Physical Restraint Use in Swiss Nursing Homes: Two
Innovation in Aging, 2020, Vol. 4, No. S1 665 PHYSICAL RESTRAINT USE IN SWISS NURSING PREVENTION AND REDUCTION OF CARE AGAINST HOMES: TWO NEW NATIONAL QUALITY SOMEONE’S WILL IN COGNITIVELY IMPAIRED INDICATORS PEOPLE AT HOME: A FEASIBILITY STUDY Lauriane Favez,1 Franziska Zúñiga,2 Catherine Blatter,1 Angela Mengelers,1 Michel Bleijlevens,1 Hilde Verbeek,1 Narayan Sharma,1 and Michael Simon,1 1. University of Vincent Moermans,2 Elizabeth Capezuti,3 and Jan Hamers,1 Basel, Basel, Basel-Stadt, Switzerland, 2. Basel University, 1. Maastricht University, Maastricht, Limburg, Netherlands, Basel, Basel-Stadt, Switzerland 2. Maastricht University, Riemst, Limburg, Belgium, Quality indicators are used in nursing homes to assess 3. Hunter College of CUNY, New York, New York, physical restraint use. Switzerland introduced two publicly United States reported indicators measuring the use of 1) bedrails and Sometimes care is provided to a cognitively impaired person 2) trunk fixation or seating that prevent standing up. Whether against the person’s will, referred to as involuntary treatment. these indicators show good between-provider variability is An intervention (PRITAH) was developed to prevent and re- unknown. The study aimed to measure the prevalence of duce involuntary treatment comprising 4 components: client- physical restraint use and assess their between-provider vari- centered care policy, workshops, coaching on the job by a ability using a cross-sectional, multicentre study of a con- specialized nurse and the use of alternative interventions. venience sample of nursing homes. The between-provider A feasibility study was conducted including 30 professional variability of the indicators was assessed with intraclass caregivers.
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