricht University
Hypothesis
An educational intervention will lead to a reduction of restraint prevalence and intensity, to a reduction in multiple restraint use, and to the use of less restrictive restraint types in residents.
Conclusion
An educational programme for nurses did not decrease the use of physical restraints in psycho-geriatric nursing home residents in the short term, but it protected them from an increase in restraint use compared to the control group.
Supporting Evidence
- Restraint use did not change significantly in the experimental group.
- The control group experienced a significant increase in restraint use.
- Residents in the experimental group had a lower risk of restraint use compared to the control group.
Takeaway
The study tried to teach nurses how to use fewer restraints on elderly patients, but it didn't work right away. However, it did help stop more restraints from being used.
Methodology
A cluster randomized trial was conducted with 5 nursing home wards, comparing an educational intervention group to a control group.
Potential Biases
Randomization was limited to five wards, which may increase the risk of type 2 errors.
Limitations
The study had a relatively small sample size and was limited to five nursing home wards, which may affect the generalizability of the results.
Participant Demographics
The study included 167 residents with dementia, primarily elderly, with a mean age of around 82 years.
Statistical Information
P-Value
0.021
Confidence Interval
0.031–0.541
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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