2.50
Hdl Handle:
http://hdl.handle.net/10755/163482
Category:
Abstract
Type:
Presentation
Title:
An evidenced-based approach towards restraint reduction in an acute-care setting
Author(s):
Vitale, Anne
Author Details:
Anne Vitale, Saint Barnabas Health Care System, Toms River, New Jersey, USA, email: avitale@sbhcs.com
Abstract:
New JCAHO and HCFA restraint standards for U.S. healthcare facilities emphasize the need to successfully implement restraint reduction methods into inpatient care. Reflective in these standards is the urgent need to develop and implement restraint alternative nursing practices for hospitalized patients. The purpose of this research was to develop and incorporate an inpatient, hospital-wide restraint reduction program in a 596 bed acute-care hospital. One specific aim of the research was to identify what are effective, less restrictive, and meaningful restraint alternative practices for hospitalized patients. Framework for this research included utilization of an evidenced-based model (Rosswurm & Larrabee, 1999) to guide lowering restraint use in hospitalized patients. Methodology included a four-month Restraint Reduction Alternative Pilot developed by a CNS and conducted with much nursing input on one medical unit. Pilot development and implementation was based on beginning steps of the evidenced-based model, assessment for change and synthesizing "best" evidence. Elements included comprehensive literature review, examination of hospital restraint quality data (pre and post pilot), and site visits to identify successful restraint reduction practices in other settings, i.e. long-term care. Successful pilot results included identification of recreational-diversional alternatives incorporated into a hospital-wide restraint reduction program. To design a change in practice (as per model) a more comprehensive unit based "Restraint Log" CQI tool was implemented. A 5 -part Restraint Reduction Series was developed and implemented by the CNS to emphasize the hospital's restraint reduction program and use of restraint alternatives in patient care. Unit rounds (a dedicated staff RN + CNS) was implemented utilizing concurrent "Restraint Log" datum and is assisting staff to incorporate education into actual restraint reduction practices. In a six month period after implementation, CQI results demonstrated a 50% restraint reduction in all medical/surgical areas of the hospital only. Implications for practice include medical-surgical restraint reduction initiatives applied to critical care have not shown similar results. To further develop inpatient restraint reduction knowledge, critical care staff will be consulted and guided by this model to develop comprehensive restraint reduction practices in critical care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
14th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
University Park, Pennsylvania, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleAn evidenced-based approach towards restraint reduction in an acute-care settingen_GB
dc.contributor.authorVitale, Anneen_US
dc.author.detailsAnne Vitale, Saint Barnabas Health Care System, Toms River, New Jersey, USA, email: avitale@sbhcs.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/163482-
dc.description.abstractNew JCAHO and HCFA restraint standards for U.S. healthcare facilities emphasize the need to successfully implement restraint reduction methods into inpatient care. Reflective in these standards is the urgent need to develop and implement restraint alternative nursing practices for hospitalized patients. The purpose of this research was to develop and incorporate an inpatient, hospital-wide restraint reduction program in a 596 bed acute-care hospital. One specific aim of the research was to identify what are effective, less restrictive, and meaningful restraint alternative practices for hospitalized patients. Framework for this research included utilization of an evidenced-based model (Rosswurm & Larrabee, 1999) to guide lowering restraint use in hospitalized patients. Methodology included a four-month Restraint Reduction Alternative Pilot developed by a CNS and conducted with much nursing input on one medical unit. Pilot development and implementation was based on beginning steps of the evidenced-based model, assessment for change and synthesizing "best" evidence. Elements included comprehensive literature review, examination of hospital restraint quality data (pre and post pilot), and site visits to identify successful restraint reduction practices in other settings, i.e. long-term care. Successful pilot results included identification of recreational-diversional alternatives incorporated into a hospital-wide restraint reduction program. To design a change in practice (as per model) a more comprehensive unit based "Restraint Log" CQI tool was implemented. A 5 -part Restraint Reduction Series was developed and implemented by the CNS to emphasize the hospital's restraint reduction program and use of restraint alternatives in patient care. Unit rounds (a dedicated staff RN + CNS) was implemented utilizing concurrent "Restraint Log" datum and is assisting staff to incorporate education into actual restraint reduction practices. In a six month period after implementation, CQI results demonstrated a 50% restraint reduction in all medical/surgical areas of the hospital only. Implications for practice include medical-surgical restraint reduction initiatives applied to critical care have not shown similar results. To further develop inpatient restraint reduction knowledge, critical care staff will be consulted and guided by this model to develop comprehensive restraint reduction practices in critical care.en_GB
dc.date.available2011-10-27T11:08:20Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:08:20Z-
dc.conference.date2002en_US
dc.conference.name14th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationUniversity Park, Pennsylvania, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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