2014
DOI: 10.1093/ageing/afu081
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Prevalence and predictors of bedrail use in an acute hospital

Abstract: this study using individual patient data shows that the use of electric profiling beds, abnormal mental states and difficulty transferring from bed are the main predictors of bedrail use in acute hospitals. Inappropriate use of bedrails is common in those with cognitive impairment or with agitation.

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Cited by 22 publications
(17 citation statements)
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“…Figure 2 demonstrates the frequency of each type of restraint. The bed rails were the most common form of restraint used, confirming results in earlier publications [3]. Each type of restraint was more frequently used on the frailty ward, which may reflect the type of patient rather than a difference in practice.…”
Section: Frequency Of Restraint Usesupporting
confidence: 82%
See 1 more Smart Citation
“…Figure 2 demonstrates the frequency of each type of restraint. The bed rails were the most common form of restraint used, confirming results in earlier publications [3]. Each type of restraint was more frequently used on the frailty ward, which may reflect the type of patient rather than a difference in practice.…”
Section: Frequency Of Restraint Usesupporting
confidence: 82%
“…Whilst distinguishable, physical restraints such as wrist restraints are rarely used unless in exceptional circumstances with sufficient justification [2], whereas less obvious forms are used on a daily basis. Examples include the use of bed rails in an attempt to keep patients within the confines of their bed space [3] or the use of an allocated healthcare assistant to make sure that the patient does not cause harm to themselves or others whilst suffering from delirium or a longstanding cognitive impairment [otherwise known as healthcare assistant specials or sitters] [4]. Therefore, there are many different types of subconscious restraints used by clinical staff, but these are often not considered to amount to “restraining the patient”.…”
Section: Introductionmentioning
confidence: 99%
“…This is understandable as agitation is an expression of anxiety and indisposition of people with dementia and typically occurs after admission to hospital. Furthermore, agitation is often a reason for psychotropic drug use or physical restraint, and thus also negatively affects QoL 52 53…”
Section: Discussionmentioning
confidence: 99%
“…The use of physical restraints is associated with several adverse effects, for example decreased patient well-being, increased feelings of fear, anger and discomfort, decreased mobility, increased risk of pressure ulcers and incontinence, and serious injuries (Demir, 2007;Strout, 2010). These adverse effects may have a negative impact on patients' recovery and rehabilitation and may also increase challenging behaviour of people with dementia (Bai et al, 2014;Mott, Poole, & Kenrick, 2005). Hence, guidelines recommend avoiding the use of physical restraints in general hospital settings (Lach, Leach, & Butcher, 2016;Registered Nurses' Association of Ontario, 2012).…”
Section: Introductionmentioning
confidence: 99%