Analysis of Restraint‐Free Nursing Homes

Wiley - Tập 27 Số 2 - Trang 155-160 - 1995
D. F. Mahoney1
1Alpha Chi, is Senior Research Scientist, Medical Information Systems Unit, Boston University Medical Center. This work was supported by a Healey Research Grant from the University of Massachusetts-Boston. Appreciation is extended to Mary Anne Murphy-Kenyon, RN, MS and Maureen O'Kane-Smalley, RN, MS, research assistants, and Pamela J. Mahoney, editorial assistant.

Tóm tắt

Administrators and key informants in restraint‐free nursing homes participated in a telephone survey to improve understanding of the process, resources, and measures for successful adoption of restraint‐free care. Respondents expressed a strong opinion that each facility must develop its own individualized approach to restraint removal. However, similar approaches were found which suggest that efficiencies in conversion may be gained through application of change theory informed by restraint removal experience.

Từ khóa


Tài liệu tham khảo

American Journal of Nursing Company. (1991).Safety and accident prevention: Everyone's responsibility. Video Code No. #4253.

American Association of Homes for the Aging, 1993, A choice among risks: Physical restraints rejected

Blakeslee J., 1988, Untie the elderly, American Journal of Nursing, 6, 833

10.3928/0098-9134-19910201-04

10.3928/0098-9134-19910201-07

10.2190/B1PX-0A1D-NB49-KDFA

10.1093/geront/32.2.164

Dube A.H., 1986, Accidental strangulation from vest restraints, Journal of the American Medical Association, 256, 2725, 10.1001/jama.1986.03380190095033

10.3928/0098-9134-19920101-06

10.1016/0020-7489(88)90032-6

10.1111/j.1532-5415.1989.tb01571.x

Evans L.K., 1992, Key aspects of elder care: Managing falls, incontinence and cognitive impairment, 118

Farnsworth E.L., 1973, Nursing homes use caution when they use restraints, Modern Nursing Home, 30, 4

Food and Drug Administration, 1992, FDA safety alert: Potential hazards with restraint devices

10.1177/104973239200200104

10.1016/0277-9536(82)90175-7

Health Care Financing Administration, 1988, Medicare/medicaid nursing home information: 1987–1988

Health Care Financing Administration, State Operations Manual, OBRA'87 Interpretive Guidelines, Rev. 232

Hepburn K. Severance J. Gates B. &Christensen M.(1989 MarchApril).Institutional care of dementia patients: A state‐wide survey of long‐term care facilities and special care units.The American Journal of Alzheimer's Care and Related Disorders and Research 19–23.

Institute of Medicine, 1986, Improving the quality of care in nursing homes

10.1080/01947649209510872

10.3928/0098-9134-19921101-05

Lewis G., 1990, Toward restraint‐free nursing homes, Long-Term Care Currents, 13, 1

10.1177/001872674700100103

Lipowski Z., 1983, Transient cognitive disorders (delirium, acute confusional states) in the elderly, American Journal of Psychiatry, 11, 1426

10.2105/AJPH.79.6.735

Mitchell‐Pederson L., 1986, Reducing reliance on physical restraints, Today's Nursing Home, 7, 40

10.1002/nur.4770140305

National Citizens' Coalition for Nursing Home Reform, 1993, Avoiding physical restraint use: New standards in care and alternative care approaches to reduce use of restraints

10.1016/S0197-4572(10)80002-3

Omnibus Budget Reconciliation Act of 1987 (OBRA).Public law 100–203 sections 4201(a) 4211(a).

10.2105/AJPH.83.3.342

10.1016/S0197-4572(09)90119-7

10.3928/0098-9134-19910201-05

10.3928/0098-9134-19921101-10

Rajecki R., 1991, Locking into restraint removal, Contemporary Long Term Care, 14, 48

Rowe S., 1991, Working toward a restraint‐free environment, Dimensions, 68, 12

10.1177/105477389300200109

Schwab M., 1975, Nursing care in nursing homes, American Journal of Nursing, 75, 1812

Shorten S., 1988, Health care management: A text in organization theory and behavior

Spaulding J., 1985, A consumer perspective on quality care: The residents' point of view

10.3928/0098-9134-19910201-08

10.3928/0098-9134-19910201-09

10.7326/0003-4819-116-5-369

10.1111/j.1532-5415.1989.tb06675.x

Williams C., 1990, Long term care and the human spirit, Generations, 14, 25