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Changes in attitudes toward restraints among nursing home staff and residents' families following restraint reduction
Author(s)Farida K Ejaz, Miriam S Rose, James A Jones
Journal titleJournal of Applied Gerontology, vol 15, no 4, December 1996
Pagespp 433-449
KeywordsAt risk ; Mobility ; Restriction ; Nursing homes ; Care home staff ; The Family ; Attitude ; United States of America.
AnnotationChanges in attitudes towards using physical restraints and the benefits of restraint elimination were examined by interviewing 161 staff and 153 family members of residents in four long-term care facilities before and after formal restraint reduction programmes were instituted. The four sites were divided into two groups: one comprised two sites that had initiated restraint reduction prior to the study, while the other initiated restraint reduction as a result of this study. Both groups experienced statistically significant declines in restraint prevalence rates from pre- to post-test. Although both staff and families cited fewer reasons for using restraints from pre- to post-test, staff along with families of previously restrained residents did not perceive increased benefits to residents or their relatives following restraint reduction. Restraint reduction, therefore, could lead to an acceptance of nursing practices that emphasise dignity, even without an accompanying perception of improvements in relatives' or residents' daily lives. (RH).
Accession NumberCPA-980513220 A
ClassmarkCA3: C4: 5RC: LHB: QRM: SJ: DP: 7T

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