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Variation of the Occurrence of Physical Restraint Use in the Long-Term Care: A Scoping Review

Author

Listed:
  • Elisa Ambrosi

    (Department of Diagnostics and Public Health, University of Verona, Strada Le Grazie 8, 37134 Verona, Italy)

  • Martina Debiasi

    (Centre of Higher Education for Health Sciences, Azienda Provinciale per i Servizi Sanitari, Via Briamasco 2, 38121 Trento, Italy)

  • Jessica Longhini

    (Department of Medical Sciences, University of Udine, Viale Ungheria 20, 33010 Udine, Italy)

  • Lorenzo Giori

    (Santa Maria Del Carmine Hospital, Azienda Provinciale per i Servizi Sanitari, Corso Verona, 4, 38068 Rovereto, Italy)

  • Luisa Saiani

    (Department of Diagnostics and Public Health, University of Verona, Strada Le Grazie 8, 37134 Verona, Italy)

  • Elisabetta Mezzalira

    (Department of Diagnostics and Public Health, University of Verona, Strada Le Grazie 8, 37134 Verona, Italy)

  • Federica Canzan

    (Department of Diagnostics and Public Health, University of Verona, Strada Le Grazie 8, 37134 Verona, Italy)

Abstract

Physical restraints in the long-term care setting are still commonly used in several countries with a prevalence ranging from 6% to 85%. Trying to have a broad and extensive overlook on the physical restraints use in long-term care is important to design interventions to prevent and/or reduce their use. Therefore, the aim of this scoping review was to analyze the range of occurrence of physical restraint in nursing homes, long-term care facilities, and psychogeriatric units. Pubmed, CINAHL, Ovid PsycINFO- databases were searched for studies with concepts about physical restraint use in the European long-term care setting published between 2009 and 2019, along with a hand search of the bibliographies of the included studies. Data on study design, data sources, clinical setting and sample characteristics were extracted. A total of 24 studies were included. The median occurrence of physical restraint in the European long-term care setting was still high (26.5%; IQR 16.5% to 38.5%) with a significant variability across the studies. The heterogeneity of data varied according to study design, data sources, clinical setting, physical restraint’s definition, and patient characteristics, such as ADLs dependence, presence of dementia and psychoactive drugs prescription.

Suggested Citation

  • Elisa Ambrosi & Martina Debiasi & Jessica Longhini & Lorenzo Giori & Luisa Saiani & Elisabetta Mezzalira & Federica Canzan, 2021. "Variation of the Occurrence of Physical Restraint Use in the Long-Term Care: A Scoping Review," IJERPH, MDPI, vol. 18(22), pages 1-11, November.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11918-:d:678339
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    References listed on IDEAS

    as
    1. Hedi Hofmann & Sabine Hahn, 2014. "Characteristics of nursing home residents and physical restraint: a systematic literature review," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(21-22), pages 3012-3024, November.
    2. Huizing, Anna R. & Hamers, Jan P.H. & de Jonge, Jan & Candel, Math & Berger, Martijn P.F., 2007. "Organisational determinants of the use of physical restraints: A multilevel approach," Social Science & Medicine, Elsevier, vol. 65(5), pages 924-933, September.
    3. Cornelia Heinze & Theo Dassen & Ulrike Grittner, 2012. "Use of physical restraints in nursing homes and hospitals and related factors: a cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(7‐8), pages 1033-1040, April.
    4. Christine Øye & Frode Fadnes Jacobsen & Tone Elin Mekki, 2017. "Do organisational constraints explain the use of restraint? A comparative ethnographic study from three nursing homes in Norway," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(13-14), pages 1906-1916, July.
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