A regional multicomponent intervention for mechanical restraint reduction in acute psychiatric wards

2020 ◽  
Author(s):  
Jose Guzman‐Parra ◽  
Carlos Aguilera‐Serrano ◽  
Evelyn Huizing ◽  
Aguila Bono del Trigo ◽  
José María Villagrán ◽  
...  
Keyword(s):  
Mechanical Restraint ◽  
Restraint Reduction ◽  
Multicomponent Intervention ◽  
Acute Psychiatric Wards

Belt Restraint Reduction in Nursing Homes: Effects of a Multicomponent Intervention Program

2011 ◽  
Vol 59 (11) ◽  
pp. 2029-2036 ◽  
Author(s):  
Math J. M. Gulpers ◽  
Michel H. C. Bleijlevens ◽  
Ton Ambergen ◽  
Elizabeth Capezuti ◽  
Erik van Rossum ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Intervention Program ◽  
Restraint Reduction ◽  
Multicomponent Intervention

Characteristics of patients frequently subjected to pharmacological and mechanical restraint—A register study in three Norwegian acute psychiatric wards

2014 ◽  
Vol 215 (1) ◽  
pp. 127-133 ◽  
Author(s):  
Maria Knutzen ◽  
Stål Bjørkly ◽  
Gunnar Eidhammer ◽  
Steinar Lorentzen ◽  
Nina Helen Mjøsund ◽  
...  
Keyword(s):  
Register Study ◽  
Mechanical Restraint ◽  
Acute Psychiatric Wards

Exorcising restraint: reducing the use of restrictive interventions in a secure learning disability service

2016 ◽  
Vol 7 (4) ◽  
pp. 176-185 ◽  
Author(s):  
Tim Riding
Keyword(s):  
Learning Disability ◽  
Management Approach ◽  
Monthly Basis ◽  
Content Type ◽  
Disability Service ◽  
Mechanical Restraint ◽  
Restraint Reduction ◽  
Secure Learning ◽  
Effective Delivery ◽  
Rapid Tranquilisation

Purpose The purpose of this paper is to describe the nature and impact of a restraint reduction strategy implemented within a secure learning disability service in response to the national Positive and Safe programme. Design/methodology/approach The strategy was comprised of three primary interventions – Safewards, positive behavioural support and data-informed practice – and utilised a programme management approach to ensure effective delivery. Baseline measures were collected from 12 months of data prior to implementation of the programme and the frequency of each category of restrictive intervention was then measured prospectively on a monthly basis throughout the duration of the programme. Findings Upon completion of the programme the following results were achieved: elimination of prone restraint – elimination of mechanical restraint – 42 per cent reduction in general use of restraint – 42 per cent reduction in use of seclusion – 52 per cent reduction in rapid tranquilisation. Originality/value The paper adds to the growing body of evidence that carefully designed interventions can reduce the frequency of seclusion and restraint. In this case, Safewards and PBS have combined to exert their effect. Data-led practice and senior leadership were also found to be of critical importance. Finally, the need for a stable workforce is considered.

Effect of mechanical restraint on the rate of corrosion in concrete

1998 ◽  
Vol 25 (1) ◽  
pp. 81-86 ◽  
Author(s):  
N Hearn ◽  
J Aiello
Keyword(s):  
Mix Design ◽  
Concrete Repair ◽  
Accelerated Corrosion ◽  
One Dimensional ◽  
Mechanical Restraint ◽  
Corrosion Rates ◽  
Accelerated Corrosion Tests ◽  
The Matrix ◽  
The Relationship

Experimental work on prismatic concrete specimens was conducted to determine the relationship between mechanical restraint and the rate of corrosion. The current together with the changes in strain of the confining frame were monitored during the accelerated corrosion tests. The effect of mix design and cracking on the corrosion rates was also investigated. The results show that one-dimensional mechanical restraint retards the corrosion process, as indicated by the reduction in the steel loss. Improved quality of the matrix, with and without cracking, reduces the rate of steel loss. In the inferior quality concrete, the effect of cracking on the corrosion rate is minimal.Key words: corrosion, concrete, repair.

741 A MULTICOMPONENT INTERVENTION REDUCES PROTON PUMP INHIBITOR USE WITHOUT EVIDENCE OF HARM: A QUASI-EXPERIMENTAL STUDY OF OVER 4 MILLION US VETERANS

2021 ◽  
Vol 160 (6) ◽  
pp. S-151
Author(s):  
Jacob E. Kurlander ◽  
Sameer D. Saini ◽  
Loren Laine ◽  
Hyungjin M. Kim ◽  
Christopher B. Roberts ◽  
...  
Keyword(s):  
Experimental Study ◽  
Proton Pump Inhibitor ◽  
Proton Pump ◽  
Multicomponent Intervention ◽  
Quasi Experimental ◽  
Us Veterans

scholarly journals Effects of a Web-Based Educational Program Regarding Physical Restraint Reduction in Long-Term Care Settings on Nursing Students: A Cluster Randomized Controlled Trial

2021 ◽  
Vol 18 (13) ◽  
pp. 6698
Author(s):  
Eun-Hi Kong ◽  
Myoungsuk Kim ◽  
Seonho Kim
Keyword(s):  
Nursing Students ◽  
Educational Program ◽  
Physical Restraint ◽  
Nursing Schools ◽  
Control Group ◽  
Term Care ◽  
Web Based ◽  
Restraint Reduction ◽  
Cluster Randomized ◽  
The Web

Physical restraint is still frequently used in many countries. However, a lack of education hinders physical restraint reduction in long-term care facilities. No study has yet to examine the effects of physical restraint reduction education on nursing students. This study aimed to evaluate the effects of a web-based educational program of physical restraint reduction on nursing students’ knowledge and perceptions. A cluster randomized controlled and single-blind design was used. This study was conducted at four nursing schools in South Korea. A total of 169 undergraduate nursing students completed this study. Using random allocation, two nursing schools (85 students) were allocated as the experimental group and the other two schools (84 students) as the control group. The experimental group received the web-based educational program, and the control group did not receive the educational program. Data were collected immediately before and after the web-based educational program. The experimental group’s knowledge and perceptions significantly improved between pre-test and post-test. The analysis of covariance showed statistically significant differences between groups in knowledge (p < 0.001) and perceptions (p < 0.001) over time, revealing positive effects of the web-based educational program. The web-based educational program regarding physical restraint reduction positively affected nursing students’ knowledge and perceptions. Future studies are required to examine the educational program’s longitudinal effects with more rigorous measurements and research methods.

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