Effects of a Multicomponent Restraint Reduction Program for Korean Nursing Home Staff

Kong, Eun-Hi; Song, Eunji; Evans, Lois K.

doi:10.1111/jnu.12296

Cited by 15 publications

(40 citation statements)

References 27 publications

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“…The results also show that there is a significant difference in the compared with those collected in other countries (Kong, Song, & Evans, 2017;Kurata & Ojima, 2014).…”

Section: Discussionmentioning

confidence: 62%

“…Nevertheless, this training does not appear to have influenced their perception of the use of physical restraint. In this sense, it seems that Spanish professionals still consider it an important procedure, especially if the data obtained in this study are compared with those collected in other countries (Kong, Song, & Evans, ; Kurata & Ojima, ).…”

Section: Discussionmentioning

confidence: 83%

See 1 more Smart Citation

Validity and measurement invariance of the Physical Restraint Use Questionnaire (PRUQ) in nursing staff

Penelo

Estévez-Guerra

Fariña-López

2018

Journal of Clinical Nursing

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“…The results also show that there is a significant difference in the compared with those collected in other countries (Kong, Song, & Evans, 2017;Kurata & Ojima, 2014).…”

Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 83%

Validity and measurement invariance of the Physical Restraint Use Questionnaire (PRUQ) in nursing staff

Penelo

Estévez-Guerra

Fariña-López

2018

Journal of Clinical Nursing

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“…To elucidate methods to reduce or suppress forms of restraint in the diverse environments in which the elderly live, alternative strategies to the use of restraints, educational programs and policies designed to reduce their use have been proposed, (8,9,12,(17)(18)(19)21,22) such as a multicomponent intervention program called Expelling Belts (EXBELT), (8,14) developed in nursing homes in the Netherlands. The EXBELT proposal, and other multicomponent programs and strategies are aimed at disseminating results of changes in the policy of containment, especially after raising the awareness of the nursing team about this practice.…”

Section: Discussionmentioning

confidence: 99%

“…Kong et al (21) Physical N2* The containment reduction program has effectively improved the team's perceptions and attitudes about the use of restraints in the elderly Muñiz et al (22) Physical N2* Physical restraints can be almost completely eliminated while maintaining reasonable levels of safety.…”

Section: Kurata Etmentioning

confidence: 99%

A prática da contenção em idosos: revisão integrativa

Backes¹,

Beuter²,

Venturini³

et al. 2019

Acta paul. enferm.

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Resumo Objetivo Analisar as evidências da literatura sobre a prática da contenção em idosos. Métodos Revisão integrativa de literatura, com busca dos estudos primários publicados de 2013 a 2017, realizada nas bases de dados eletrônicas LILACS e MEDLINE, nos meses de maio e junho de 2018. As buscas foram obtidas pelo cruzamento, nas bases de dados, dos seguintes descritores e palavras: contenção; restrição; restrição física; e idoso. Resultados Foram incluídos 17 artigos e, a análise indicou que as evidências disponíveis na literatura reportam à prática de contenções no cotidiano de idosos, às consequências frente ao uso de contenções em idosos, e a técnicas alternativas ao uso das contenções. Conclusões O uso de contenções, principalmente físicas e químicas, é permeado por maior probabilidade de declínio cognitivo do idoso, além de consequências à saúde física e psicológica, podendo, até mesmo, resultar em óbito. Programas de intervenção e políticas designadas à diminuição do uso de contenções em idosos mostram-se como estratégias alternativas, contribuindo assim, para a qualificação da assistência.

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“…Implementation of a complex intervention requires an exploration of the barriers and facilitators for guideline use, as well as awareness, agreement, adoption and adherence of the adopters during each step of the process (15,17). Evidence from residential care settings suggests that using a multicomponent approach involving policy change, leadership and education can reduce the use of physical restraints (19)(20)(21). Yet, the implementation of guidelines is even more challenging in home care (16).…”

Section: Introductionmentioning

confidence: 99%

Reducing the use of physical restraints in home care - Development and evaluation of a multicomponent program to support the implementation of a guideline

Vandervelde

Scheepmans

Milisen

et al. 2020

Preprint

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Background: A validated evidence-based guideline was developed to reduce physical restraint use in home care. However, the implementation of guidelines in home care is challenging. Therefore, this study aims to systematically develop and evaluate a multicomponent program for the implementation of the guideline for reducing the use of physical restraints in home care.Methods: Intervention Mapping was used to develop a multicomponent program. This method contains six steps. Each step comprises several tasks towards the design, implementation and evaluation of an intervention; which is theory and evidence informed, as well as practical. To ensure that the multicomponent program would support the implementation of the guideline in home care, a feasibility study of eight months was organized in one primary care district in Flanders, Belgium. A concurrent mixed methods design was used to evaluate the multicomponent program consisting of a knowledge test, focus groups and an online survey.Results: The Social Cognitive Theory and the Theory of Planned Behavior are the foundations of the multicomponent program. Based on modeling, active learning, guided practice, belief selection and resistance to social pressure, eight practical applications were developed to operationalize these methods. The key components of the program are: the ambassadors for restraint-free home care (n =15), the tutorials, the physical restraint checklist and the flyer. The results of the feasibility study show the necessity to select uniform terminology and definition for physical restraints, to involve all stakeholders from the beginning of the process, to take time for the implementation process, to select competent ambassadors and to collaborate with other home care providers.Conclusions: The multicomponent program shows promising results. Prior to future use, further research needs to focus on the last two steps of Intervention Mapping (program implementation plan and developing an evaluation plan), to guide implementation on a larger scale and to formally evaluate the effectiveness of the multicomponent program.

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Effects of a Multicomponent Restraint Reduction Program for Korean Nursing Home Staff

Cited by 15 publications

References 27 publications

Validity and measurement invariance of the Physical Restraint Use Questionnaire (PRUQ) in nursing staff

Validity and measurement invariance of the Physical Restraint Use Questionnaire (PRUQ) in nursing staff

A prática da contenção em idosos: revisão integrativa

Reducing the use of physical restraints in home care - Development and evaluation of a multicomponent program to support the implementation of a guideline

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