An examination of falls and fall-related injuries from incident reports before and after physical restraint reduction programme : a pilot study

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An examination of falls and fall-related injuries from incident reports before and after physical restraint reduction programme : a pilot study

 

Author: Lee, Chui-shan Jo Jo
Title: An examination of falls and fall-related injuries from incident reports before and after physical restraint reduction programme : a pilot study
Degree: M.Sc.
Year: 2000
Subject: Falls (Accidents) in old age -- China -- Hong Kong
Restraint of patients -- China -- Hong Kong
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Dept. of Nursing and Health Sciences
Pages: iii, 38, [29] leaves ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1554873
URI: http://theses.lib.polyu.edu.hk/handle/200/4621
Abstract: This pilot study aimed at investigating whether a staff educational programme and the setting up of a restraint reduction committee would be effective in bringing about restraint reduction in a private old-aged home in Hong Kong. A single group pre- and post-intervention measurement was done. Out of 106 residents in the Home, 90 eligible subjects was recruited in our sample. An in-service educational programme on the use of restraint and restraint alternatives was provided to staff namely the nurses and the personal care workers with the aim to increase their basic knowledge and understanding to physical restraint. Besides, a Restraint Reduction Committee (RRC) consisted of the Home manager, nurses, physiotherapist, and researchers was set up, RRC met weekly to develop a restraint reduction policy and review each restrained residents. Their responsibilities were to decide the resident's need for restraint, to explore any other less-restrictive alternatives and make recommendations on the plan of care. Thirteen residents of the Home had been restrained. This figure could not be reduced after the implementation of the reduction programme. Also, the fall rate and the severity of fall before and after the interventions showed no significant difference. Both the statistical findings and observations of the RRC demonstrated that the uses of physical restraint, the incident of falls were not common in the Home, and that the restraint use had been, for most part, appropriate for most of the restrained residents. Findings of this pilot study highlighted the importance of family involvement and education and administrative support from the organization, which provide valuable implications for the future larger scale study.

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