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The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental Studies

Author

Listed:
  • Anna Brugnolli

    (Centre of Higher Education for Health Sciences, 38122 Trento, Italy)

  • Federica Canzan

    (Department of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy)

  • Luigina Mortari

    (Department of Human Sciences, University of Verona, 37134 Verona, Italy)

  • Luisa Saiani

    (Department of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy)

  • Elisa Ambrosi

    (Department of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy)

  • Martina Debiasi

    (Centre of Higher Education for Health Sciences, 38122 Trento, Italy)

Abstract

This review assesses the effectiveness of interventions to reduce physical restraint (PR) use in older people living in nursing homes or residential care facilities. A systematic search of studies published in four electronic databases (MEDLINE, CINHAL, PsycINFO, Cochrane Central Register of Controlled Trials). The review included individual and cluster randomized controlled trials that compared educational training and multicomponent programs to avoid PR use. Risk bias of randomized controlled trials (RCTs) was assessed according to the Cochrane Handbook for Systematic Reviews of Interventions. This review includes 16 studies in a qualitative synthesis that met the inclusion criteria, nine of them offered a multicomponent program and seven offered only educational training. The results of the 12 studies included in the meta-analysis showed a significant trend in favor of intervention over time and intensity of PR use tends to decrease. The review indicates that educational programs and other supplementary interventions should be effective, but the heterogeneous operative definition of physical restraints can make difficult data generalization.

Suggested Citation

  • Anna Brugnolli & Federica Canzan & Luigina Mortari & Luisa Saiani & Elisa Ambrosi & Martina Debiasi, 2020. "The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental Studies," IJERPH, MDPI, vol. 17(18), pages 1-27, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6738-:d:414229
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    Citations

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    Cited by:

    1. Silvia Thomann & Gesche Gleichner & Sabine Hahn & Sandra Zwakhalen, 2022. "Attitudes of Nursing Staff in Hospitals towards Restraint Use: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(12), pages 1-14, June.
    2. Eun-Hi Kong & Myoungsuk Kim & Seonho Kim, 2021. "Effects of a Web-Based Educational Program Regarding Physical Restraint Reduction in Long-Term Care Settings on Nursing Students: A Cluster Randomized Controlled Trial," IJERPH, MDPI, vol. 18(13), pages 1-10, June.
    3. Alba Carrero-Planells & Ana Urrutia-Beaskoa & Cristina Moreno-Mulet, 2021. "The Use of Physical Restraints on Geriatric Patients: Culture and Attitudes among Healthcare Professionals at Intermediate Care Hospitals in Majorca. A Qualitative Study Protocol," IJERPH, MDPI, vol. 18(14), pages 1-11, July.
    4. Vanessa Sofia Jorge Cortinhal & Ana Sofia Castro Correia & Sérgio Joaquim Deodato Fernandes, 2024. "Nursing Ethical Decision Making on Adult Physical Restraint: A Scoping Review," IJERPH, MDPI, vol. 21(1), pages 1-14, January.
    5. Alvisa Palese & Jessica Longhini & Angela Businarolo & Tiziana Piccin & Giuliana Pitacco & Livia Bicego, 2021. "Between Restrictive and Supportive Devices in the Context of Physical Restraints: Findings from a Large Mixed-Method Study Design," IJERPH, MDPI, vol. 18(23), pages 1-14, December.
    6. In-Soo Shin & Juh-Hyun Shin & Dong-Eun Jang & Jiyeon Lee, 2022. "A Methodological Quality Evaluation of Meta-Analyses on Nursing Home Research: Overview and Suggestions for Future Directions," IJERPH, MDPI, vol. 19(1), pages 1-19, January.

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