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Centre for Policy on Ageing | |
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The Minimum Data Set prevalence of restraint quality indicator
— does it reflect differences in care? | | Author(s) | John F Schnelle, Barbara M Bates-Jensen, Lené Levy-Storms |
| Journal title | The Gerontologist, vol 44, no 2, April 2004 |
| Pages | pp 245-255 |
| Source | http://www.geron.org |
| Keywords | Nursing homes ; Management [care] ; Quality ; Mobility ; Restriction ; Indicators ; United States of America. |
| Annotation | The Minimum Data Set (MDS) "prevalence of restraint" quality indicator assesses daily use of restraining devices when residents are out of bed. In this cross-sectional study with 410 residents in 14 nursing homes in Southern California, 8 homes scored in the lower quartile (25th percentile); low prevalence, 0-5%) on the MDS restraint prevalence quality indicator, and 6 homes scored in the upper quartile (75th percentile; high prevalence, 28%-48%). 8 care processes related to the management of restraints, and gait and balance problems were defined and operationalised into clinical indicators. Research staff conducted direct observations during three 12 hour days (7am-7pm) to determine the prevalence of restraining devices and identify resident and staff behaviours that may be affected by restraint use. Residents in high-restraint homes were in bed during the day on more observations than in low-restraint homes (445 vs 33%), were more frequently observed with bed rails in use (74% of residents vs 64% of residents), and received less feeding assistance during meals (2.7. minutes vs 4.1 minutes). There were no differences between homes in the use of out-of-bed restraints, nor were there any differences on any care process measure related to the management of restraints, gait and balance problems, or measures of physical or social activity. (RH). |
| Accession Number | CPA-040726210 A |
| Classmark | LHB: QA: 59: C4: 5RC: 3RI: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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