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Restraint reduction among the hospit...

Fitzpatrick, Mary Ann C.

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Restraint reduction among the hospitalized elderly in intensive care units: Effects of education and restraint decision guide.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Restraint reduction among the hospitalized elderly in intensive care units: Effects of education and restraint decision guide./
作者:	Fitzpatrick, Mary Ann C.
面頁冊數:	214 p.
附註:	Source: Dissertation Abstracts International, Volume: 58-10, Section: B, page: 5326.
Contained By:	Dissertation Abstracts International58-10B.
標題:	Health Sciences, Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9813498
ISBN:	9780591643800

Restraint reduction among the hospitalized elderly in intensive care units: Effects of education and restraint decision guide.
Fitzpatrick, Mary Ann C.

Restraint reduction among the hospitalized elderly in intensive care units: Effects of education and restraint decision guide. - 214 p.

Source: Dissertation Abstracts International, Volume: 58-10, Section: B, page: 5326.

Thesis (Ph.D.)--Temple University, 1997.

A prospective quasi-experimental pretest-posttest design was used to study the effects of a Restraint Reduction Education Program with and without a Critical Care Restraint Decision Guide on the incidence of physical restraint use, untoward events with complications, and untoward events without complications among elderly patients in critical care units. Use of psychoactive drugs before and after the intervention was also tracked. Organizational theory provided the theoretical framework.

ISBN: 9780591643800Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Restraint reduction among the hospitalized elderly in intensive care units: Effects of education and restraint decision guide.
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245 1 0 $a Restraint reduction among the hospitalized elderly in intensive care units: Effects of education and restraint decision guide.
300 $a 214 p.
500 $a Source: Dissertation Abstracts International, Volume: 58-10, Section: B, page: 5326.
500 $a Major Adviser: Patricia M. Legos.
502 $a Thesis (Ph.D.)--Temple University, 1997.
520 $a A prospective quasi-experimental pretest-posttest design was used to study the effects of a Restraint Reduction Education Program with and without a Critical Care Restraint Decision Guide on the incidence of physical restraint use, untoward events with complications, and untoward events without complications among elderly patients in critical care units. Use of psychoactive drugs before and after the intervention was also tracked. Organizational theory provided the theoretical framework.
520 $a The site was a 701-bed not-for-profit urban teaching hospital. Incidence of restraint use, untoward events with and without complications, and psychoactive drugs was tracked from January 1996 to December 1996. In July 1996, 243 nurses from adult critical care and intermediate units received an education program about restraints and a critical care decision tool guiding restraint use (Group 1); an education program about restraints (Group 2); or no intervention (Group 3). The education intervention focused on increasing knowledge and changing perceptions about use of restraints with agitated/restless patients.
520 $a Data on restraint use, untoward events with and without complications, psychoactive drugs and knowledge and perception of restraint use were analyzed using statistical process control charts, repeated measures ANOVA and MANOVA.
520 $a The education program with a critical care decision guide was not more effective than the education program alone in reducing incidence of restraint use. There was a trend toward less restraint use in all three groups. Incidence untoward events with and without complications and use of psychoactive drugs did not change as a result of the intervention.
520 $a Nurse subjects in all three groups showed significant gains in knowledge scores from pre to post intervention. However, group membership had no effect. Perceptions about restraint use changed among the subjects in the two experimental groups from pre to post intervention, with both groups after the education intervention rating restraint use as less important in managing restless and agitated behavior.
520 $a An educational program targeted at increasing knowledge and changing perceptions about restraint use appears to be an effective intervention in reducing restraint use in elderly critical care patients. Reduction in restraint use did not appear to increase patients' risk of untoward events.
590 $a School code: 0225.
650 4 $a Health Sciences, Nursing. $3 1017798
650 4 $a Health Sciences, Education. $3 1017921
650 4 $a Health Sciences, Health Care Management. $3 1017922
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710 2 0 $a Temple University. $3 959342
773 0 $t Dissertation Abstracts International $g 58-10B.
790 1 0 $a Legos, Patricia M., $e advisor
790 $a 0225
791 $a Ph.D.
792 $a 1997
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9813498