Outcomes of Physical Restraint Use and RN Staffing in Hospitalized Hip Fracture Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/154589
Type:
Presentation
Title:
Outcomes of Physical Restraint Use and RN Staffing in Hospitalized Hip Fracture Patients
Abstract:
Outcomes of Physical Restraint Use and RN Staffing in Hospitalized Hip Fracture Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Sullivan-Marx, Eileen, PhD, RN, FAAN
P.I. Institution Name:University of Pennsylvania
Title:Associate Professor
Co-Authors:G. Maislin, MS; Jeffrey Carson, MD
Purpose: This study examined the effects of hospital staffing (RN-patient ratios and staff mix) on physical restraint by year of policy enactment and type of hospital. Design: A retrospective case cohort design in 20 urban teaching hospitals in four regions of the U.S. from 1983-1993. Sample: Mean age of subjects was 82.6, 80% were women, and 87.4% were white, 22.3% were admitted from nursing homes, and 62.6% were independent in activities of daily living prior to hip fracture. Rate of restraint use for hospitalized hip fracture patients was 31.5% for all years. Procedure: Data on nurse staffing were obtained from the American Hospital Association Annual Hospital Survey. Patient data were obtained from a large parent clinical data set of hip fracture patients in 20 hospitals. Analysis: A mixed model was used to control for nesting of variables and examine relationships and outcomes. Findings: Hospital RN to patient ratios had an effect on reducing mortality and physical restraint use controlling for patient factors. Variations in outcomes by hospital type and year of national hospital policy on restraint use will be presented.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleOutcomes of Physical Restraint Use and RN Staffing in Hospitalized Hip Fracture Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154589-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Outcomes of Physical Restraint Use and RN Staffing in Hospitalized Hip Fracture Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Sullivan-Marx, Eileen, PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Pennsylvania</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">marx@nursing.upenn.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">G. Maislin, MS; Jeffrey Carson, MD</td></tr><tr><td colspan="2" class="item-abstract">Purpose: This study examined the effects of hospital staffing (RN-patient ratios and staff mix) on physical restraint by year of policy enactment and type of hospital. Design: A retrospective case cohort design in 20 urban teaching hospitals in four regions of the U.S. from 1983-1993. Sample: Mean age of subjects was 82.6, 80% were women, and 87.4% were white, 22.3% were admitted from nursing homes, and 62.6% were independent in activities of daily living prior to hip fracture. Rate of restraint use for hospitalized hip fracture patients was 31.5% for all years. Procedure: Data on nurse staffing were obtained from the American Hospital Association Annual Hospital Survey. Patient data were obtained from a large parent clinical data set of hip fracture patients in 20 hospitals. Analysis: A mixed model was used to control for nesting of variables and examine relationships and outcomes. Findings: Hospital RN to patient ratios had an effect on reducing mortality and physical restraint use controlling for patient factors. Variations in outcomes by hospital type and year of national hospital policy on restraint use will be presented.</td></tr></table>en_GB
dc.date.available2011-10-26T13:07:10Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T13:07:10Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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