Individualized Care Alternatives Used in the Process of Removing Physical Restraints in the Nursing Home

Werner, Perla; Koroknay, Vivian; Braun, Judith; Cohen‐Mansfield, Jiska

doi:10.1111/j.1532-5415.1994.tb01759.x

Cited by 69 publications

(42 citation statements)

References 10 publications

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“…Smith (1991) observed that primary nursing care allows for more individualized care. In Smith's study, primary Cox and Roghmann (1984), Brown (1992), Cooke (1993), Werner et al (1994) nursing care encouraged a more holistic approach to caring, helped to maintain continuity, and kept the individual's needs in the focus of nursing. It also allowed co-ordination of care for the same patient over a longer period.…”

Section: Literature Reviewmentioning

confidence: 95%

“…It is indeed a commonplace that different patients need individual care, this applies, among others to older people (Kenny 1990, Warren 1992, Burgener et al 1993, Happ et al 1996, people with acquired immunode®ciency syndrome (AIDS) (Hansen et al 1993), cancer sufferers (Sutcliffe & Holmes 1991), physically restrained individuals (Werner et al 1994, Cohen et al 1996 and persons with dementia (Hallberg & Norberg 1993) or psychiatric problems (Duffy 1995). Its importance in nursing care has been seen when evaluated patients' are satis®ed with their care (e.g.…”

Section: Introductionmentioning

confidence: 97%

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Developing and testing an instrument for the measurement of individual care

Suhonen¹,

Välimäki

Katajisto

2000

Journal of Advanced Nursing

142

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This paper describes a preliminary study in which an instrument was developed for the measurement of individual care in adult patients and in which the reliability and validity of the instrument were evaluated. Individual care was defined in terms of how patient individuality was taken into account and how patient participation in decision-making was facilitated. The purpose here is to describe the process by which the individual care instrument (IC) was developed, the preliminary testing of the instrument and psychometric evaluation of the instrument in a sample of adult patients discharged from a Finnish general Hospital (n=203). Item analyses showed an acceptable level of internal consistency reliability and homogeneity in each scale of the IC, and Cronbach alpha values were high in every measurement. Exploratory factor analysis supported a three-factor solution. The psychometric evaluations suggested that the instrument is worthy of further development.

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Section: Literature Reviewmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 97%

Developing and testing an instrument for the measurement of individual care

Suhonen¹,

Välimäki

Katajisto

2000

Journal of Advanced Nursing

142

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“…Not only the staff's fear of resident falls but also the daily nursing home routines may play a role. Many studies have shown that it is possible to reduce the use of restraints both by educating the staff in alternative ways of treating the behaviour of the patients and by informing staff about legal and ethical matters that have to be taken into account when considering restraints use [12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Comparisons of Restraint Use in Nursing Homes in Eight Countries

Ljunggren¹,

Phillips

Sgadari

1997

Age and Ageing

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Background: the use of restraints in nursing homes varies among countries and institutions. However, in many countries, no reliable data exist, although restraints use is acknowledged. Method: we compare data of the type of restraints used (trunk, limb or chair that prevents rising) and the intensity of its use in eight countries: Denmark, France, Iceland, Italy, Japan, Spain, Sweden and the USA. We report these data in total and for groups of residents with similar functional abilities and cognitive performance, thus avoiding to a certain extent the case-mix differences between samples from different countries. Results: the total use of restraints in these cross-sectional samples showed a very low prevalence in Denmark, Iceland and Japan (less than 9%). Between 15 and 17% were seen in France, Italy, Sweden and the USA, while Spain showed almost 40%. These major differences among the countries persist, even when one controls for physical and cognitive abilities. There are also differences in the types and intensity of restraints used in different countries. In all countries, there is a constant increase in use of restraints with increasing activities of daily living difficulties and cognitive dysfunction.

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“…However, clinical data on the topic of WGV and their discussion were sparse, even though only biomedical journals on ageing were selected. Without scientific evidence, individualized alternatives for the diagnostic and therapeutic manage m ent of elderly patients are advocated in the deter mination of biochemical reference ranges [28], in pharmacotherapy [29] and in the treatment of geropsychiatric disorders [30]. More data are needed to ensure than an expensive request for individualizing health care for the elderly is well-founded.…”

Section: Discussionmentioning

confidence: 99%